Introduce or practise a movement pattern with manageable demand.
Activation &
Strengthening
Exercise bukan hukuman selepas treatment. Ia ialah controlled exposure untuk membina capacity, confidence dan movement quality yang berkait dengan functional objective client.
Exercise follows the problem and objective.
Improve ability to perform the task with appropriate coordination and confidence.
Gradually tolerate more resistance, repetitions, duration or complexity.
Transfer gains toward the real task that matters to the client.
Six variables change exercise difficulty.
External/internal resistance.
Number of repetitions.
Repeated work blocks.
Movement excursion.
Speed/control demand.
Position, balance, coordination or task demand.
Progress one useful variable at a time.
Perfect-looking movement bukan syarat mutlak, tetapi apabila compensation meningkat kerana task terlalu demanding atau symptoms escalate, itu signal untuk adjust dose — bukan sekadar suruh client “push through”.
Exercise prescription drill
Pilih satu low-risk exercise berkaitan functional target. Tetapkan starting dose yang boleh dibuat dengan control dan monitor response.
Progression requires evidence.
Current dose is controlled, tolerable and repeatable; objective needs more capacity.
Quality deteriorates, excessive fatigue/guarding or symptoms increase beyond acceptable response.
New severe/unusual symptoms, neurological/vascular concerns, chest symptoms, collapse or other red flags.
Quick Knowledge Check
Client performs 8 reps well, tetapi pada reps berikutnya movement quality jatuh dan compensation meningkat. Apa pilihan terbaik?
Client mahu lebih mudah bangun dari kerusi. Safety screen clear dan sit-to-stand boleh dilakukan tetapi cepat fatigue.
Apa reasoning terbaik?
Exercise dosage must consider health status, current symptoms, injury/surgical precautions and practitioner competence. Stop for concerning responses. Higher load or fatigue is not automatically better; progress only when the current dose is appropriate.
