Clinical Decisions in Therapeutic Exercise

Clinical Decisions in Therapeutic Exercise : Planning and Implementation

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Description

For courses in Therapeutic Exercise.

Clinical Decisions in Therapeutic Exercise Program Planning provides a contemporary, evidence-based overview of the topics that influence decisions regarding therapeutic exercise program development by integrating neuromuscular, cardiopulmonary and musculoskeletal considerations. This resource encourages the reader to consider relevant evidence along with a comprehensive, holistic understanding of the individual when making clinical decisions regarding a plan of care and the most appropriate exercise intervention(s). Case Studies present not just the injury, but also the lifestyle, attitudes, social and medical history and personality of the client to aid in effective program planning.
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Product details

  • Hardback | 720 pages
  • 221 x 274.3 x 30.5mm | 1,678.31g
  • Pearson
  • United States
  • English
  • 0130480363
  • 9780130480361

Table of contents

Part I Foundations of Therapeutic Exercise Program Planning



1. Effects of Immobilization and Disuse on Body System Function



Introduction

Effects of Immobilization and Disuse on the Musculoskeletal System

Ligament and Tendon Effects of Immobilization and Disuse

Articular Cartilage Effects of Immobilization and Disuse

Neuromuscular Effects of Immobilization and Disuse

Cardiovascular Effects of Immobilization and Disuse

Pulmonary Effects of Immobilization and Disuse

Hematological Effects of Immobilization and Disuse

Integumentary Effects of Immobilization and Disuse

Gastrointestinal Effects of Immobilization and Disuse

Urinary Effects of Immobilization and Disuse

Metabolic Effects of Immobilization and Disuse

Psychosocial Considerations

Disability and Quality of Life

Therapeutic Exercise and Its Contraindications

Summary

References



2. The Physiology of Muscle Activation



Introduction

Muscle Metabolism

Nutrition

Pharmacological Agents and Exercise

Motor Units and Muscle Fibers

Spinal Reflexes

Summary

References



3. Stretching for Musculotendinous Extensibility and Joint Flexibility



Introduction

Viscoelastic Tissue Properties

Adaptations in Connective Tissue

Structure, Viscoelastic Properties, and Function of Tissue

Influence of Training, Disuse, Aging, and Gender on Tissues of the Musculoskeletal System

Influence of Sensory and Motor Systems on Flexibility

Stretching and Musculotendinous Flexibility

Flexibility and Associated Topics

Principles of Stretching

General Effects of Stretching

Types of Stretching

Stretching Comparisons

Proposed Stretching Benefits

Performance Enhancement

Stretching Precautions

Stretching Aids

Essentials of a Stretching Program

Summary

References



4. Training for Cardiopulmonary and Cardiovascular Fitness



Introduction

Metabolic Pathways

Blood Lactate Accumulation

Response to Exercise

Aerobic Capacity and Endurance

Maximal Oxygen Uptake (VO2max)

Factors Affecting VO2max

Training for Maximal Aerobic Capacity

Exercise Economy and Aerobic Capacity

Effects of Endurance Training

Thermoregulation

Clinical Exercise Testing

Laboratory Testing

Field Testing

Lifespan Changes

Introduction to Aerobic Exercise Prescription

Components of Aerobic Power Exercise Prescription

Exercise Modes to Improve Aerobic Fitness

Aerobic Exercise Progression

Special Considerations In Aerobic Exercise

Summary

References



5. Training for Muscular Strength, Power, Endurance and Hypertrophy



Introduction

Resistance Training Considerations

Resistance Training Principles

Fundamentals of Muscular Fitness

Resistance Training Program Design

Therapeutic Exercise Program Applications of Cross Training and Circuit Training

Pyramids, Split Routines, Super Sets, and Compound Sets

Exercise, Therapeutic Exercise, or Rehabilitation?

General Principles of Therapeutic Exercise Intervention

The Dosage Dilemma: How Much Is Enough, Too Much, or Not Enough?

Considerations of the Squat and its Variations as Cornerstones of Lower Extremity Exercise

The Spinal Engine

Plyometrics: Training for Power

Functional Performance Testing

Common Methods of Resistance Training

Other Resistance Training Environments

Common Denominators of Successful Knee Injury Prevention Programs

Summary

References



6. Training for Joint Stability



Introduction

The Organization of Joint Stability

Treatment Techniques

Summary

References



7. Training for Proprioception and Kinesthesia



Introduction

What is Proprioception?

Neuroanatomic and Neurophysiologic Basis for Proprioception

Muscle Receptors: Muscle Spindle and Golgi Tendon Organ (GTO)

Articular Receptors: Capsular and Ligamentous Mechanoreceptors

Evidence for a Primary Source of Afferent Information for Proprioception

Testing Proprioception

Knee Joint Proprioception

Shoulder Joint Proprioception

Ankle Proprioception

The Spine and Proprioception

Effects of Training/Exercise on Proprioception

Aspects of Therapeutic Exercise and Training with Utilization of Proprioceptive Input

Exercise and Training Guidelines

Summary

References



8. Training for Neuromuscular Coordination and Re-Education



Introduction

Movement

Movement Accuracy

Movement Errors

Pointing or Reaching with the Upper Extremity

Locomotion

Input to the Central Nervous System (CNS)

Central Nervous System-Motor Processing

Central Nervous System Output

Background of Movement Control and Motor Learning

Equilibrium Point Hypothesis

Amplitude and Duration Control

CNS Control of Movement

Motor Planning-Input

Motor Planning-Central Processing

Motor Program-Output

Motor Learning

Age and Training

Neuromuscular Training/Evaluation and Techniques

Critical Tracking Tasks

Medicine Ball and Plyometric Exercises from a Motor Control Perspective

Summary

References



9. Training for Agility and Balance



Introduction

Components of Agility

Changes Across the Lifespan

Biomechanics of Agility

Agility Training Progressions

Agility Drill Examples

Agility as a Therapeutic Exercise

Balance

Summary

References



10. Complementary and Alternative Approaches to Movement and Exercise



Introduction

Recent Events

Terminology

Classification System

Basic Concepts Behind Complementary and Alternative Movement Approaches

Ten Principles of Movement Quality

Dance Therapy

The Feldenkrais Method

Nickolaus Technique

Pilates

Qigong

Tai Chi

Yoga

Summary

References



11. Therapeutic Exercise Program Design Considerations: Putting It All Together



Introduction to Health Information Processing

Care Pathways Algorithm Development

Care Pathway Guidelines for Rehabilitation Clinicians

Paradigm Shifts in Therapeutic Exercise Programs

Improving Client Compliance and Achieving Positive Behavioral Change

Counseling and Education Skills

Cognitive Behavioral Models for Therapeutic Exercise Program Intervention

Age, Osteoarthritis, Arthroplasty, and Therapeutic Exercise

Treatment Goal Documentation

The Rehabilitation-Conditioning Transition: Achieving Functional Readiness

Return to Activity Decision Making

Stress Management

Summary

References





Part II Therapeutic Exercise Program Implementation:



1. Client Case #1

2. Client Case #2

3. Client Case #3

4. Client Case #4

5. Client Case #5

6. Client Case #6

7. Client Case #7

8. Client Case #8

9. Client Case #9

10. Client Case #10
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