Therapeutic Exercise Foundational Concepts Chapter 1 Part I

Therapeutic Exercise: Impact on Physical Function § Definition of Therapeutic Exercise – Patient definition

Therapeutic Exercise: Impact on Physical Function (cont'd) § Components of Physical Function: Definition of

Therapeutic Exercise: Impact on Physical Function (cont'd) § Types of Therapeutic Exercise Interventions §

Classification of Health Status, Functioning and Disability: Evolution of Models and Related Terminology §

Key Terms in the ICF Model § § § Impairments in body function Impairments

Components of Functioning and Disability Models and Applications in Physical Therapy § Background §

Components of Functioning and Disability Models and Applications in Physical Therapy (cont'd) § Impairments

Components of Functioning and Disability Models and Applications in Physical Therapy (cont'd) § Activity

Patient Management and Clinical Decision Making: An Interactive Relationship § Clinical Decision Making §

Patient Management and Clinical Decision Making: An Interactive Relationship (cont'd) § A Patient Management

Strategies for Effective Exercise and Task-Specific Instruction § Preparation for Exercise Instruction § Concepts

Concepts of Motor Learning: A Foundation of Exercise and Task-Specific Instruction § Types of

Concepts of Motor Learning: A Foundation of Exercise and Task-Specific Instruction (cont'd) § Conditions

Concepts of Motor Learning: A Foundation of Exercise and Task-Specific Instruction (cont'd) § Stages

Variables That Influence Motor Learning: Considerations for Exercise Instruction and Functional Training § Pre-Practice

Variables That Influence Motor Learning: Considerations for Exercise Instruction and Functional Training (cont'd) §

Application of Motor Learning Principles for Exercise Instruction § Characteristics of the Learner and

Adherence to Exercise § Factors That Influence Adherence to an Exercise Program – Patient-related

Independent Learning Activities § Critical Thinking and Discussion Copyright © 2013. F. A. Davis

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Therapeutic Exercise: Impact on Physical Function (cont'd) § Components of Physical Function: Definition of Key Terms – Balance/postural equilibrium – Cardiopulmonary/endurance – Neuromuscular control/coordination – Mobility/flexibility – Muscle performance – Stability Copyright © 2013. F. A. Davis Company

Classification of Health Status, Functioning and Disability: Evolution of Models and Related Terminology § Background and Rationale for Classification Systems § Models of Functioning and Disability: Past and Present – Early models – Need for a new framework for functioning and disability • The ICF: An overview of the model Copyright © 2013. F. A. Davis Company

Key Terms in the ICF Model § § § Impairments in body function Impairments in body structure Activity limitations Participation restrictions Contextual factors – Environmental factors – Personal factors Copyright © 2013. F. A. Davis Company

Components of Functioning and Disability Models and Applications in Physical Therapy § Background § Health Conditions – Pathological conditions – Pathophysiological conditions Copyright © 2013. F. A. Davis Company

Components of Functioning and Disability Models and Applications in Physical Therapy (cont'd) § Impairments – Types of impairment • Impairments of body function and body structure • Primary and secondary impairments • Composite impairments § Functional limitations – Types of functional limitations Copyright © 2013. F. A. Davis Company

Components of Functioning and Disability Models and Applications in Physical Therapy (cont'd) § Activity Limitations/Functional Limitations – Types of activity limitations/functional limitations § Participation Restrictions and Disability § Prevention of Disability § Risk Factors § Summary Copyright © 2013. F. A. Davis Company

Patient Management and Clinical Decision Making: An Interactive Relationship § Clinical Decision Making § Evidence-Based Practice – Definition and description of the process – Accessing evidence Copyright © 2013. F. A. Davis Company

Patient Management and Clinical Decision Making: An Interactive Relationship (cont'd) § A Patient Management Model – Examination • History • Systems review • Specific tests and measures – Evaluation – Diagnosis • Diagnostic process • Diagnostic category Copyright © 2013. F. A. Davis Company

Patient Management and Clinical Decision Making: An Interactive Relationship (cont'd) § A Patient Management Model (cont’d) – Prognosis and plan of care • Plan of care • Setting goals and outcomes in the plan of care – Intervention • Coordination, communication, and documentation • Procedural intervention • Patient-related instruction Copyright © 2013. F. A. Davis Company

Patient Management and Clinical Decision Making: An Interactive Relationship (cont'd) § A Patient Management Model (cont’d) – Outcomes • Functional outcomes • Measuring outcomes – Impact of intervention on patient-related functional outcomes – Patient satisfaction • Discharge planning Copyright © 2013. F. A. Davis Company

Strategies for Effective Exercise and Task-Specific Instruction § Preparation for Exercise Instruction § Concepts of Motor Learning: A Foundation of Exercise and Task-Specific Instruction § Adherence to Exercise Copyright © 2013. F. A. Davis Company

Concepts of Motor Learning: A Foundation of Exercise and Task-Specific Instruction (cont'd) § Conditions and Progression of Motor Tasks – Closed or open environment – Inter-trial variability in the environment: absent or present – Body stable or body transport – Manipulation of objects: absent or present Copyright © 2013. F. A. Davis Company

Concepts of Motor Learning: A Foundation of Exercise and Task-Specific Instruction (cont'd) § Stages of Motor Learning – Cognitive stage – Associative stage – Autonomous stage Copyright © 2013. F. A. Davis Company

Variables That Influence Motor Learning: Considerations for Exercise Instruction and Functional Training § Pre-Practice Considerations § Practice – Part versus whole practice – Practice order: blocked, random, and random/blocked – Physical versus mental practice Copyright © 2013. F. A. Davis Company

Variables That Influence Motor Learning: Considerations for Exercise Instruction and Functional Training (cont'd) § Feedback – Intrinsic feedback – Augmented feedback – Knowledge of performance versus knowledge of results – The feedback schedule: timing and frequency of augmented feedback Copyright © 2013. F. A. Davis Company

Application of Motor Learning Principles for Exercise Instruction § Characteristics of the Learner and Instructional Strategies for the Three Stages of Motor Learning Copyright © 2013. F. A. Davis Company

Adherence to Exercise § Factors That Influence Adherence to an Exercise Program – Patient-related factors – Factors related to the health condition or impairments – Program-related variables § Strategies to Foster Adherence Copyright © 2013. F. A. Davis Company