A Primer on Exercise and Treatment Prescription

presented by Alexis Wright, PT, PhD, DPT, OCS, FAAOMPT

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Disclosure Statement:

Financial: Lexie Wright receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Lexie Wright has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 62 Minutes, Learning Assessments: 30 Minutes

There is an abundance of evidence to support the use of therapeutic exercise in improving pain across a number of musculoskeletal conditions when done appropriately. This course will review the principles of therapeutic exercise and the physiological principles behind how exercise can facilitate tissue healing. Exercise prescription training principles and variables are reviewed, including progressive overload, specificity, variation, reversibility, and individualization. Viewers will be provided general guidance and recommendations of resistance training in accordance with the American College of Sports Medicine in how to design a program, including training guidelines for strength, power, endurance, hypertrophy, and plyometric training. A review of load management is presented with tips on how to improve load management specific to tissue type. A model of how to progress exercises is presented, with sample exercises and progressions presented to enhance the viewer's exercise prescription skills.

Meet Your Instructor

Alexis Wright, PT, PhD, DPT, OCS, FAAOMPT

Alexis A. Wright serves as professor and program director for the Tufts DPT Boston program. Wright has been invested in DPT education since 2011. She was recognized as a fellow of the American Academy of Orthopaedic Manual Physical Therapists in 2011 and achieved APTA board-certified orthopedic specialization in 2015. Wright is also a 2019 graduate…

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1. Navigating the Exercise Prescription Road Map to Healthy Recovery

This chapter will review the principles of therapeutic exercise and the physiological principles behind how exercise can facilitate tissue healing. Viewers will be introduced to terminology, including mechanotherapy, or the turning of movement into repair. Introduction of common tissue healing times and physiological adaptations will be discussed, including a discussion on mechanotherapy/mechanotransduction and how exercise promotes tissue repair.

2. Prescription Training Principles and Variables Estimated Length

This chapter will review exercise training principles, including progressive overload, specificity, variation, reversibility, and individualization. Recommendations and basic principles of resistance training in accordance with the American College of Sports Medicine are introduced, including training guidelines for strength, power, endurance, hypertrophy, and plyometric training. Progression in terms of duration, speed, distance, and repetitions will be discussed.

3. Load Management

We will discuss the principle of "optimal loading," including characteristics of optimal versus suboptimal loading and tissue-specific loading factors. The POLICE principle is explained with regard to acute injury management.

4. Framework for Exercise Prescription and Progression

This chapter will discuss clinical decision-making with regard to initiation, progression, and regression of exercise. Further phases of progression will be focused on extrinsic factors, such as change in stimulus or the environment in which the exercise is performed. A sample exercise progression program is provided to the viewer at the end of this chapter.

5. FITTSBALL

This chapter will introduce the viewer to a more holistic approach to exercise prescription that blends the technical domain with the cognitive-behavioral domain and methods for improving patient adherence to exercise.

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