Allied Health

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.   

Two free student CD-ROMs: 

Resource library CD-ROM—Containing additional text, figures, videos, and animations to supplement the text. 

~ Featured animations are from Eupraxia’s collection of three-dimensional exercise routine demonstrations.

Working demonstration version of VHI PC Kits.

~ Allows students to choose from thousands of exercises to create, customize, and print easy-to-read, professional looking exercise routines for clients.

Case Studies.

~ Provide the reader with principles, guidelines and examples to become proficient problem solvers.

Decision-making algorithms following each case study—Illustrates the individual case management process.

Clear, concise illustrations.

~ Enable the reader visualize the essential elements of each chapter.

Consistent with the APTA’s Guide to Physical Therapy Practice and APTA Client/Patient Management Model.

Includes information on alternative exercise therapies.

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

Therapeutic Exercise (Physical Therapy)
Orthopedics / Sports Physical Therapy (Physical Therapy)
Athletic Training (Athletic Training)

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.   

Features include: 

• Two free student CD-ROMs: 
  A resource library CD-ROM containing additional text, figures, videos, and animations to supplement the text.  Featured animations are from Eupraxia’s collection of three-dimensional exercise routine demonstrations.
  A working demonstration version of VHI PC Kits, which allows students to choose from thousands of exercises to create, customize, and print easy-to-read, professional looking exercise routines for clients.
• Case Studies provide the reader with principles, guidelines and examples to become proficient problem solvers.
• Decision-making algorithms following each case study illustrates the individual case management process.
• Clear, concise illustrations enable the reader visualize the essential elements of each chapter.
• Consistent with the APTA’s Guide to Physical Therapy Practice and APTA Client/Patient Management Model.
• Includes information on alternative exercise therapies.
• Extensive references display evidence-based practice.

View a Sample Chapter PDF:

• Student CD-ROM
  Nyland
  © 2006 | Prentice Hall | CD-ROM Only | Out of Stock
  ISBN-10: 0131709259 | ISBN-13: 9780131709256
  
  
  

Pearson Higher Education offers special pricing when you choose to package your text with other student resources. If you're interested in creating a cost-saving package for your students, contact your Pearson Higher Education representative for pricing and ordering information.

Pearson Higher Education offers special pricing when you choose to package your text with other student resources. If you're interested in creating a cost-saving package for your students contact your Pearson Higher Education representative.