This course is part of our GCS Prep-Program. Learn more about the full prep-program here: MedBridge GCS Prep-Program.
It is well known that exercise can help patients at all phases of their rehabilitation, but what exercises are best for patients who have near normal strength, power, muscle endurance, balance, and aerobic capacity but just need to work on high level activities? In order to maximize function and delay declines, exercises prescribed during this time need to focus on advanced coordination and multimodal training. This course discusses the physiology behind advanced coordination and skill exercises including plyometrics, how clinicians can use a clinical decision making process for therapeutic exercise prescription, and practical examples of assessing and prescribing exercise for older adults. With this information clinicians bring patients and clients to their highest level of function through appropriate use of exercise.
Dr. Wendy K. Anemaet, a physical therapist since 1989 in home health, acute care, rehabilitation, outpatient, and skilled nursing, is an associate professor at the School of Physical Therapy at Regis University in Denver, Colorado. Wendy received her Master’s in Physical Therapy from the University of Southern California and her PhD in Aging Studies from the University of South Florida. She is a Geriatric Clinical Specialist and Certified Wound Specialist, has a Geriatric Training Certificate, and serves on the editorial board of Topics in Geriatric Rehabilitation. She has co-authored books on home health rehabilitation and has published hundreds of articles on home health therapy in peer-reviewed and trade publications. She provides training nationally on geriatric strengthening, therapeutic exercise, wound assessment and management, and competency testing for home health physical therapists on the drug regimen review and pharmacology. Wendy has earned the Certificate for OASIS Specialist-Clinical (COS-C). Her research interests focus on exercise and older adults and clinical practice related especially to home care.
This chapter details where exercise for advanced coordination and skill fits within the exercise framework. It describes types of exercises and elements of exercise that would be appropriate and discusses patients who might benefit from exercise to enhance advanced coordination and skill.
This chapter describes the type of patient who might benefit from advanced coordination and skill exercise. In addition, various methods of assessing advanced coordination and skill are included as well as parameters for prescribing effective exercises.
This chapter will describe the types of exercises and how you would prepare dosage to help your patient gain some advanced coordination and skill. We'll also take a look into the links in plyometrics and how it produces long-term muscle endurance.
We'll wrap of this course with a case of a patient with decreased high level balance and coordination after a total knee arthroplasty. It includes a demonstration of assessment and outcome measurement techniques and exercise prescription for advanced coordination and skill.