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PT DEPARTMENT
3 types:
Isotonic resistance exs.
Isometric resistance exs.
Isokinetic resistance exs.
To increase:
Muscle strength
Muscle power
Muscle endurance
Muscle size
Muscle structure fusiform, pennate
Proportion of muscle fibres
Biomechanical and histochemical properties
Neurological factors:
Coordination
Limitation by disease that affect
neuromuscular system.
Cross-sectional size
Length and tension relationship at the time
of contraction
Recruitment of motor units
Type of muscle contraction
Speed of muscle contraction
Motivation of patient
TYPE I
Red fibers
Smaller
Endurance
More blood
Slow twitch
TYPE II
Types:
Manual resistance
Mechanical resistance
Definition:
Any form of exercise in which resistance is
applied by therapist using a static and
dynamic muscle contraction
Limitation:
Force cant be measured
Mild to moderate force
Depend on therapist strength
Isotonic concentric
Isotonic eccentric
Isometric
PNF (Proprioceptive Neuromuscular
Facilitation)
Definition:
Any form of exercise in which resistance is
applied by some type of equipment.
Advantage:
Best form exercise to increase power, strength
and endurance
Pt can exercise independently
Force is measurable
Variable resistance
- Mild to full resistance
No limitation
Constant resistance
Free weights
Barbells
Dumbells
Sandbags
Weight boots
Elastic resistance
Thera-band
Medicine/physio balls
Definition:
A weight that muscle can lift with maximal
effort for 10 times without fatigue.
Regime
DeLorme
Oxford
McQueen
Usage
Rehabilitation
Progressive Resistive
Exercise (PRE)
Strengthening
Rehabilitation
Strengthening
Endurance
Rehabilitation
Sets
10 x 10RM
10 x 10RM
10 x 10RM
10 x 10RM
10 x 10RM
10 x 10RM
10
10
10
10
Procedures
Determine 10RM
Sets lifting
Repeat 10 RM testing
every week
Determine 10RM
Sets lifting
Repeat 10 RM
testing every week
Determine 10RM
Sets lifting
Repeat 10 RM
testing every week
Intensity
Minimum of 4 sets
per week
Minimum of 4 sets
per week
Endurance
x
x
x
x
10RM
10RM
10RM
10RM
Regime
DAPRE
Circuit training
Usage
Conditioning using
daily adjustable
progressive
resistance exercise
Endurance
Strengthening
Using sequence of
variety of exercise for
total body conditioning
Endurance
Strengthening
Sets
10 x WW
6 x WW
As many as possible
x WW
As many as possible
x WW
Bench press,
leg press,
push up,
chin up,
sit up,
shoulder press
etc using repetition
and time