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Designing a Home exercise program
- A practical approach
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MUSCULO-SKELETAL REHAB
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MODEL
-70S
1.Decrease symptom,such as pain usingheat/cold,electrotherapy or traction.
2.Increase ROM through passive /active
mobilisation/stretchings.
3.Finally strengthen the affected structures and
then normalise functions(graded exercises).
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Current model Step 1 - Tissue Normalisation
First we bring the injury under control, so your tissues can begin to heal. This helps the injured part
to function smoothly with the rest of the body.
Step 2 - Muscle Activation
An injury is extremely painful, and makes movement difficult. By activating injured muscles early,
you'll recover sooner.
Step 3 - Static Control
Develop sufficient strength and control of your injured body part to hold a neutral position whilst
other parts are moving.
Step 4 - Dynamic Control
Develop the strength to control the injured body part during movement. By increasing endurance,
you'll be able to maintain dynamic control.
Step 5 - Functional Rehabilitation
You're well on your way to full recovery. This stage customises your rehabilitation to your specific
needs.
Step 6 - Functional Fitness
This stage is ensures you have the necessary physical fitness, power, endurance, body
awareness, strength and flexibility to perform physically.
Step 7 - Maintenance Program
To make sure you don't experience a recurring injury, we tailor a program to keep you fighting fit,
monitor your progress and continue to supervise rehabilitation.
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Why & where did I MISS?
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Effectiveness of HEP
Can be installed as a part of treatment-inbetweenmanual therapy to maintain ROM.
Using it as a complimentary therapy in time
feasable conditions.
Using it as a preventive stategy in recurrence.
As a main course therapy for minor musculo-
skeletal sprains and strains.
Using it for neuromuscular co-ordination.
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Added benefits-cognitive
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Physical work capacity-daily
requirement vs reserve.
0
20
40
60
80
100
120
Category 1
reserve
workcapacity
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A simple program of home quadriceps
exercises can significantly improve self
reported knee pain and function.
(Ann Rheum Dis 1999;58:1519)
Effectiveness of home exercise on painanddisability fromosteoarthritis of the knee:
arandomised controlled trialSheila C OReilly,
Ken R Muir, Michael Doherty
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Physical Therapy Treatment Effectiveness for Osteoarthritis of the Knee: A
Randomized Comparison of Supervised Clinical Exercise and Manual Therapy
Procedures Versus a Home Exercise ProgramGail D Deyle, Stephen CAllison,Robert L Matekel, Michael G Ryder, John M Stang, David D Gohdes,
JeremyPHutton, Nancy E Henderson and Matthew B Garber
The results indicate that a home exercise
program for patients with OA of the knee providesimportant benefit. Adding a small number of
additional clinical visits for the application of
manual therapy and supervised exercise adds
greater symptomatic relief.
http://physther.net/search?author1=Gail+D+Deyle&sortspec=date&submit=Submithttp://physther.net/search?author1=Stephen+C+Allison&sortspec=date&submit=Submithttp://physther.net/search?author1=Stephen+C+Allison&sortspec=date&submit=Submithttp://physther.net/search?author1=Robert+L+Matekel&sortspec=date&submit=Submithttp://physther.net/search?author1=Michael+G+Ryder&sortspec=date&submit=Submithttp://physther.net/search?author1=John+M+Stang&sortspec=date&submit=Submithttp://physther.net/search?author1=David+D+Gohdes&sortspec=date&submit=Submithttp://physther.net/search?author1=Jeremy+P+Hutton&sortspec=date&submit=Submithttp://physther.net/search?author1=Nancy+E+Henderson&sortspec=date&submit=Submithttp://physther.net/search?author1=Matthew+B+Garber&sortspec=date&submit=Submithttp://physther.net/search?author1=Matthew+B+Garber&sortspec=date&submit=Submithttp://physther.net/search?author1=Nancy+E+Henderson&sortspec=date&submit=Submithttp://physther.net/search?author1=Jeremy+P+Hutton&sortspec=date&submit=Submithttp://physther.net/search?author1=David+D+Gohdes&sortspec=date&submit=Submithttp://physther.net/search?author1=David+D+Gohdes&sortspec=date&submit=Submithttp://physther.net/search?author1=John+M+Stang&sortspec=date&submit=Submithttp://physther.net/search?author1=John+M+Stang&sortspec=date&submit=Submithttp://physther.net/search?author1=Michael+G+Ryder&sortspec=date&submit=Submithttp://physther.net/search?author1=Robert+L+Matekel&sortspec=date&submit=Submithttp://physther.net/search?author1=Robert+L+Matekel&sortspec=date&submit=Submithttp://physther.net/search?author1=Robert+L+Matekel&sortspec=date&submit=Submithttp://physther.net/search?author1=Robert+L+Matekel&sortspec=date&submit=Submithttp://physther.net/search?author1=Stephen+C+Allison&sortspec=date&submit=Submithttp://physther.net/search?author1=Stephen+C+Allison&sortspec=date&submit=Submithttp://physther.net/search?author1=Gail+D+Deyle&sortspec=date&submit=Submithttp://physther.net/search?author1=Gail+D+Deyle&sortspec=date&submit=Submithttp://physther.net/search?author1=Gail+D+Deyle&sortspec=date&submit=Submithttp://physther.net/search?author1=Gail+D+Deyle&sortspec=date&submit=Submit7/29/2019 Effectiveness of home exercise on pain and.pptx
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ompar son o e resu s o superv se p ys o erapyprogram and home-based exercise program in patients
treated with arthroscopic-assisted mini-open rotator cuff
repair].
[Article in Turkish]Bker N, Kiti A,Akkaya S,Akkaya N.
RESULTS:
There were significant improvements in all evaluation parameters in both
groups after rotator cuff repair.
CONCLUSION:
There were no statistical differences between the patients who received
exercise program under the supervision of the physiotherapist and the
patients who were treated with standardized home-based exercise program
for the efficacy of treatment in the evaluation of pain, functional status,quality of life, and depression status. When the rehabilitation programs were
analyzed for cost effectiveness, the supervised physiotherapy group was
found to have higher costs.
http://www.ncbi.nlm.nih.gov/pubmed?term=B%C3%BCker%20N[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=Kiti%C5%9F%20A[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=Kiti%C5%9F%20A[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=Akkaya%20S[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=Akkaya%20N[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=Akkaya%20N[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=Akkaya%20N[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=Akkaya%20N[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=Akkaya%20S[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=Akkaya%20S[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=Akkaya%20S[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=Kiti%C5%9F%20A[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=Kiti%C5%9F%20A[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=Kiti%C5%9F%20A[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=B%C3%BCker%20N[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=B%C3%BCker%20N[Author]&cauthor=true&cauthor_uid=22085347http://www.ncbi.nlm.nih.gov/pubmed?term=B%C3%BCker%20N[Author]&cauthor=true&cauthor_uid=220853477/29/2019 Effectiveness of home exercise on pain and.pptx
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DIFFICULTIES
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Space Feasibility
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SUPERVISED AND
UNSUPERVISED
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time
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Availability of medium (gadgets).
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Construction of exercises
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Economy
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Exercising equipments
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HOW TO APPROACH
DIFFICULTIES
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OBJECTIVES AND GUIDANCE
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Priority
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To accomplish its necessary to follow
the objectives
1.Defined starting position of every exercise.
2.Defined ways of doing exercise without faulty
patterns.
3.Defined resistance body weight /angle of
inclination.
4.Defined time-each set interval/session
interval/day.
5.Defined repetitions-each exersise/sets. 6.Defined frequency-day/week.
7.Defined speed-easy verbal couting method.
8.Defined follow up interval/progression interval.
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Practical ways
SIMPLE CONSTRUCT-availabilities of patientshome /list
MINIMAL GADGETS-affordability /therabands
tubings
MINIMAL SPACE-at home
MININMAL TIME CONSUMPTION-work timing
ECONOMICAL-number of visits for progressions
possible WAYS TO IMPLEMENTdiary /mobile recordings
WAYS TO MONITOR-once a week home
monitoring by inmates.
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Easy ways.
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Stick diagram prescription
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Mobile recordings
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Exercise recording calendar
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Android application-to do list with
remainders available for free .
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Home exercise program..
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