Factors Affecting Treatment

• Severity
• Irritability
• Type/kind of disorder
• Contraindications/precautions (nature)
• Medical hx, comorbidities
• Impairments
• Areas w/ biomechanical influence

Muscular/Tendon Problems Activity Progression

• Passive
• Active Assisted
• Active
• Active Resisted (concentric then eccentric)

Ligamentous/Capsular Problems activity progression

• Active/Active assistive before passive if surgical repair
• Passive when repair has healed enough to gain some tensile strength
• Resistive motion may begin early as isometrics, but not aggressive until sufficient healing

Exercise

General guidelines

Level of progression

• Isometric
• Concentric
• Eccentric
• Isokinetic

First Priority with Exercise

Motor Control/Technique/Coordination

Second Priority with Exercise

Endurance

True or False

Stretching the agonist muscles precedes

exercises to strengthen

False

Stretching the ANTAGONIST muscles precedes

exercise for the weak muscles

Closed chain exercise is better at recruiting

what type of muscles

Hint: 1 or 2 joint

Typically 1 joint muscles

*tend to be the stabilizing muscles

Open chain exercise is better at recruiting

what type of muscles

Hint: 1 or 2 joint

Typically 2 joint/multiple joint muscles

*tend perform rapid, ballistic activity

Contract-Relax

Uses muscle activity and afferent activity from the nervouse system to modify muscle tone prior to a pazzive movement

Mobilization with Movement

Use accessory movement during active range of motion

Ultrasound

Acoustical energy used for thermal and

mechanical effects