1. Therapeutic Exercises Therapeutic Exercises

2. INTRODUCTION The official definition of physical therapy says “it is the art and science of treatment by means of heat, cold, light, water, manual manipulation, electricity, therapeutic exercise and other physical agents.

3. INTRODUCTION Physical therapy or physiotherapy is the provision of services to people and population to develop, maintain and restore maximum movement and functional ability throughout the lifespan. It includes the provision of services in circumstances where movement and function are threatened by the process of ageing or that of injury or disease.

4. INTRODUCTION Physical therapy interventions may include: manual handling; movement enhancement; electrotherapeutic and mechanical agents, functional training, provision of aids and appliances, patient related instruction and counseling, documentation and coordination, and communication.

5. INTRODUCTION PTs also help prevent conditions associated with loss of mobility through fitness and wellness programs that achieve healthy and active lifestyles.

6. INTRODUCTION PTs examine individuals and develop plans using treatment techniques that promote the ability to move, reduce pain, restore function, and prevent disability. They provide care in hospitals, clinics, schools, sports facilities, and more.

7. Examination of patient Assessment Assessment includes: 1- subjective information: - name, age, sex, address, occupation, diagnosis. - How the patient perceive his symptoms. - Describe the behavior of the symptoms. - Related History of any previous medical or surgical history.

8. Examination of patient Assessment Objective data: - By Inspection (observation). - By palpation. - By measurement: Muscle palpation, muscle testing, functional ability, ROM, round and long measurement, muscle tone, special tests.

9. Examination of patient Assessment Goals of treatment: according to assessment results. - Long term goals. - Short term goals. Plane of treatment.

10. INTRODUCTION Therapeutic exercises can help injured part to resume normal function. Physical therapist done this by evaluating, planning, organizing, and directing the programs for the care of individuals whose ability to function is impaired.

11. Aims of Therapeutic Exercises Therapeutic exercise seeks to achieve the following goals: 1- To improve circulation. 2- To improve strength and power. 3- To stimulate and increase sensory awareness of movement. 4- To maintain and increase mobility of the joints.

12. Aims of Therapeutic Exercises 5- To restore the physiological properties of the muscle (excitability, contractility, and elasticity). 6- To improve co-ordination and neuromuscular control. 7- To increase muscle performance and functional capacity (endurance). 8- To gain relaxation (general or local).

13. Aims of Therapeutic Exercises 9- To facilitate proprioceptive neuromuscular function. 10- To improve respiratory capacity. 11- To assist subject to control and improve his balance. 12- To reduce pain.

14. Aims of Therapeutic Exercises 13- To help regaining of proper postural alignment (improve and correct posture). 14- To increase and maintain flexibility of the muscles, tendons, ligaments, and fascia. 15- To increase physical fitness. 16- To improve gait and ambulation (assist subject to walk properly).

15. Definition of Therapeutic Exercise the systematic, planned performance of bodily movements, postures, or physical activities intended to provide a patient 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.

18. Ex’s Safety It includes safety of both patient and therapist. Factors affecting patient safety: 1.Patient’s health history. 2.Medication. 3.Medical clearance. 4.Environment. 5.Equipment. 6.Accuracy in application of ex’s. 7.Fatigue. 8.Patient education.