Physical Rehab Exam #1
Purpose of Exercise
Adjunctive -therapeutic Enabling - relating to OT Purposeful
Grade Coordination
decrease the gross resistive movements -increasing dine controlled movements
Grade Endurance
light to heavy -increase duration
deltoid aid
machine
isotonic exercise
movement in which muscles shorten (contract) and move (Bicep Curl)
Isometric Exercises
muscle contracted and relaxed w/o any movement
Concentric (Isotonic)
muscle shortens (Bicep Curl) joint movement is seen
Isometric
no joint movement -muscle stays the same (press forearm to table)
Isometric Resistive Exercises
outside resistance applied
Theraband
resistive bands used for UE resistance
SROM means
self range of motion
PREs
small loads to gradually increased after each set of 10 reps -3 sets of 10 (1 pound, then 1.5, then 2)
Eccentric
tension in muscle increases or remains the same -muscle lengthens (Bicep controls elbow extension)
PROM
the therapist or a machine moves the client
Pulley Exercise
used as A/AROM or PROM -can be used as stretch
PREs stands for
Progressive Resistive Exercise
Theraband Levels
Yellow Red Green Blue Black
AROM
client moving all on their own
Types of muscle contraction
concentric (Isotonic) eccentric, isometric
passive stretch
The therapist moves the joint through the available ROM and holds. -gentle but firm
Types of Isotonic Resistive Exercise
Theraband -Theraputty -Pulleys with weights -PREs -Weighted exercise
active stretch
Use agonist to increase length of antagonist
Isotonic resistive exercise
against amount of weight to move the load through a certain ROM
Grades of Isotonic Resistive Exercise
-# of reps -rest intervals -Frequency -Speed
Pulley with weights Exercise
build strength
pendulum (Codman's)
circular motion that assists with decreasing pain
Theraputty Colors
Tan Yellow Red Green Blue Black
A/AROM
client moce the joint through partial ROM and therapist completes range
Strengthening signs to watch for
fatigue -slowing down -distraction -perspiration -increase respiration
Theraputty
for wrist and hand strength
SROM used for
hemiplegia -difficult to maintain alignment
How to strengthen
high load and low reps
Grade Strength
increasing resistance -changing planes of movement -add weights
exercise contraindications
inflamed joints -unhealed fracture -orthopedic surgery -arthritis -spastic
