THERAPEUTIC EXERCISES

By

Dr. Michael Banoub Sorour

CASE STUDYCASE STUDY

Mrs. K, 78 years old , who lived alone and independently. Mrs. K, 78 years old , who lived alone and independently. Diagnosed with arthritis and osteoporosis, she fell and broke her Diagnosed with arthritis and osteoporosis, she fell and broke her hip. Following surgery, rehabilitation was only partially successful hip. Following surgery, rehabilitation was only partially successful hen she was discharged due to lack of insurance and sent home.hen she was discharged due to lack of insurance and sent home.

After second fall , she entered a nursing home and become After second fall , she entered a nursing home and become depressed. Antidepressant drug made her dizzy.depressed. Antidepressant drug made her dizzy.

She fell again, breaking her other hip. She was unable to participate She fell again, breaking her other hip. She was unable to participate in rehabilitation due to confusion and medical complications, and in rehabilitation due to confusion and medical complications, and she become bedridden. she become bedridden.

Why are Why are health-care health-care consumers consumers referred for referred for

physical physical therapytherapy??

Because of

physical impairments associated with movement disorders caused by injury, disease, or health-related conditions that interfere with their ability to perform activities that are necessary or important to them.

Or

to improve their overall level of fitness or reduce the risk of injury or disease.

SoSo

An individually designed An individually designed therapeutic exercise program is therapeutic exercise program is almost always a fundamental almost always a fundamental

component of the physical component of the physical therapy servicestherapy services

AsAs

The ultimate The ultimate goalgoal of a of a

therapeutic exercise program is therapeutic exercise program is

the achievement of an optimal the achievement of an optimal

level of level of symptom-freesymptom-free

movement during basic to movement during basic to

complex physical activities.complex physical activities.

What is the physical therapist need What is the physical therapist need to develop the optimal therapeutic to develop the optimal therapeutic exercise plan of treatment? exercise plan of treatment?

The therapist must integrate and apply The therapist must integrate and apply knowledge of knowledge of anatomyanatomy, , physiologyphysiology, , kinesiologykinesiology, , pathologypathology, as he / she must , as he / she must understand the relationship between physical understand the relationship between physical function and disabilityfunction and disability

In conclusion therapist is the In conclusion therapist is the patient/client educatorpatient/client educator

THERAPEUTIC EXERCISETHERAPEUTIC EXERCISE

exercise takes its place as the key element that lies at the center of programs designed to improve or restore an individual’s function or to prevent dysfunction

Therapeutic exercise is the systematic, planned performance of bodily movements, postures, or physical activities intended to provide a patient/client with the means to

• Remediate or prevent impairments• Improve, restore, or enhance physical

function• Prevent or reduce health-related risk

factors• Optimize overall health status,

fitness, or sense of well-being

Definition

Prerequisites For Designing Prerequisites For Designing Exercise ProgramExercise Program

The therapist must have The therapist must have knowledge of anatomy, knowledge of anatomy, physiology, kinesiology and physiology, kinesiology and pathology and can integrate and pathology and can integrate and apply this knowledge to each apply this knowledge to each condition.condition.

Prerequisites For Designing Prerequisites For Designing Exercise ProgramExercise Program

The therapist must understand the The therapist must understand the different forms of exercises and different forms of exercises and how these exercises affect body how these exercises affect body system.system.

The exercise program should be The exercise program should be individualized to the special needs individualized to the special needs of each patient. of each patient.

Steps For Designing Exercise Steps For Designing Exercise ProgramProgram

Start with comprehensive examination Start with comprehensive examination of the patient.of the patient.

Determine the problems and Determine the problems and functional disabilities that the patient functional disabilities that the patient has.has.

Set the aims and objectives of the Set the aims and objectives of the treatment program.treatment program.

Select the proper exercise program Select the proper exercise program that can solve the patient’s problems that can solve the patient’s problems and improve functional capabilities.and improve functional capabilities.

Steps For Designing Exercise Steps For Designing Exercise ProgramProgram

Periodic e-evaluation and examination Periodic e-evaluation and examination of the patients should be carried out of the patients should be carried out weekly or monthly depending on the weekly or monthly depending on the program.program.

According to the result of the re-According to the result of the re-evaluation, modifications of the evaluation, modifications of the program should be made to attain the program should be made to attain the optimal degree of improvementoptimal degree of improvement

Classification of Therapeutic Classification of Therapeutic ExercisesExercises

Types of Therapeutic ExercisesTypes of Therapeutic Exercises

Range of motion exercises Range of motion exercises which aims to maintain and which aims to maintain and increase range of motionincrease range of motion

Muscle performance exercises Muscle performance exercises to increase muscle strength, to increase muscle strength, power and endurancepower and endurance

Postural exercises to improve posture Postural exercises to improve posture and correct faulty postureand correct faulty posture

Balance and coordination exercises Balance and coordination exercises to improve balance and coordinationto improve balance and coordination

Relaxation exercises to induce Relaxation exercises to induce relaxationrelaxation

Area specific exercises as breathing Area specific exercises as breathing exercises and circulatory exercisesexercises and circulatory exercises

Types of Therapeutic Types of Therapeutic ExercisesExercises