Have the patient exhale when lifting and inhale when lowering an exercise load

Used to describe a decline in phyical performance in healthy individuals participating in high intensity, high volume strength and endurance training programs

Terms chronic fatigue, staleness and burnout are also used to describe this phenomenon

Refers to the progressive detorioration of strength in muscles already weakened by nonprogressive neuromuscular disease

Develops during or directly after strenous exercise performed to the point of muscle exhaustion

Develops approximately 12-24 hrs after the exercise session

DOMS peak

Contrainidications to RE

Combines functionally based diagonal patterns of movement with techniques of neuromuscular facilitation to evoke motor responses and improve neuromuscular control and function

PNF

Refers to how and where the therapist’s hands are placed on the patient

Amount of resistance applied during dynamic concentric muscle contractions is the greatest amount possible that still allows the patient to move smoothly and without pain through the available ROM

Act of physically placing the patient’s body segments in positions that lengthen the muscles that will contract during diagonal movement pattern

Facilitated by a rapid stretxh or overpressure just past the point of tension to anagonist muscle that is positioned for a stretch stimulus

1 diagonal, same direction (flx and ext of trunk)

2 diagonals, same direction (comb. of flx & ext and rot to left/right

2 diagonal, opposite direction (no rot, neutral trunk)

Repetition for motor learning, strength, ROM and endurance

Where weakness and incoordination are primary problems

Isotonic of agonist to the point of weakness—isometric—quick stretch— isotonic of agonist

To improve ability to initiate movement

Feel pattern prior to movement (proprioception and kinesthetic)

Voluntary relaxation—PROM agonist—AAROM agonist—ARROM agonist

Technique of emphases that provides repetition of isotonic contraction without sustained effort

For patients with marked weakness in the lengthened range of a pattern, marked lack of endurance, or marked imbalance in favor of the antagonistic pattern

Contraindicated if full range of passive motion and resisted motion are to be avoided because of pain

Isometric hold in shortened range of agonist—relaxation—PROM quickly to lengthened range—isotonic of agonist

AAROM of antagonist—AAROM of agonist

ARROM of antagonist—isometric of antagonist—ARROM of agonist—isometric of agonist

For postural conteol/stability due to ataxia or proximal weakness

Enhances muscle balance, endurance and control of movement

Increases circulation; not for patients with cardiac involvement

Isometric of antagonist—isometric of agonist(do not allow patient to relax)— repeat 3-4x—relax

Repetitive stretch if antagonists alternately

AAROM to antagonist—AAROM to agonist—isometric of agonist

When no ROM in agonistic pattern is present

AAROM of antagonist(rotational component)—relax—AROM of agonist

For patients with pain or acute orthopedic conditions

Isometric of antagonist(rotational component)—relax—AROM of agonist

When the patient can actively move the agonist

Isotonic of antagonist—isometric of antagonist(rotation component)—relaxation of antagonist—isotonic of agonist

To decrease spasticity and increase ROM

PROM agonist to the point of tightness—therapist rotates the body part slowly and rhythmically in both directions—when relaxation is felt—continue PROM agonist(if there’s new range)