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An
Introduction to Exercise Therapy-
Exercise Therapy is a means of accelerating the patient's
recovery from injuries and diseases which have altered his
normal way of living. Loss or impairment of function prevents
or impairment of function prevents or modifies his ability to
live independently, to carry on with his work and enjoy
recreation. He may react to the demands of his environment
either by rejecting them and remaining inactive or by meeting
them to the best of his ability by altering his pattern of
activity. The process of recovery is delayed by inactivity and
the muscular weakness which results from it, the repeated use
of alternative patterns of activity makes it difficult to
correct them when they are no longer needed, e.g. limping
after leg injuries.
The Aims Of Exercise Therapy
The aims of treatment by exercise are:
1. To promote activity whenever and wherever it is possible to
minimize the effects of inactivity.
2. To correct the inefficiency of specific muscles or muscle
groups and regain normal range of joint movement without delay
to achieve efficient functional movement.
3. To encourage the patient to use the ability he has regained
in the performance of normal functional activities and so
accelerate his rehabilitation.
The approach to the Patient's problems-The problems
arising from loss of function are different for each patient
therefore treatment must be planned to meet his individual
needs. In this way the patient's and the physiotherapist's
time are used to the best advantages and some result should be
expected from every treatment session.
Assessment of the Patient's Condition-Detailed
assessment of the patient's condition is made before treatment
starts so that the physiotherapist is in a position to plan it
in accordance with the doctor's orders and the needs of the
patient. Tests, carried out to discover the patient's needs,
abilities and disabilities, are recorded pm charts designed
for the purpose, as a guide to the selection of suitable
techniques and a mean of estimating progress.
Some methods of Testing-Every test used must be
standardized as far as possible, i.e. carried out in the same
way and under the same circumstances on each occasion. Record
charts are dated and kept for use each time the test is
repeated. Some of the tests in common use are as follows-
a. Functional tests-These are used to assess the patient's
needs and
abilities with regard to functional activities.
b. Tests pf Joint range
c. Tests for Neuromuscular Efficiency.
d. Tests for co-ordination
e. Tests for sensation
f. Measurement of Vital Capacity & Range of Respiratory
Excursions
g. Measurement of Leg Length
h. Measurement of the Angle of Pelvic Inclination
Planning the Treatment-When the physiotherapist has
completed the assessment of the patient's condition and seem
his medical notes suitable activities or passive means are
selected for inclusion in the treatment programme. A wide
knowledge of the techniques available and the ability to apply
the m with skill and ingenuity are needed. The suitability of
any technique used is judged by the patient's response and the
extent to which it is effective for achieving of accelerating
his recovery.

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