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Strength and Conditioning in Rehabilitation 2-day Course

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Background and Overview of Philosophical Approach

Exercise prescription is central to rehabilitation practice. However, it is increasingly recognized that traditional therapeutic exercise principles and methodologies are limited for inducing targeted functional changes.  Commonly used therapeutic exercise concepts such as 'exercise as tolerated,' 'isolated joint exercise,' and '3 sets of 10' are largely ineffective for eliciting distinct physiological and functional adaptations over time.  This course will provide evidenced-based discussions, present a framework for incorporating exercise assessment and prescription into daily physical therapy practice with a focus on the transition from therapeutic exercise to exercise training, describe the most current literature regarding long term training adaptations for healthy, recreationally active, and clinical populations, and provide practical opportunities for the use of targeted resistance exercise methodologies. 

Relevance to Rehab Professionals

 

Course Description

 

Sample Schedule

How many practitioners have heard some iteration of one of the following statements uttered? “Yeah, I went to physio and it helped for a while, but I didn’t feel I got strong enough and I just got hurt again” or “I enjoy my rehab and I got better at first, but I don’t think I’ve made much progress since the first few weeks.”  There is no doubt that therapeutic exercise is a powerful tool that Physical Therapists and other Rehabilitation professionals utilize very effectively for initial improvements in a client’s pain levels, range of motion, mobility, exercise tolerance, or function; however, therapeutic exercise is very limited in its ability to elicit real, sustained, and powerful gains in functional performance.  In order to achieve these gains, the research is clear – quality, individualized, whole body exercise training is required.  Optimizing functional performance requires progression of proper movement patterns to quality strength, power, speed, and cardiovascular training.   Currently, these training methods are presented in most courses and textbooks almost exclusively in reference to athletic populations.

This course will provide an evidenced-based discussion and review of strength and conditioning principles and practices as they are applied to rehabilitation settings. It will present frameworks for incorporating strength assessment and prescription into daily physical therapy practice with a focus on the transition from therapeutic exercise to exercise training and describe the evidence for long term training adaptations for healthy, recreationally active, and clinical populations. With a primarily practical component, therapists will learn appropriate rationale and techniques for integrating major movement patterns into their therapeutic exercise programs and appropriate coaching methods and cues for assessing and teaching squatting, deadlifting, and pressing patterns (and their regressions/progressions). Finally, select conditioning methods and techniques will be taught and integrated into the programming frameworks.

Day 1 (morning): Strength and Conditioning in Rehabilitation Theory

 120 min - Principles of Strength and Conditioning applied to Rehabilitation:

·       Rationale for long-term strength development in rehabilitation

·       Principles of specificity, individualization, progressive overload, and periodization/structure

·       Needs assessment for training in rehabilitation

·       Targeting movements, tissues, and/or systems

·       Training with pain

120 min - Integrating therapeutic exercise with strength training

Day 1 (afternoon): Practical Strength Session

3 hours - Practical session:

  • Integrating strength training techniques into rehabilitation

  • Application and assessment of major lifts

  • Major lifts introduction, applications, and modifications

Day 2: (morning) Strength and Conditioning in Rehabilitation Theory

120 min - Clinical resistance training methodology, prescription, and periodization

Day 2 (afternoon): Practical Strength Session

 5 hours - Practical session (continued):

·       Major lifts introduction, applications, and modifications (continued)

·       Use of various strength implements

·       Incorporating conditioning through multi-modal training

·       Clinical applications

·       General discussion and applications of interest