5. THERAPEUTIC EXERCISE
Is the systematic , planned performance of bodily
movements , postures or physical activities intended
to provide a patient / client to optimize overall health
, status , fitness or sense of well being
7. STRENGTH , ENDURANCE ,
POWER & BALANCE
Ability to generate maximal force
Ability to sustain
Rate of work [ speed ]
COG over body’s BASE OF SUPPORT
Flexibility [ elongation ]
8. COMMON PHYSICAL IMPAIRMENTS
Pain
Muscular weakness
Decreased muscle endurance
Limitation of ROM
Joint hypermobility
Faulty posture
Muscle tightness
Balance
Incoordination
Delayed motor development
Abnormal tone
Decreased aerobic capacity
Impaired circulation
16. MUSCLE STRENGTH –
ISOKINETIC
DYNAMOMETRY
Assesses strength development at constant speed
Protocol :
Speed set at 30 – 60*/sec
2-3 submaximal trails , followed by
3-5 maximal trails (till drop in performance noted ) ,
best of maximum trails
18. ASSESSMENT OF MUSCLE
ENDURANCE
Suggested techniques :
1. Maximal # of lifts at 70% of 1-RM weight
2. Bench press at fixed weight
Cadence of 30 reps/min
Test ends when cadence cannot be maintained
Men : 80 – lb bar
Women : 35 – lb bar
3. Push – up test
Measures # of push-ups completed without rest
19. 12-MIN RUN FITNESS TEST
FOR ENDURANCE
Calculate your estimated vo2 max
In miles : vo2 max = (35.97xmiles)-11.29
In Km : vo2 max = (22.351xkilometers)-11.288
21. PASSIVE MOVEMENT
Relaxed passive movement & accessory movement
Passive manual mobilization technique
a. Mobilization
b. Manipulation
c. Passive stretching
22. ACTIVE MOVEMENT
Free exercise
Assisted exercise
Assisted – resisted exercise
Resisted exercise
26. 1.DE LORME & WATKINS
10 lifts with ½ 1o R.M.
10 lifts with ¾ 1o R.M.
10 lifts with 1o R.M.
30 lifts 4 times weekly
Progress 10 R.M once weekly
27. 2.Zinovieff
(oxford technique)
10 lifts with 10 R.M. minus lb
10 lifts with 10 R.M. minus 1 lb
10 lifts with 10 R.M. minus 2 lb
10 lifts with 10 R.M. minus 3 lb
10 lifts with 10 R.M. minus 4 lb
10 lifts with 10 R.M. minus 5 lb
10 lifts with 10 R.M. minus 6 lb
10 lifts with 10 R.M. minus 7 lb
10 lifts with 10 R.M. minus 8 lb
10 lifts with 10 R.M. minus 9 lb
100 lifts 5 times weekly
Progress 10 R.M. daily
28. 3.Mac queen
10 lifts with 1o R.M.
10 lifts with 1o R.M.
10 lifts with 1o R.M.
10 lifts with 1o R.M.
40 lifts 3 times weekly
Progress 10 R.M. every 1-2 weeks
29. CO-ORDINATION
Smooth , accurate and purposeful , is brought about
by the integrated action of many muscles
Principle of re-education
Frenkel’s exercise :-
I. Concentration
II. Precision
III. Repetition
30. RE-EDUCATION OF MUSCLE
MRC GRADING
0-no contraction
1-flicker of contraction
2-full range of motion eliminating gravity
3-full range of motion against gravity
4-full range of motion against gravity with minimal
resistance
5-full range of motion against gravity with maximal
resistance