Functional Progression Sport/Activity Specific Training.

Fundamentals of Treatment IFunctional Progression
Distinguish between Basic Functional activities and Advanced Functional activities
Design Advanced Functional Exercise progression adjusting each of the five components of progression
Describe Precautions to Functional activities
Develop a functional exercise progression program for the elderly patient population
Functional Exercise
Functional Exercise:
Exercise that mimics functional activities, but is performed in a controlled manner or environment
Progression is the movement from low level to high level functions
Progressive Resistance Exercises
Functional Exercise
Functional & Activity-Specific Ex.
Should be included in the final phases of a rehabilitation program
Necessary for skill development
Necessary for confidence building
Progress in difficulty and complexity as ability and confidence build
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Usually incorporates triplanar motions of muscles used in normal activities
Used to prepare patient to advance to activity-specific exercises
Activity-Specific:
In sport, these may be similar to practice drills
Activity-Specific Exercises
Mimic performance demands that the patient will require for return to sport, recreation, or work
Include specific tasks and execution needs
Determined by the patient’s sport or work demands
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Activity-Specific Exercises
Determined by the patient’s specific responsibilities within that sport or activity
Developing the activities may require assistance from a coach
Drills progress from simple to difficult
May be used to test patient’s readiness to return to activity
Designing a Program
Design is based on patient’s job or sport and position
Needs of job or sport and position dictate emphasis
Stresses of job or sport = stresses of functional exercises
Exercises mimic job or sport activities
Skill exercises progress in demands to mimic real or competitive situations
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Progression
Rolling side-to-side
Sit to stand/stand to sit
Getting into and out of car
Walking
Ex. Progression for the Spine
Weight-Bearing Exercise
Wall Slides
Walking against Resistance
Transitional Stabilization Exercises
Quadruped weight shifting
Squat and Reach
Increase ambulation challenges
Climbing stairs
Agility drills
Plyometric drills
Ex. Progression for the Knee
Progress endurance by increasing number of repetitions or time element at each resistance level
Leg press, Total Gym, isokinetic dynamometer, treadmill, stationary bike, stair-stepper
Emphasis on balance, coordination, timing and skill acquisition
Plyometrics
Drills
Lifting, pushing and pulling
Plyometric drills
BOSU
Maximize resistance both concentrically and eccentrically
High intensity exercise to develop endurance
Pulleys in standing, diagonal patterns
Plyometrics
Upper-Extremity and Trunk Plyometrics: Overhead Throw
Plyometric Push-Up Variations
Generally involve the entire upper extremity
Combined pulling motions
Combined pushing motions
Table push-ups, UBE
Backhand, forehand, and serving
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Questions?