Excercise Rehabilitation

Exercise Rehabilitation:

Once static strengthening has been addressed and has become a skill to some extent, it is necessary to approach dynamic strengthening to actually ensure a change in function and stability.

IN A NUTSHELL
Exercise rehabilitation is based on the following principles: reducing pain, restoring range of motion, appropriate stretching of limited tissue, progressing into specific strengthening. This all leads to movement retraining and dynamic/ballistic activities. Each step has its own specific protocol.

Dynamic strengthening is what we talk about when addressing the strength curve in large parts of the body such as the arms, legs or back. All muscles function on eccentric and concentric phases of movement and the effects of strengthening are based on time of transition as well as fullness of muscle concentration.

By addressing the exercise movements in this fashion greater result of strengthening can be achieved with less joint irritation and maximum improvement in function.

The first goal is to reduce the pain. Exercises can assist in overcoming the pain problem, but more often than not the exercises are to follow the hands on approach to restore function.

SUMMARY OF EXERCISE PROGRAM GOALS:
The real issue here is being able to evaluate the patient thoroughly enough to understand which exercises they need to do. The overall scope of exercises is to move a person from a very mild level of restorative movements in a supine or prone position to dynamic movements that can be directly incorporated into their daily activities, changing the way they function in the world.

The first goal is to reduce the pain. Exercises can assist in overcoming the pain problem, but more often than not the exercises are to follow the hands on approach to restore function. The exercises necessary to restore function is based solely on the individual, but generally fall into a series of exercises that will move a person to a pain free, independent, and dynamic phase.

Exercise protocol begins with non-weight bearing exercises to restore muscle activation and range of motion in a non-dynamic but necessary fashion. It is then important to move to weight bearing exercises, followed by a more need-specific program that may incorporate sport specific training. We usually get to address the individual’s specific goals and needs once they get out of pain and restore their mobility. Within the weight bearing exercise progression we have the static, dynamic and then ballistic movements. Within each of these stages, there is double leg support moving to single leg support. Our exercise programs and the equipment are designed to enable the patients to move through these phases. More often than not, we are able to get patients to the double leg dynamic exercises which will enable them to do their daily activities. Athletes and more active individuals on the other hand, need to be skillful double leg and single limb ballistic support activites. Within those phases we can utilize a myriad of exercises utilizing our exercise machines and our knowledge to incorporate more dynamic exercises that will result in lasting functional changes.

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Dallmeyer Physical Therapy Excercise Rehabiltation