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Clinical Decisions in Therapeutic Exercises : Planning and Implementation - With CD

Clinical Decisions in Therapeutic Exercises : Planning and Implementation - With CD - 05 edition

Clinical Decisions in Therapeutic Exercises : Planning and Implementation - With CD - 05 edition

ISBN13: 9780130480361

ISBN10: 0130480363

Clinical Decisions in Therapeutic Exercises : Planning and Implementation - With CD by John Nyland - ISBN 9780130480361
Edition: 05
Copyright: 2005
Publisher: Prentice Hall, Inc.
International: No
Clinical Decisions in Therapeutic Exercises : Planning and Implementation - With CD by John Nyland - ISBN 9780130480361

ISBN13: 9780130480361

ISBN10: 0130480363

Edition: 05

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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. KEY TOPICS: 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; Decision-making algorithms following each case study that illustrate the individual case management process; Clear, concise illustrations; Consistentency with the APTA's Guide to Physical Therapy Practice and APTA Client/Patient Management Model; Information on alternative exercise therapies; and Extensive references. Physical Therapy students and professionals.

Table of Contents

Table of Contents

1. Effects of Immobilization and Disuse on Body System Function

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

2. The Physiology of Muscle Activation

Muscle Metabolism
Pharmacological Agents and Exercise
Motor Units and Muscle Fibers
Spinal Reflexes

3. Stretching for Musculotendinous Extensibility and Joint Flexibility

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

4. Training for Cardiopulmonary and Cardiovascular Fitness

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
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

5. Training for Muscular Strength, Power, Endurance and Hypertrophy

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

6. Training for Joint Stability

The Organization of Joint Stability
Treatment Techniques

7. Training for Proprioception and Kinesthesia

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

8. Training for Neuromuscular Coordination and Re-Education

Movement Accuracy
Movement Errors
Pointing or Reaching with the Upper Extremity
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

9. Training for Agility and Balance

Components of Agility
Changes Across the Lifespan
Biomechanics of Agility
Agility Training Progressions
Agility Drill Examples
Agility as a Therapeutic Exercise

10. Complementary and Alternative Approaches to Movement and Exercise

Recent Events
Classification System
Basic Concepts Behind Complementary and Alternative Movement Approaches
Ten Principles of Movement Quality
Dance Therapy
The Feldenkrais Method
Nickolaus Technique
Tai Chi

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

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