By Patricia E.Sullivan
Massachusetts basic sanatorium, Boston. Reference for actual therapists at the choice and development of healing workout courses. Stresses that courses needs to be logical, clinically effective, and budget friendly. Halftone illustrations. DNLM: workout remedy.
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Additional info for Clinical Decision Making in Therapeutic Exercise
13 Advanced com binations, which can be performed as open- or closed-chain movements, are incorporated into pos tures, such as bridging and kneeling, and in many functional tasks, such as ambulation. Advanced move weakness of the anterior tibial muscle, a mass flexion movement may enhance overflow from the hip and knee flexors to the ankle dorsiflexor muscle. 12 ments are chosen to promote the proper timing and se quencing of motor activity and the control of specific segments after strength and general control have been gained with mass patterns.
However, the application of excessive resistance, par ticularly to weakened postural muscles, may tend to increase inhibitory influences and may produce in sufficient actin-myosin bonding. In addition, exces ACTIVITIES: POSTURES AND MOVEMENT PATTERNS sive resistance may result in muscle microtearing, es pecially during eccentric contractions, when muscle force generated is greater than that occurring during isometric or concentric contractions. 49 The amount of formed. When the muscle grade is 3+/5 or greater, gravity plus manual or mechanical forces are appro priate.
Primitive Patterns The lower extremities can be moved or be positioned in primitive, mass, or advanced combinations. Primi tive movements are stereotyped actions similar to Mass Patterns Mass patterns combine hip, knee, and ankle flexion or extension (Fig. 11 In contrast to the primi tive movements, however, the rotation and abduc tion-adduction components can vary, depending on the desired motion or muscle activation. Mass pat terns can be performed as non-weight-bearing open- A 8 Figure 2-4.