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They must be administered at least twice weekly, with most programs conducted three to five or more times weekly. Tell a friend about us, add a link to this page, or visit the webmaster's page for free fun content. The contraction of major muscle groups must be repeated often enough to elevate the heart rate to a target level determined during testing. It is sometimes referred to as McKenzie extension exercises, but this is a misnomer because the regimen involves movements other than extension.muscle-setting exercise voluntary contraction and relaxation of skeletal muscles without changing the muscle length or moving the associated part of the body.
F, Circumduction: A combination of movements that cause a body part to move in a circular fashion. H, Pronation: Movement of the forearm in the extended position that brings the palm of the hand to a downward position. Short duration forces can be obtained manually, but special traction devices, splints, and casts are generally used to apply low-intensity forces for prolonged periods (30 minutes or longer).

These procedures must be performed in a clinical setting where health care personnel are available in the event symptoms develop during exercise, such as dyspnea, vertigo, extreme fatigue, severe arrhythmias, or other abnormal EKG readings.Exercise testing also may be used to assess the pulmonary status of a patient with a respiratory disease. As with any type of therapy, a therapeutic exercise program is designed to correct specific disabilities of the individual patient.
The program is evaluated periodically and modified as indicated by the patient's progress and response to the prescribed regimen. In the absence of a disability that prohibits mobility, the regular day-to-day activities of living maintain the normal movements of the joints.
If, however, motion is restricted for any reason, the soft tissues become dense and hard and adaptive shortening of the connective tissues takes place. These changes begin to develop within four days after a joint has been immobilized and are evident even in a normal joint that has been rendered immobile. It is recommended that each joint should be put through its full range of motion three times at least twice daily. If the patient is not able to carry out these exercises, he is assisted by a therapist or member of the family who has been instructed in the exercises.
Inflammation of the joint, as in arthritis, may cause some pain on motion, and so passive exercises are done slowly and gently with the joint as relaxed as possible. Procedures that stretch tight muscles to increase joint motion should be done only by a skilled therapist who understands the hazards of fracture and bleeding within the joint, which can occur if the exercises are done improperly or too strenuously.Muscle Training. Exercises of this type are taught to the patient who has lost some control over a major skeletal muscle.

By learning precise and conscious control over a specific muscle, the patient is able to strengthen and coordinate its movement with normal motor patterns and thus enhance mobility. Muscle training or neuromuscular re-education demands full cooperation of the patient, who must be capable of understanding the purpose of the exercises, following directions, and giving full attention to the muscle isolated for retraining. It involves a systematic program of sequential activities under the direction of a therapist knowledgeable in the technique. Although it requires much effort on the part of the patient and the therapist, the attainment of muscle control and coordination is a satisfying reward.Muscle Strength and Endurance. Improvement of muscle strength and endurance is particularly important in the rehabilitation of patients whose goal is to return to an active and productive life after a debilitating illness or disabling injury.
These exercises are usually administered with relatively high resistance and few (3 to 10) repetitions. When conducted over a sufficient length of time and with several muscle groups, they may also produce central effects of the cardiovascular system (see cardiovascular exercise).
Endurance exercises employ relatively low resistance and numerous (15 or more) repetitions. Exercises that promote relaxation of the muscles and provide relief from the effects of tension are useful in a wide variety of disorders ranging from mild tension headache to insomnia.

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