Designing Effective Resistance Training Programs for the Physical and Occupational Therapist: Rethinking "3x10"
Description
As insurance continues to reduce physical and occupational therapy visits and patient co-pays continue to escalate, patients and providers alike demand more rapid outcomes in therapy. Without question, therapeutic exercise progression is the hallmark of physical and occupational therapy prescription. It is imperative that the therapist have a sound rationale for exercise progression to maximize patient outcomes, whether it is a pediatric or geriatric patient or a high-level athlete. In order to do that, a review of foundational principles of resistance exercise is warranted. Next, a proper understanding of rehabilitation objectives—endurance, strength, and power—will enable the therapist to understand how to appropriately progress a patient. Furthermore, the therapist will understand how to manipulate training variables like load, rest periods, set structures, and repetition schemes to promote variability in program design, maximize treatment sessions, and minimize the risk of boredom and plateaus. This course provides a framework for progressing patients with upper and lower extremity conditions as well as how to appropriately test progress with evidence-based outcome measures.
Physicourses is an AOTA Approved Provider of professional development. Course approval ID# 6295. This distance learning-independent course is offered at 0.6 CEUs Intermediate Level, OT Service Delivery, Foundational Knowledge. AOTA does not endorse specific course content, products, or clinical procedures.
Available Course Credits
| Alaska State PT & OT Board | 6.00 | ||
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AOTA | 6.00 | |
| Arizona State Board of Physical Therapy | 6.00 | ||
| Arkansas State Board of Physcial Thearpy | 6.00 | ||
| California Physical Therapy Board | 6.00 | ||
| Colorado Division of Professions and Occupations | 6.00 | ||
| Connecticut Department of Public Health | 6.00 | ||
| Delaware Examining Board of Physical Therapists and Athletic Trainers | 6.00 | ||
| District Of Columbia Department of Health | 6.00 | ||
| FPTA | 6.00 | ||
| Georgia State Board of Physical Therapy | 6.00 | ||
| Hawaii Board of Physical Therapy | 6.00 | ||
| Idaho Physical Therapy Licensure Board | 6.00 | ||
| Indiana Physical Therapy Board | 6.00 | ||
| Iowa Board of Physical Therapy and Occupational Therapy | 6.00 | ||
| Kansas State Board of Healing Arts | 6.00 | ||
| Kentucky Board of Physical Therapy | 6.00 | ||
| Louisiana Physical Therapy Board | 6.00 | ||
| Maine Board of Physical Therapy | 6.00 | ||
| Maryland Board of Physical Therapy | 6.00 | ||
| Massachusetts Board of Allied Health Professionals | 6.00 | ||
| Michigan Board of Physical Therapy | 6.00 | ||
| Mississippi State Board of Physical Therapy | 6.00 | ||
| Missouri Advisory Commission for Physical Therapists | 6.00 | ||
| Montana Board of Physical Therapy Examiners | 6.00 | ||
| Nebraska Department of Health and Human Services | 6.00 | ||
| New Mexico Physical Therapy Board | 6.00 | ||
| New York State Education Department | 6.00 | ||
| North Carolina Board of Physical Therapy Examiners | 6.00 | ||
| North Dakota Board of Physical Therapy | 6.00 | ||
| Office of Professional Regulation, Vermont Secretary of State | 6.00 | ||
| Oklahoma Physical Therapy Board | 6.00 | ||
| Oregon Board of Physical Therapy | 6.00 | ||
| Pennsylvania State Board of Physical Therapy | 6.00 | ||
| Physical Therapy Governing Board New Hampshire | 6.00 | ||
| South Carolina Board of Physical Therapy | 6.00 | ||
| South Dakota Physical Therapy License Board | 6.00 | ||
| State of Alabama Board of Physical Therapy | 6.00 | ||
| State of Rhode Island Department of Health | 6.00 | ||
| Tennessee Board of Physical Therapy | 6.00 | ||
| Texas Physical Therapy Association | 6.00 | ||
| Utah Physical Therapy Licensing Board | 6.00 | ||
| Virginia Board of Physical Therapy | 6.00 | ||
| Washington State Board of Physical Therapy | 6.00 | ||
| West Virginia Board of Physical Therapy | 6.00 | ||
| Wisconsin Physical Therapy License Board | 6.00 | ||
| Wyoming Board of Physical Therapy | 6.00 |
Course Content
| 423 Designing Effective Resistance Training Programs for the Physical and Occupational Therapist: Rethinking "3x10" | Module | ||
| Course Evaluation | Module |
Daniel Lorenz, DPT, PT, ATC, LAT, CSCS
Dr. Lorenz is the Director of Sports Medicine at Lawrence Memorial Hospital/OrthoKS in Lawrence, KS. Previously, he was an owner and Director of Physical Therapy for Specialists in Sports and Orthopedic Rehabilitation (SSOR), an outpatient physical therapy practice based in Overland Park, KS with three locations. He has a B.S. in Health Sciences with an emphasis in Athletic Training from Grand Valley State University in 1999 and a M.S in Physical Therapy from Grand Valley State in 2001. In 1997, he was an athletic training intern for the Chicago White Sox Major League Baseball team.
From 2004- 2005, he completed the Duke University Sports Physical Therapy Fellowship. Formerly, he was an assistant athletic trainer and physical therapist for the Kansas City Chiefs from 2005-2007. In 2009, he earned his Doctor of Physical Therapy from the University of St. Augustine in St. Augustine, FL. He has served as a rehabilitation consultant for numerous local sports teams including Sporting Kansas City, Kansas City Chiefs, and the Kansas City Mavericks, and also many local colleges including Mid-America Nazarene University and University of Missouri Kansas City. He is currently the Chair of the Sports Performance Enhancement Special Interest Group for the American Academy of Sports Physical Therapy.
Dr. Lorenz has been published several times in peer-reviewed journals and has been an invited speaker numerous times at local, state, and national conferences in sports medicine. In 2018, Dan was recognized by the NSCA as the Sports Medicine/Rehabilitation Professional of the Year and in 2014, he was awarded the inaugural Distinguished Physical Therapy Alumni Award from Grand Valley State University.
423 Designing Effective Resistance Training Programs for the Physical and Occupational Therapist: Rethinking “3x10”— Course Objectives
At the conclusion of the course, the therapist will be able to:
- Recall foundational principles of exercise, such as the SAID Principle and Selye’s General Adaptation Syndrome, as well as specificity, overload, and variation.
- Compare and contrast endurance, hypertrophy, strength, and power regarding set, load, rest period, and repetition structure.
- Recall how to perform a needs analysis for the patient to ensure individualized program design.
- Recall how to manipulate training variables, such as set structure, repetitions, and rest periods to achieve specific training goals.
- Identify the principle of periodization and recall how it applies to therapy exercise progression.
- Identify various testing procedures and outcome tools to appropriately measure progress in a rehabilitation program.
- Recall how to progress patients with upper and lower extremity conditions following principles of exercise progression in case studies.
Designing Effective Resistance Training Programs for the Physical and Occupational Therapist: Rethinking “3x10”—Table of Contents/Course Agenda:
HOUR 1
Course instructions 6
About the Author 7
Course Description 8
Course Objectives 9
Introduction
Phases of Rehabilitation 12
Historical Perspective of Resistance Training Models 14
Methods to Determine Resistance 16
HOUR 2
Exercise Terminology and Objectives 17
Load 17
Volume 18
Progressive Overload 19
Periodization 21
Application of Periodization in Rehabilitation 22
Strength 23
Power 25
Hypertrophy 26
Endurance 26
Energy System-Specificity/Metabolic Capacity 27
Summary of Resistance Training Variables and Application 27
HOUR 3
Designing a Rehabilitation Program for the Patient 29
Needs Analysis 29
Exercise Selection 30
Exercise Order 30
Training Frequency 31
Flexibility 31
Balance/Proprioceptive Training 32
Exercise Progression: General Principles 34
HOUR 4
Testing 36
Principles of Progression: UE 37
Case Study: UE 38
Principles of Progression: LE 41
HOUR 5
Case Study: 43
Conclusion 46
HOUR 6
References
Exam
Evaluation
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Educational Level: Intermediate
Target Audience: PT, PTA, OT, OTA
Course Completion Requirements: Passing an online exam with 70% or greater will be required to earn continuing education credit
This course is approved for 0.9 CEUS. 9 contact hours
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