1. THERAPEUTIC EXERCISES Dr. Michael Banoub SorourBy
Dr. Michael Banoub Sorour

2. Mrs. K, 78 years old , who lived alone and independently
Mrs. K, 78 years old , who lived alone and independently. Diagnosed with arthritis and osteoporosis, she fell and broke her hip. Following surgery, rehabilitation was only partially successful hen she was discharged due to lack of insurance and sent home.
After second fall , she entered a nursing home and become depressed. Antidepressant drug made her dizzy.
She fell again, breaking her other hip. She was unable to participate in rehabilitation due to confusion and medical complications, and she become bedridden.
Case study

3. Why are health-care consumers referred for physical therapy?

4. Because of
physical impairments associated with movement disorders caused by injury, disease, or health-related conditions that interfere with their ability to perform activities that are necessary or important to them. Or
to improve their overall level of fitness or reduce the risk of injury or disease.

5. So
An individually designed therapeutic exercise program is almost always a fundamental component of the physical therapy services

6. As
The ultimate goal of a therapeutic exercise program is the achievement of an optimal level of symptom-free movement during basic to complex physical activities.

7. What is the physical therapist need to develop the optimal therapeutic exercise plan of treatment?
The therapist must integrate and apply knowledge of anatomy, physiology, kinesiology, pathology, as he / she must understand the relationship between physical function and disability
In conclusion therapist is the
patient/client educator

8. THERAPEUTIC EXERCISE
exercise takes its place as the key element that lies at the center of programs designed to improve or restore an individual’s function or to prevent dysfunction

9. Definition Remediate or prevent impairments
Therapeutic exercise is the systematic, planned performance of bodily movements, postures, or physical activities intended to provide a patient/client with the means to
Remediate or prevent impairments
Improve, restore, or enhance physical function
Prevent or reduce health-related risk factors
Optimize overall health status, fitness, or sense of well-being

10. Prerequisites For Designing Exercise Program
The therapist must have knowledge of anatomy, physiology, kinesiology and pathology and can integrate and apply this knowledge to each condition.

11. Prerequisites For Designing Exercise Program
The therapist must understand the different forms of exercises and how these exercises affect body system.
The exercise program should be individualized to the special needs of each patient.

12. Steps For Designing Exercise Program
Start with comprehensive examination of the patient.
Determine the problems and functional disabilities that the patient has.
Set the aims and objectives of the treatment program.
Select the proper exercise program that can solve the patient’s problems and improve functional capabilities.

13. Steps For Designing Exercise Program
Periodic e-evaluation and examination of the patients should be carried out weekly or monthly depending on the program.
According to the result of the re-evaluation, modifications of the program should be made to attain the optimal degree of improvement

14. Classification of Therapeutic Exercises
Passive Exercises
Relaxed passive Exercises
Forced Passive Exercises
Active Exercises
Static Exercise
Active assisted
Exercises
Active Free Exercises

15. Types of Therapeutic Exercises
Range of motion exercises which aims to maintain and increase range of motion
Muscle performance exercises to increase muscle strength, power and endurance

16. Types of Therapeutic Exercises
Postural exercises to improve posture and correct faulty posture
Balance and coordination exercises to improve balance and coordination
Relaxation exercises to induce relaxation
Area specific exercises as breathing exercises and circulatory exercises