Excluded Studies for Therapeutic Exercises (N=89)

Previous Evidence-Based Clinical Practice Guidelines for Therapeutic Exercises for Osteoarthritisa

Therapeutic Exercise: Foundations and Techniques, 6th Edition

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  • Chiropractic care can involve a range of therapies, some of which occur during your session and some that you can do at home. Generally, the practitioner will try to adjust your spine and reduce neural compression, either manually or with the assistance of traction, during your one-on-one session. However, your chiropractor also may assign you therapeutic exercises to do at home. These exercises will focus on improving joint mobility, strengthening spinal and abdominal muscles, and increasing spine flexibility.

    While manual manipulation and mobilization – which are both ways that the moves your joints to achieve proper alignment – need to be done in the chiropractor’s office, certain therapeutic exercises can be done at home. These exercises can generally be divided into two categories: isotonic exercises and isometric exercises. Isotonic exercises involve repetitive joint movement, whereas isometric exercises involve muscle contractions without joint movement. For instance, a series of bicep curls would be considered isotonic exercises, while holding a weight at arm’s length and remaining stationary would be considered an isometric exercise. Your chiropractor will most likely suggest that you begin with isometric exercises before advancing to isotonic movements. Some examples of isometrics include the following (but these should not be attempted without your doctor’s permission, as they could worsen your spinal condition):

  • Our Weston chiropractic treatments are generally done in the office, but there are a range of therapeutic exercises you can do at home to compliment your . We will design a therapeutic program tailored directly to the goals you are trying to achieve. Whether you are trying to improve joint mobility, strengthen your spinal and abdominal muscles, or increase spine flexibility, or even all three, we will develop a one-on-one therapeutic program to get you back to the normal strides of your everyday life.

    Chiropractic care can include therapeutic exercises and therapeutic stretches, but may also involve massage, ultrasound, and nutrition counseling, among others. During your initial chiropractic examination, be sure to give an accurate description of your symptoms and medical history to the practitioner so that he or she can design a treatment plan that is right for you.

    Therapeutic Exercise: Foundations and Techniques
    Carolyn Kisner,Lynn Allen Colby
    Limited preview - 2012

  • Therapeutic Exercise: Foundations and Techniques
    Carolyn Kisner,Lynn Allen Colby
    Snippet view - 1996

    Exercise is good for everyone to maintain your health. However, therapeutic exercises are even more important for those injured in motor vehicle accidents, personal injury cases, and work-related injuries. These same principles of strengthening and rehabilitation apply to our Weston chiropractic patients who suffer from degenerative joint disease, back pain, sports injuries, neck pain, sciatica and even arthritis. Therapeutic exercises generally target the muscles of the neck, abdomen and back.

What do we know about the value of Therapeutic Exercise

From this extensive systematic review, numerous EBCPGs (6 with grade A, B, and C+ recommendations) have been developed for therapeutic exercises for RA, including strengthening exercises and whole-body exercises, with an emphasis on intensity of the exercise program. One or more CCTs have shown that these interventions provide clinically important benefits. More evidence, however, is needed to determine the efficacy of therapeutic exercises and manual therapy in the management of RA (9 primary grade C recommendations for therapeutic exercises and one “insufficient data” for manual therapy). Although no harmful side effects were reported in the original studies, the results of our review seem to suggest some potentially negative effects of intervention. For example, physical activity as compared with bedrest may have negative effects on outcomes such as pain, function, ROM, number of tender or swollen joints, and time to walk 15.24 m (50 ft). The effects of high-intensity exercise on pain also raise concern.