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Caregivers' Role in Rehabilitation /
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The Caregivers' Role in
Exercise in which the patient is helped through a ROM
(see below) which they are unable to do by themselves.
Active exercise: Exercise in which the
movement is done entirely by the patient.
Closed-chain exercise: Any exercise in which the
exercising body segment is attached to a fixed surface
such as a floor, requiring the entire limb to bear the
resistance. An example would be squats for the legs.
Coordination: The working together of
various muscles in the execution of movement.
Cross-transfer: A neurological
phenomenon in which training the "healthy" limb provides
strength increased in the immobilized limb.
DAPRE: A program often used in
rehabilitation. The abbreviation stands for "daily
adjustable progressive resistance exercise".
Flexibility: ROM possible in a joint or
series of joints.
Limited ROM exercise: Exercise in which
the ROM is limited due to an injury or the bio-mechanics
of the injury.
Non-weight bearing exercise: An
exercise in which the body weight is not borne by the
Open-chain exercise: An exercise in
which the end of the exercising body segment is not
fixed to the end of a floor, wall, etc. and is freely
movable. Leg extensions are an example of an open-chain
exercise for the legs.
Passive exercise: An exercise in which
the patient is taken through a ROM by a therapist,
caregiver or machine.
Reconditioning: The restoration of
pre-injury or pre-deconditioning levels of physical
fitness through a program of prescriptive therapeutic
ROM: An abbreviation for range of
motion. This is the measurement of the range that a limb
moves through space around its joint.
Regardless of why your loved one needs a rehabilitation
program, the goal of the therapy is to help restore
levels of fitness to the pre-injury state or better. In
cases of chronic illness or disability, programs focus
on improving the quality of life and comfort. To achieve
this, many techniques can be employed depending on the
therapeutic goals and objectives.
Before programming begins however, testing of functional
capacity is normally done to establish baselines and
future progression. The areas tested can be muscular
strength, power, endurance, flexibility and range of
motion. Some of the devices used include: calipers,
isokinetic instruments, goniometers and dynamometers.
After testing, therapeutic exercise programming and
selections begin. The basic program structure allows for
a warm-up prior to activity, the reconditioning
exercises, then concluding with a cool-down period.