Therapeutic Exercise Prescription

Description

Dunleavy and Slowik’s Therapeutic Exercise Prescription delivers on everything you need from a core therapeutic exercise text. This all-new, full-color text combines evidence-based content, theoretical concepts, AND practical application to provide a robust understanding of therapeutic exercise. Using an approachable, easy-to-follow writing style, it introduces foundational concepts, discusses how to choose the right exercises, and guides you in developing goals for treatment. Coverage also includes the examination process and specific ways to choose, monitor, and evaluate the most effective exercise. Each exercise in the text is presented with progressions ― a unique feature that’s exclusive to this title ― to give you an understanding of how the exercise(s) may change from the initial phase of exercise prescription to the functional recovery stage. In addition to its highly-digestible format, this text also boasts case studies, practical discussions, and engaging online videos to provide you with the most dynamic and effective learning experience. UNIQUE! Clinical reasoning approach to exercise selection, modification, instruction, and progression provides a framework to help you master all aspects of therapeutic exercise, from the initial exercise prescription to the functional recovery stage.Emphasis on patient safety and precautions includes the use of the ICF model, as well as coverage of tissue healing and biometrics.UNIQUE! Clinical case examples provide practical examples in a succinct compare and contrast format to help you build clinical reasoning skills and learn to apply theory to practice.Full case studies cover all the regions of the body as well as each of the mobility-, trauma-, and psychologically-informed concepts. Discussion questions and answers at the end of each case study and at the end each chapter help you assimilate and use your existing knowledge and help prepare you for the types of critical thinking you will be required to do in practice.UNIQUE! Integrated content builds from foundational concepts, with reinforcement throughout the book using illustrations and explanations of important concepts.UNIQUE! Discussion of broad categories, such as extremes of mobility impairments, types of trauma, and presence of psychological impairments, strengthen your understanding.UNIQUE! Detailed exercise depictions include teaching tips with instruction examples, common errors to correct, and methods to prevent or address compensations.UNIQUE! Workbook format features comprehensive coverage of exercise examples with alternatives and progressions. Front-Matter_2019_Therapeutic-Exercise-Prescription THERAPEUTIC EXERCISE PRESCRIPTION Copyright_2019_Therapeutic-Exercise-Prescription Copyright Dedication_2019_Therapeutic-Exercise-Prescription Dedication Contributors_2019_Therapeutic-Exercise-Prescription CONTRIBUTORS Preface_2019_Therapeutic-Exercise-Prescription Preface Acknowledgments_2019_Therapeutic-Exercise-Prescription ACKNOWLEDGMENTS 1---Introduction-to-Therapeutic-Exercise-for-R_2019_Therapeutic-Exercise-Pre 1 - Introduction to Therapeutic Exercise for Rehabilitation Use of Therapeutic Exercise for Rehabilitation Patient Management Model Contraindications and Precautions Severity, Irritability, Nature, Stage Severity Irritability Nature Stage Phase I: Inflammation (Immediately to Approximately 10 Days) Phase II: Tissue Repair (10 Days to 3 Months, Variable According to Tissue Type) Phase III: Functional Recovery (6 Weeks to 2 Years, Variable by Tissue Type) Types of Exercise Passive Active-Assisted Active Resisted TypeS of Muscle Contraction Isometric Isotonic: Concentric Isotonic: Eccentric 2---Review-of-Foundational-Concepts-_2019_Therapeutic-Exercise-Prescription 2 - Review of Foundational Concepts Tissue Damage: Traumatic Versus Repetitive Strain Injuries Ability to Withstand Forces (Stress-Strain Relationships) Tissue Repair and Factors for Promoting Optimal Recovery Phases of Tissue Repair and Recovery Phase I: Inflammation (Immediately to 3–10 Days) Phase II: Tissue Repair and Early Tissue Regeneration (5–10 Days to 3 Months, Depending on Tissue Type) Phase III: Tissue Maturation and Remodeling (6 Weeks to 2 Years, Depending on Tissue Type) Factors Influencing Healing: Force Considerations FOR Tissue Characteristics Connective Tissue Tendons Ligaments Cartilage and Intervertebral Discs Bone Muscle Muscle Function Biomechanical Concepts to Apply, Distribute, or Minimize Forces to Regions or Specific Tissues Force and Torque Axis of Motion Direction of Force, Gravity Assistance, Elimination, and Resistance Distribution of Force Form Closure Versus Force Closure Bony Alignment Open Versus Closed Chain Motion Balance Concepts: Static and Dynamic Balance Directions and Planes of Movement References 3---Relationship-Between-Impairments-and-Fu_2019_Therapeutic-Exercise-Prescr 3 - Relationship Between Impairments and Function Function: The Key for Establishing Goals During Patient Management International Classification of Functioning Model: Overview of Impairments, Activity Limitation, and Participation Restrictions Impairments Mobility Hypomobility Hypermobility Muscle Function Muscle Activation Muscle Endurance Muscle Strength Muscle Power Aerobic Endurance Balance Task-Specific Neuromuscular Coordination and Response Efficiency Psychological Contributions to Impairments Relationship Between Impairments and Function Summary References 4---Examination-Techniques-and-Evaluatio_2019_Therapeutic-Exercise-Prescript 4 - Examination Techniques and Evaluation Subjective History and Examination: Influence on Objective Examination Technique Selection Selective Tissue Tension Evaluation Alignment and Movement Observation Upper Extremity Alignment Observation Movement Observation and Analysis Lower Extremity Alignment Observation Movement Observation and Analysis Spine Alignment Observation Movement Observation and Analysis Specific Exercise Testing Mobility Testing (Joint Range of Motion and Muscle Flexibility) Muscle Function Muscle Activation Muscle Endurance Muscle Strength Muscle Power Aerobic Capacity (Cardiorespiratory Function) Coordination and Balance Functional Assessment Functional Performance Measures Summary References 5---Exercise-Prescription---Selection-of-Exercis_2019_Therapeutic-Exercise-P 5 - Exercise Prescription: Selection of Exercise Type and Parameters Selection of Exercise Type and Parameters Exercise Prescription: Selecting Exercise Type and Parameters Prescription for Mobility Impairments General Concepts for Mobility Exercise Prescription Types of Exercise Used to Promote Mobility Self-Assisted Movement Therapist-Assisted Movement Equipment-Assisted Movement Active Movement (With Gravity Assistance, Elimination, or Resistance) Parameters and Dosage for Mobility Prescription for Muscle Function Impairments Type of Exercise, Parameters, and Dosage for Muscle Activation Type of Exercise, Parameters, and Dosage for Muscle Endurance Type of Exercise, Parameters, and Dosage for Muscle Strength Type of Exercise, Parameters, and Dosage for Muscle Power Prescription for Neuromuscular Coordination Other Parameters Useful for Mobility, Muscle Function, and Neuromuscular Coordination Exercise Position Gravity Assistance, Elimination, or Resistance Open or Closed Chain Stability and Size of the Base Speed Priorities and Progression Related to Type of Exercise, Dosage, and Functional Requirements Phase I: Exercise Type and Goals (Initial Healing and Resolution of Inflammation) Phase II: Exercise Type and Goals (Tissue Repair and Early Regeneration) Phase III: Exercise Type and Goals (Tissue Maturation and Remodeling, Functional Recovery) Summary Review Questions References 6---Mobility--Trauma--and-Psychologically-Informed-Con_2019_Therapeutic-Exer 6 - Mobility, Trauma, and Psychologically Informed Concepts for Exercise Choice, Parameters, and Progression Hypomobility Hypermobility Types of Hypermobility History and Presentation Exercise Concepts for Hypermobility: Neuromuscular Coordination and Force Closure From Local and Global Stabilizers Stability Concepts: Centralized Axis of Motion and Force Distribution Stability Concepts: Anticipatory Neuromuscular Timing Stability Concepts: Parameters Stability Concepts: Need for Proprioceptive and Sensory Input Stability Concepts: Type of Exercise Repetitive Strain Disorders Contributing Factors Postsurgical Management Exercise Approaches in the Presence of Psychological Impairments Activity, Exercise Dosage, and Progression Using Psychologically Informed Approaches Communication Strategies During Psychologically Informed Exercise Delivery Use of the Conceptual Categories Summary References 7---Teaching-and-Learning-Concepts-for-Exe_2019_Therapeutic-Exercise-Prescri 7 - Teaching and Learning Concepts for Exercise Teaching and Learning Concepts for Exercise Instruction Motor Control Concepts Initial Explanations and Goal Setting Acquisition of Motor Tasks Internal Versus External Focus Stages of Motor Learning Cognitive Phase: Conscious Control and Understanding the Desired Movement Associative Stage: Correction, Fine-Tuning, and Practice Autonomous Stage: Automatic Control with Progressing Complexity Error Detection and Feedback/Feedforward Mechanisms for Motor Performance Sequencing Practice and Reinforcement Memory and Pattern Development Blocked Versus Random Practice Functional Movement Adjustment: Reinforcing Efficient Patterns Context and Specificity Reinforcement and Reminders Motivation Motor Learning and Control in the Presence of Pain Patient-Centered Approaches: Considering Patient Expectations and Preferences Evaluation of Learning for Modification and Adjustment of Teaching Methods Using Moderate Intensity Exercise to Promote Neuromuscular Coordination and Motor Learning References 8---Evaluation-for-Adjustment-of-Exercise-an_2019_Therapeutic-Exercise-Presc 8 - Evaluation for Adjustment of Exercise and Outcomes EVALUATION OF RESPONSE TO EXERCISE Monitoring Response to Exercise Severity Irritability Nature Stage Evaluating Compensations and Movement Patterns Evaluation for Choice of Home Program Exercise Prescription Outcome Measures Self-Reported Outcome Measures Objective Functional Performance Outcome Measures Generalized Combinations of Functional Tests References 9.1..Introduction_2019_Therapeutic-Exercise-Prescription Introduction 9.2---Lower-Extremity-Workbook-_2019_Therapeutic-Exercise-Prescription 9 - Lower Extremity Workbook Structural and Biomechanical BACKGROUND TO BE CONSIDERED FOR LOWER EXTREMITY EXERCISE SECTION 9.1: HYPOMOBILITY GENERAL EXERCISE APPROACHES Contraindications and Precautions General Parameters Tests and Measures Observation for Compensations and Responses 9.1. Passive and active low-load knee extension, 251 9.2. Hold/relax prone for knee extension, 254 9.3. Active supine heel slides with slider (extension and flexion mobility), 255 9.4. Active-assisted knee extension or hip and knee flexion, 256 9.5. Active hip internal and external rotation on a swivel stool, 259 9.6. Active hip abduction in supine on a sliding board, 260 Generalized Aerobic Mobility 9.7. Stationary bike: Mobility focus, 261 9.8. Hip flexor stretch, 262 9.9. Hamstring stretch, 264 9.10. Gluteal stretch, 265 9.11. Piriformis stretch, 266 9.12. Figure-4 anterior hip stretch, 267 9.13. Gastrocnemius/soleus stretch, 268 9.14. Iliotibial (IT) band stretch, 269 9.15. Neural mobility (slump position), 270 9.16. Closed chain terminal knee extension in standing, 271 9.17. Terminal hip extension, 272 9.1 Passive and active low-load knee extension 9.1 APassive stretch in supine with ankle weight above the knee 9.1 BActive isometric terminal knee extension 9.1 CPassive knee extension in prone (prone knee hang) 9.2 Hold/relax prone for knee extension 9.3 Active supine heel slides with slider (extension and flexion mobility) 9.4 Active-assisted knee extension or hip and knee flexion 9.4 AActive-assisted knee extension using a strap 9.4 BActive hip and knee flexion on an exercise ball or knee flexion using a strap 9.5 Active hip internal and external rotation on a swivel stool 9.6 Active hip abduction in supine on a sliding board Generalized Aerobic Mobility 9.7 Stationary bike: mobility focus Self-Stretching Flexibility 9.8 Hip flexor stretch 9.9 Hamstring stretch 9.10 Gluteal stretch 9.11 Piriformis stretch 9. 12Figure-4 anterior hip stretch 9.13 Gastrocnemius/soleus stretch 9.14 Iliotibial (IT) band stretch 9.15 Neural mobility (slump position) Progressive Resistive Exercise IN NEW RANGE 9.16 Closed chain terminal knee extension in standing 9.17 Terminal hip extension Functional status and goals Patient’s goals Subjective complaints Objective findings Evaluation Precautions Prognosis Initial treatment choices Contraindications and Precautions General Parameters Tests and Measures Observation for Compensations and Responses 9.18. Multidirectional ankle isometrics against elastic resistance, 280 9.19. Reclined squats on resistance equipment (leg press, Total Gym, Rebounder, or Pilates Reformer machine), 281 Mid-Range Muscle Control, Ability to Withstand External Forces: Progressive Endurance and Strengthening 9.20. Multi-hip machine affected/unaffected leg, 283 9.21. Bridging, 284 9.22. Partial loading lunge or stride stance, 286 Improve Neuromuscular Coordination and Response Time, Proprioceptive Challenge (Perturbations and Positional Challenge) 9.23. Perturbation training, 288 9.24. Single-leg standing balance, 289 9.25. Rocker board motion, 291 9.18 Multidirectional ankle isometrics against elastic resistance 9.19 Reclined squats on resistance equipment (leg press, Total Gym, Rebounder, Pilates Reformer machine) Mid-Range Muscle Control, Ability to Withstand External Forces: Progressive Endurance and Strengthening 9.20 Multi-hip machine using affected/unaffected leg 9.21 Bridging 9.22 Partial loading lunge or stride stance Improve Neuromuscular Coordination and Response Time, Proprioceptive Challenges (Perturbations and Positional Challenge) 9.23 Perturbation training 9.24 Single-leg standing balance 9.25 Rocker board motion Functional status and goals Subjective complaints Objective Evaluation Precautions Prognosis Progression at 2 weeks Contraindications and Precautions General Parameters Tests and Measures Observation for Compensations and Responses 9.26 A.Clam shells, 301 9.26 B.Side-lying hip abduction, 302 9.28. Side-stepping against elastic resistance, 307 Address Contributing Factors (Impairments, Biomechanics, Compensations) Adjust Dynamic Biomechanical Alignment 9.29. De-loaded squats, 308 9.30. Mini-squats with elastic resistance, 310 9.31. Step-ups and step-downs, 313 9.32. Eccentric control squats, 315 9.33. Eccentric control heel raises, 317 9.34. Hip hinges, 319 Improve Neuromuscular Coordination and Response Time for Functional Reeducation 9.35. Star balance, 321 9.36. Functional movement reeducation: running, 323 9.26 AClam shells 9.26 BSide-lying hip abduction 9.27 Single-leg balance with external challenges 9.28 Side-stepping against elastic resistance Adjust Dynamic Biomechanical Alignment 9.29 De-loaded squats 9.30 Mini-squats with elastic resistance 9.31 Step-ups and step-downs Promote Tissue Healing and Optimal Regeneration: Eccentric Stimulus for Tendon 9.32 Eccentric control squats 9.33 Eccentric control heel raises 9.34 Hip hinges Improve Neuromuscular Coordination and Response Time for Functional Requirements 9.35 Star balance 9.36 Functional movement reeducation: running Functional Status Patient Goals Subjective Complaints Objective Findings Evaluation Contributing Impairments Precautions Prognosis Initial Exercise and Treatment Choices After 2 Weeks (Box 9.10) Subjective Complaints Objective Findings Exercise and Treatment Progression From 2 to 6 Weeks (Phase II) Exercise Progression and Return to Function at 6 Weeks (Phase III) Contraindications and Precautions Goals Tests and Measures Observation for Compensations and Responses Dosage (Specific Dosage for Impairments as Well as by Phase) 9.37. Ankle pumps, 332 9.38. Rocker or Balance Board active ankle motion, 333 9.39. Quadriceps isometrics, 334 9.40. Hamstring isometrics, 335 9.41. Gluteal isometrics, 336 9.42. Straight leg raise, 337 9.43. Open chain knee extension, 338 9.44. Open chain knee flexion, 339 Phase II 9.45. Four-point kneeling hip extension, 340 9.46. Progressive weight-bearing (with or without loading support), 341 9.47. Supported partial sit-to-stand, 342 9.48. Pre-gait and gait progression, 344 Phase II/III 9.49. Lunges, 345 9.50. Hopping, skipping, 347 9.51. Jump progressions, 350 9.52. Reaction time and sports specific drills, 354 9.37 Ankle pumps 9.38 Rocker or Balance Board active ankle motion 9.39 Quadriceps isometrics 9.40 Hamstring isometrics 9.41 Gluteal isometrics 9.42 Straight leg raise 9.43 Open chain knee extension 9.44 Open chain knee flexion Phase II 9.45 Four-point kneeling hip extension 9.46 Progressive weight-bearing (with or without loading support) 9.47 Supported partial sit-to-stand 9.48 Pre-gait and gait progression Phase II/III 9.49 Lunges 9.50 Hopping, skipping 9.51 Jump progressions 9.52 Reaction time and sports-specific drills Functional Status and Goals Patient’s Goals Subjective Complaints Objective Findings Evaluation Precautions Short-Term Goals Impairment Goals Exercise Choices for Initial Treatment Phase II: Post Total Knee Replacement Phase III: Post Total Knee Replacement or Arthroplasty References 10---Upper-Extremity-Workbook_2019_Therapeutic-Exercise-Prescription 10 - Upper Extremity Workbook Biomechanical Concepts Section 1: Hypomobility Exercises 10.1. Upper Body Ergometry (UBE), 383 Passive or Active-Assisted Exercises 10.2. Prone Gravity-Assisted Flexion to 90 Degrees, 385 10.3. Prone Pulley-Assisted Flexion, 386 10.4. Self-Assisted Flexion, 387 10.5. Supine Pulley-Assisted Flexion, Abduction, 388 Oscillations or Prolonged Self-Stretching and Flexibility 10.6. Supine Prolonged External and Internal Rotation Stretch, 389 10.7. Sleeper Stretch, 390 Specific Muscle Flexibility Exercises 10.8. Pectoralis Major (Sternal Portion) and Minor Stretch, 391 10.9. Pectoralis Major: Clavicular Portion Stretch, 393 10.10. Posterior Rotator Cuff Stretch, 394 10.11. Latissimus Dorsi Stretch, 395 10.12. Wrist Flexor and Extensor Stretch, 396 10.13. Self-Assisted Mobility: Elbow, Wrist, and Fingers, 397 Progressive Resistive Exercise in New Range Progressive Thoracic and Cervical Mobility Exercise Descriptions 10.1 Upper Body Ergometry (UBE) Passive or Active Assisted Exercise 10.2 Prone Gravity-Assisted Flexion to 90 Degrees 10.3 Prone Pulley-Assisted Flexion 10.4 Self-Assisted Flexion 10.5 Supine Pulley-Assisted Flexion, Abduction Oscillations or Prolonged Self-Stretching and Flexibility 10.6 Supine Prolonged External or Internal Rotation Stretch 10.7 Sleeper Stretch Specific Muscle Flexibility Exercises 10.8 Pectoralis Major (Sternal Portion) and Minor Stretch 10.9 Pectoralis Major: Clavicular Portion Stretch 10.10 Posterior Rotator Cuff Stretch 10.11 Latissimus Dorsi Stretch 10.12 Wrist Flexor and Extensor Stretch 10.13 Self-Assisted and Active Mobility: Elbow, Wrist, Fingers Functional Status and Goals Patient’s Goals Subjective Complaints Objective Findings Evaluation Precautions Prognosis Treatment and Exercise Choices Initial Treatment Choices Section 2: Hypermobility Contraindications and Precautions General Parameters Tests and Measures Observation for Compensations and Responses Exercises 10.14. Supine Scapula Connection: Therapist-Guided, 406 10.15. Scapula Protraction/Upward Rotation With Weights, 407 10.16. Rhythmic Oscillations, Circumduction, 408 10.17. Standing Modified Closed Chain Circumduction With a Ball Against Wall, 409 10.18. Therapist-Applied Manual Resistance, 410 10.19. Rotator Cuff Activation: Therapist-Applied Alternating Isometrics, 411 10.20. Supported Midrange Self-Resisted Isometrics, 412 10.21. Side-Lying Oscillations or Isometrics with Ball, 413 10.22. Supine, Seated, or Standing: Body Blade, 414 Progressive Resistance: Global Stabilizer Function 10.23. Pulley Isometrics: Rotation, 415 10.24. Standing Upward Rotation Punches, 416 10.25. Four-Point Kneeling on Exercise Ball: Weight Shifting, 418 Progressive Resistance: Global Mover Function 10.26. Inner Range: Flys, 419 10.27. Wall Push-Ups, Push-Up Progression, 421 Functional Training, Speed, and Response Time 10.28. Throwing/Catching Balls: Rebounder, 424 Exercises Described in Other Sections Exercise Descriptions 10.14 Supine Scapula Connection: Therapist-Guided 10.15 Scapula Protraction/Upward Rotation With Weights 10.16 Rhythmic Oscillations, Circumduction 10.17 Standing, Modified Closed Chain Circumduction With Ball Against Wall 10.18 Therapist-Applied Manual Resistance 10.19 Rotator Cuff Activation: Therapist-Applied Alternating Isometrics 10.20 Supported Midrange Self-Resisted Isometrics 10.21 Side-Lying Oscillations or Isometrics With Ball 10.22 Supine, Seated or Standing: Body Blade Progressive Resistance: Global Stabilizer Function 10.23 Pulley Isometrics: Rotation 10.24 Standing Upward Rotation Punches 10.25 Four-Point Kneeling on Exercise Ball: Weight Shifting Progressive Resistance: Global Mover Function 10.26 Inner Range: Flys 10.27 Wall Push-Ups, Push-Up Progression Functional Training, Speed, and Response Time 10.28 Throwing/Catching Balls: Rebounder Functional Status and Goals Subjective Complaints Objective Findings Evaluation Precautions Prognosis Treatment Choices Contraindications and Precautions General Parameters Tests and Measures Observing for Compensations and Responses 10.29. Airdyne Bike, 433 Progressive Resistive Exercise Addressing Biomechanics and Neuromuscular Coordination Without Exacerbating Impingement 10.30. Shoulder Extension: Pulleys, 435 10.31. Shoulder Adduction: Resistance Band or Pulleys, 437 10.32. Bilateral Shoulder Extension or Adduction: Lattisimus Dorsi Pull-Downs, 438 Resistive Exercise to Provide Optimal Stimulus for Tissue Regeneration 10.33. Shoulder External or Internal Rotation: Pulleys or Free Weights, 440 10.34. Wrist Flexion or Extension: Free Weights, 442 10.35. Grip Strengthening, 443 Progressive Resistive Exercise: Global Stabilizer or Global Mover Strengthening 10.36. Proprioceptive Neuromuscular Facilitation (PNF) Diagonals: Elastic Resistance or Pulleys, 444 10.37. Medicine or Kettlebell Lifts, 446 10.38. Biceps Curls: Free Weights, 448 10.39. Triceps Extension, 450 10.40. Shoulder External Rotation in Prone: Free Weights, 451 10.41. Shoulder Internal Rotation in Lunge Standing: Elastic Resistance or Pulleys, 452 10.42. Shoulder Flexion in Standing: Elastic Resistance or Pulleys, 453 10.43. Shoulder Abduction in Standing: Elastic Resistance or Free Weights, 454 10.44. Rows, 456 10.45. Overhead Incline Press, 457 10.46. Planks, 458 10.47. Throwing Drills, 460 10.48. Overhead Sports Training, 462 10.49. Grip Activities With Reaching, 465 Neuromuscular Initiation, Local and Global Stabilizer Initiation, Activation, and Strengthening Upper-Quarter Positioning and Endurance Functional Requirements Trunk and Hip Mobility 10.29 Airdyne Bike Progressive Resistive Exercise Addressing Biomechanics and Neuromuscular Coordination Without Exacerbating Impingement 10.30 Shoulder Extension: Pulleys 10.31 Shoulder Adduction: Elastic Resistance or Pulleys 10.32 Bilateral Shoulder Extension or Adduction: Latissimus Dorsi Pull-Down Resistive Exercise to Provide Optimal Stimulus for Tissue Regeneration 10.33 Shoulder External or Internal Rotation: Pulleys or Free Weights 10.34 Wrist Flexion or Extension: Free Weights 10.35 Grip Strengthening Progressive Resistive Exercise: Global Stabilizer or Global Mover Strengthening 10.36 Proprioceptive Neuromuscular Facilitation (PNF) Diagonals: Elastic Resistance or Pulleys 10.37 Medicine Ball or Kettlebell Lifts 10.38 Biceps Curls: Free Weights 10.39 Triceps Extension 10.40 Shoulder External Rotation in Prone: Free Weights 10.41 Shoulder Internal Rotation in Lunge Standing: Elastic Resistance or Pulleys 10.42 Shoulder Flexion in Standing: Elastic Resistance or Pulleys 10.43 Shoulder Abduction in Standing: Elastic Resistance or Free Weights 10.44 Rows 10.45 Overhead Incline Press 10.46 Planks Functional Training and Reeducation 10.47 Throwing Drills 10.48 Overhead Sports Training 10.49 Grip Activities With Reaching Functional Status and Goals Subjective Complaints Objective Findings Evaluation Precautions Prognosis Treatment and Exercise Choices Contraindications and Precautions Goals Tests and Measures Observation for Compensations and Responses Dosage 10.50. Pendular Exercises, 472 10.51. Aquatic Therapy: Buoyancy-Assisted Movement, 474 10.52. Passive Movement, 475 General Exercise Goals as Appropriate for Phases of Healing Phase I: Maintain Range of Motion when Active Movement Is Contraindicated, Pain Relief 10.50 Pendular Exercises 10.51 Aquatic Therapy: Buoyancy-Assisted Movement 10.52 Passive Movement Post-surgical Phase I Management (Week 0-6) Phase II (Weeks 6-12) Functional Status and Goals Subjective Complaints Objective Findings Evaluation Precautions Prognosis Treatment and Exercise Choices Functional Status and Goals Subjective Complaints Objective Findings Evaluation Precautions Prognosis Treatment and Exercise Choices References 11---Spine-Workbook-_2019_Therapeutic-Exercise-Prescription 11 - Spine Workbook Biomechanical Concepts Contraindications and Precautions for Mobility Exercises Observation for Compensations and Tolerance 11.1. Cervical Retraction, 498 11.2. Lateral Flexion, 499 11.3. Rotation, 500 Thoracic Mobility Exercises 11.4. Thoracic Flexion in Four-Point Kneeling, 501 11.5. Supine Thoracic Extension Over BOSU, 502 11.6. Prone Cervical and Upper Thoracic Extension Over BOSU, 503 11.7. Thoracic Rotation Side-Lying, 505 Lumbar Mobility Exercises 11.8. Pelvic Tilts, 507 11.9. Segmental Flexion with Legs Supported on a Ball, 508 11.10. Thoracic and Lumbar Extension Over BOSU (Prone Press-Ups), 509 11.11. Lumbar Rotation Active Range of Motion, 511 Self-Mobilization 11.12. Foam Roller Self-Mobilization, 512 11.13. Supported Lateral Flexion: Exercise Ball or BOSU, 513 11.14. Seated Self-Mobilization: Upper Thoracic Extension, 515 11.15. Seated Self-Mobilization: Rotation and Extension, 516 Stretching 11.16. Upper Trapezius Stretch, 517 11.17. Scalene Stretch, 518 11.18. Levator Scapula Stretch, 519 Neural Mobility 11.1. Cervical Retraction 11.2. Lateral Flexion 11.3. Rotation Thoracic Mobility Exercises 11.4. Thoracic Flexion in Four-Point Kneeling 11.5. Supine Thoracic Extension Over BOSU 11.6. Prone Cervical and Upper Thoracic Extension Over BOSU 11.7. Thoracic Rotation Side-Lying Lumbar Mobility Exercises 11.8. Pelvic Tilts 11.9. Segmental Flexion with Legs Supported on a Ball 11.10. Thoracic and Lumbar Extension Over BOSU (Prone Press-up) 11.11. Lumbar Rotation Active Range of Motion Self-Mobilization 11.12. Foam Roller Self-Mobilization 11.13. Supported Lateral Flexion: Exercise Ball or BOSU 11.14. Seated Self-Mobilization: Upper Thoracic Extension 11.15. Seated Self-Mobilization: Rotation and Extension Stretching 11.16. Upper Trapezius Stretch 11.17. Scalene Stretch 11.18. Levator Scapula Stretch Functional Status and Goals Subjective Complaints Objective Findings Evaluation Precautions Prognosis Treatment and Exercise Choices Contraindications and Precautions Compensations and Tolerance of Stability Exercise 11.19. Local Stabilizer Activation: Neutral Cervical Lordosis, 528 11.20. Local Stabilizer Activation: Neutral Lumbar Lordosis, 530 Challenges to Maintain Neutral Position 11.21. Lower Extremity Challenge for Neutral Spine: Supine Leg Lifts, 533 11.22. Upper Extremity Challenge for Neutral Spine on Foam Roller: Arm Movements, 535 11.23. Bicycling with Head Support, 536 Closed Chain Leg Exercises with A Stable Lumbopelvic Region 11.24. Bilateral Hip Abduction with External Rotation: Elastic Resistance, 537 11.25. Bridging With Trunk Support: Exercise Ball, 538 Maintaining Spinal Position Against Gravity (Prone) or Using an Unstable Surface 11.26. Prone (Forearm Support) on BOSU: Upper Thoracic and Cervical Endurance, 539 11.27. Prone (Forearm Support) on BOSU: Leg Lifts, 540 11. 28.Four-Point Kneeling Over Ball: Weight-Shifting, Alternating Leg/Arm Lifts, 542 Side-Lying Challenges 11.29. Side-Lying Quadratus Lift, 544 11.30. Side-Lying Arm Lifts, 545 11.31. Side-Lying Hip Flexion and Extension, 547 11.32. Side-Plank: Partial or Full, 548 Progressive Resistance: Global Stabilizer Function, Abdominal Exercises Against Gravity 11.33. Abdominal Curls, 549 11.34. Diagonal Curl-ups, 551 Postural Challenge from Limb Motion Against Resistance 11.35. Seated Neutral Alignment: Upper Extremity Challenge, 552 Functional Training, Movement Reeducation 11.36. Functional Movement Reeducation: Hip Rotation Drivers (Pulleys), 553 11.19. Local Stabilizer Activation: Neutral Cervical Lordosis 11.20. Local Stabilizer Activation: Neutral Lumbar Lordosis Challenges to Maintain Neutral Position 11.21. Lower Extremity Challenge for Neutral Spine: Supine Leg Lifts 11.22. Upper Extremity Challenge for Neutral Spine on Foam Roller: Arm Movements 11.23. Bicycling with Head Support Closed Chain Leg Exercises with a Stable Lumbopelvic Region 11.24. Bilateral Hip Abduction with External Rotation: Elastic Resistance Band 11.25. Bridging with Trunk Support: Exercise Ball 11.26. Prone (Forearm Support) on BOSU: Upper Thoracic and Cervical Endurance 11.27. Prone (Forearm Support) on BOSU: Leg Lifts 11.28. Four-Point Kneeling Over Ball: Weight Shifting, Alternating Arm/Leg Lifts Side-Lying Challenges 11.29. Side-Lying Quadratus Lift 11.30. Side-Lying Arm Lifts 11.31. Side-Lying Hip Flexion and Extension 11.32. Side-Plank: Partial or Full Progressive Resistance: Global Stabilizer Function, Abdominal Exercises Against Gravity 11.33. Abdominal Curls 11.34. Diagonal Curl-ups Postural Challenge from Limb Motion Against Resistance 11.35. Seated Neutral Alignment: Upper Extremity Challenge Functional Training, Movement Reeducation 11.36. Functional Movement Reeducation: Hip Rotation Drivers (Pulleys) Functional Status and Goals Subjective Complaints Objective Findings Evaluation Precautions Prognosis Exercise Choices Contraindications and Precautions General Parameters Tests and Measures Observation for Compensations and Responses 11.37. Hinge Positions: Upper Extremity Challenge, 564 11.38. Neuromuscular Reeducation: Reversal from Flexed Position, 565 Progressive Upright Endurance 11.39. Seated Upright Posture Challenges: Pulleys, 566 11.40. Graded Exercise Progression: Upper Extremity Challenge with Weights, 567 11.41. Generalized Aerobic Exercise: Treadmill, Elliptical, or Stair-Climber, 568 11.42. Functional Capacity Graded Exposure, 570 Lifting Reeducation 11.43. Double-Leg Squat to Lift Object, 571 11.44. Stride Lunge to Lift Object, 573 11.45. Golfer’s Lift, 575 11.37. Hinge Positions: Upper Extremity Challenge 11.38. Neuromuscular Reeducation: Reversal from Flexed Position Progressive Upright Endurance 11.39. Seated Upright Posture Challenges: Pulleys 11.40. Graded Exercise Progression: Upper Extremity Challenge with Weights 11.41. Generalized Aerobic Exercise: Treadmill, Elliptical, or Stair-Climber 11.42. Functional Capacity Graded Exposure Lifting Reeducation 11.43. Double-Leg Squat to Lift Object 11.44. Stride Lunge to Lift Object 11.45. Golfer’s Lift Functional Status and Goals Subjective Complaints Objective Findings Evaluation Precautions Prognosis Treatment and Exercise Choices Weeks 1–2 New Symptoms at Visit 3 Adjustment in Management From Weeks 3–5 (Box 11.12) Weeks 6–8 and Return to Athletic Practice Outcomes Contraindications and Precautions Goals Tests and Measures Observation for Compensations and Responses Methods 11.46. Log-Rolling, 586 11.47. Side-Lying to Sitting, 587 11.48. Bridging with Lateral Shift for Bed Mobility, 588 11.49. Sit-to-Stand, 589 Neural mobility 11.50. Lower Limb Neural Gliding, 590 11.51. Upper Limb Neural Gliding, 592 11.46. Log-Rolling 11.47. Side-Lying to Sitting 11.48. Bridging with Lateral Transfer for Bed Mobility 11.49. Sit-to-Stand Neural Mobility 11.50. Lower Limb Neural Gliding 11.51. Upper Limb Neural Gliding Functional Status and Goals Subjective Complaints Objective Findings Evaluation Precautions Prognosis References Index_2019_Therapeutic-Exercise-Prescription INDEX A B C D E F G H I J K L M N O P Q R S T U V W Y