1. Therapeutic Exercise Modifications RC- STD. 19

2. Standard 19
Describe common surgical techniques and relevant anatomical alterations that may affect the implementation of a therapeutic exercise regime

3. Surgical Techniques
Surgical techniques are any procedures involving the cutting into/open the body for purposes of repair, replacement, exploration, or other necessary measures
Many techniques require the use of rehabilitative therapy after surgery to restore function
Examples: Knee replacement, rotator cuff repair, broken bone

4. Anatomical Alterations
Any change in the anatomical structure of a body part, whether permanent or temporary
Some anatomical alterations require modified exercises or equipment during therapeutic rehab
Examples: Loss of an appendage, removal of an organ, extreme swelling, loss of function

5. Implementing Modifications
Implement simply means to put into use or effect
Sometimes the standard/generic treatment plan is not possible due to surgeries performed and/or changes in the anatomical structure of the body
In these cases, modifications (or changes) must be made to either/both therapeutic exercises and equipment

6. Example:
Pt comes in for therapy 9 weeks post-op L) ACL repair. Performed body squats 2 days ago for the first time, and today knee is extremely swollen. Today’s program calls for leg press. How would you modify this for them?

7. Example:
Pt comes in for cardiac therapy 6 weeks post-op heart surgery. Complaining of “soreness” in the chest around the incision. Upon inspection everything looks normal, no signs of infection. Today’s program calls for an incline while walking on the treadmill. How would you modify this?

8. Assignment Complete the Std. 19 Questions and Chart
How would you modify/alter the assigned exercises based on the type of procedure they had?