Functional Exercises

definitions; functional exercise

-involve muliplaner activities ---occur before activity exercises

Return to Play Criteria

Acute signs and symptoms of injury have resolved. No pain or edema is present. Able to demonstrate full ROM, normal strength, muscular endurance, cardio endurance, and appropriate proprioception, agility, coordination relative to sports requirements. Able to perform all activities at least as well as before the injury. Patient has confidence in own ability and ability of the injured body part to perform without hesitation, doubt or modification or performance or mechanics

Upper Extremity Progression: Functional Activity-Specific Final Testing

Functional- can begin early in program, closed to open chain activities Activity-Specific- progress from early to hard Final Testing- More difficult to examine and obtain objective and measureable info than with the lower extremity, and based on pre-injury performance

Lower Extremity Progression: Functional Activity-Specific Final Testing

Functional- simple warm-up first, can be done somewhat early and be non-weight bearing Activity-Specific- determined by patient's activity demands, initiate actual activities that are occurring during the sport Final Testing- use same test at end as you did in the beginning

Basic functional development

achieve basic parameters first -prerequisite to functional activities -as basic parameters improve then more complex activities are added biggest difference between exercises for just strength or ROM and functional activities -functional activities occur in multiple forces

Final Evaluation

always an ongoing process, can advance program when the patient can perform at the expected levels of each step of the evaluation. the final eval happens when Return to Play occurs. should be as objective as possible.

definitions; Performance evaluation

assessment of patients ability to perform and complete the exercise

definitions; Activity-specific exercises

drills that include skills performed in specific job/sport

activity specific exercises

progress from complex functional activities to specific skill activities -review fundamentals 1st these skills require ab advances competence -need more than just flexibility, strength, endurance, and proprioception -must also have agility, speed, power and control

three goals of functional exercise

1. attain full function levels of flexibility, strength, endurance and coordination 2. Achieve full functional ability so that normal speed, power, control, and ability are restored. 3. restore the patient's self confidence in his/her performance and the injured body part

precautions (5)

1. explain the exercise to the patient 2. avoid pain and swelling 3. understand tissue integrity 4. know the patient's confidence level 5. be aware of progression tolerance

8 contributions of TherEx

1. normal motion 2. multifaceted muscle activity 3. multiplaner and multiple muscle group performance 4. stabilization and acceleration changes 5. proprioceptive stimulation 6. agility and power development 7. activity-specific development 8. confidence development

Functional to activity-specific exercise progression

Force and intensity- the amount of resistance the activity provides speed- the rate of functional exercise distance- range from short to long complexity- how involved the activity is and how challenging it can be support - number of extremities that are bearing weight during the activity type of exercise- determines whether the level of activity is basic or advanced