1st Edition

Principles of Therapeutic Exercise for the Physical Therapist Assistant

By Jacqueline Kopack, Karen Cascardi Copyright 2023

    Principles of Therapeutic Exercise for the Physical Therapist Assistant is a textbook that provides PTA educators, students, and practicing clinicians with a guide to the application of therapeutic exercise across the continuum of care.
     
    Written by 2 seasoned clinicians with more than 40 years of combined PTA education experience, Principles of Therapeutic Exercise for the Physical Therapist Assistant focuses on developing the learner’s ability to create effective therapeutic exercise programs, as well as to safely and appropriately monitor and progress the patient within the physical therapy plan of care. The content is written in a style conducive to a new learner developing comprehension, while still providing adequate depth as well as access to newer research.
     
    Included in Principles of Therapeutic Exercise for the Physical Therapist Assistant are:
    •        Indications, contraindications, and red flags associated with various exercise interventions
    •        Documentation tips
    •        Easy-to-follow tables to aid in understanding comprehensive treatment guidelines across the phases of  rehabilitation
    •        Eye on the Research sections throughout the text dedicated to current research and evidence-based practices
     
    Also included with the text are online supplemental materials for faculty use in the classroom, consisting of PowerPoint slides and an Instructor’s Manual (complete with review questions and quizzes).
     
    Created specifically to meet the educational needs of PTA students, faculty, and clinicians, Principles of Therapeutic Exercise for the Physical Therapist Assistant is an exceptional, up-to-date guidebook that encompasses the principles of therapeutic science across the entire continuum of care.

    Contents

    Dedication

    Acknowledgments

    About the Authors

    Contributing Authors

    Foreword by Kenneth R. Amsler, PT, PhD, CHCQM

    Introduction

    Section I Theory and Principles of Therapeutic Exercise

    Chapter 1 Introduction to Therapeutic Exercise

    Chapter 2 Implementing a Therapeutic Exercise Program

    Chapter 3 Injuries, Tissue Healing, and Surgical Interventions

    Chapter 4 Range of Motion and Manual Therapy Techniques

    Chapter 5 Stretching and Flexibility

    Chapter 6 Principles of Muscle Strengthening and Performance

    Chapter 7 Posture, Pregait, and Gait Training Interventions

    Chapter 8 Balance Training and Vestibular Rehabilitation

    Chapter 9 Aerobic Conditioning

    Chapter 10 Aquatic Therapy

    Section II Therapeutic Exercise Interventions for Orthopedic Conditions

    Chapter 11 Orthopedic Considerations

    Chapter 12 Therapeutic Exercise for the Upper Extremity

    Chapter 13 Management of Lower Extremity Orthopedic Conditions

    Chapter 14 Management of Cervical and Thoracic Spine Orthopedic Conditions

    Chapter 15 Lumbar Spine and Sacroiliac Joint: Common Diagnoses and Orthopedic Management

    Section III Specific Applications of Therapeutic Exercise

    Chapter 16 Exercise Considerations for Persons With Neurologic Diagnoses

    Chapter 17 Therapeutic Exercise Considerations After Lower Extremity Amputation

    Chapter 18 Pulmonary Conditions and Treatment Interventions

    Chapter 19 Physical Therapy Interventions for Persons With an Oncologic and/or Lymphedema Diagnosis

    Chapter 20 Exercise for the Medically Complex Patient

    Chapter 21 Pelvic Floor and Women's Health Exercises

    Chapter 22 Workplace Rehabilitation, Ergonomics, and Safety

    Chapter 23 Considerations for Athletes

    Glossary

    Appendix A Therapeutic Exercise/Orthopedic Progressions

    Appendix B Treatment Plan Development Guide

    Appendix C Sample Exercise Prescription

    Appendix D Student Worksheet: Home Exercise Program Prescription

    Appendix E Common Indications

    Appendix F Dermatome Map

    Appendix G Referred Pain Patterns of the Organs

    Financial Disclosures

    Index

    Biography

    Jacki Klaczak Kopack, PT, DPT, has served as a professor and physical therapist assistant program director at Harcum College in Bryn Mawr, Pennsylvania, for 23 years. Her teaching responsibilities have included pathophysiology, kinesiology, functional anatomy, therapeutic exercise, rehabilitation, and evidence-based practice. She completed her bachelor’s degree and master’s degree in physical therapy from the University of the Sciences in Philadelphia, Pennsylvania (now St. Joseph’s University), and her doctorate in physical therapy from Temple University in Philadelphia, Pennsylvania. She is currently working toward a doctorate of education degree (executive leadership) from the University of St. Augustine for Health Sciences in St. Augustine, Florida. She is a 2013 recipient of the Lindback Foundation Award for Distinguished Teaching and a 2005 recipient of the Philip Klein Memorial Award for outstanding service to Harcum College. Dr. Kopack’s clinical practice spans 30 years across the inpatient continuum of care, including intensive care unit, acute care, acute rehabilitation, and subacute rehabilitation settings. Dr. Kopack served as a clinical instructor, a center coordinator of clinical education, and a director of rehabilitation in the clinical setting before transitioning to academia. Dr. Kopack strives to support the physical therapy profession and has done so in a variety of ways throughout her career. She served as an item writer for the Federation of the State Board of Physical Therapy (FSBPT) and the Practice Exam and Assessment Tool from 2011 to 2018. She was inducted into the FSBPT Academy of Advanced Item Writers in 2015. Dr. Kopack completed an extended term as a board-appointed member of the FSBPT Physical Therapist Assistant Exam Development Committee (2019–2022), and is currently serving as a co-chair for the FSBPT Physical Therapist Assistant Exam Development Committee. Dr. Kopack has served as an American Physical Therapy Association reviewer for physical therapist assistant recognition of advanced proficiency applicants and as a Combined Sections Meeting and Educational Leadership Conference proposal and abstract reviewer. She is a Commission on Accreditation in Physical Therapy Education–appointed physical therapy education on-site reviewer and team leader. Dr. Kopack served as an elected Pennsylvania delegate to the American Physical Therapy Association House of Delegates from 2020 to 2022 and currently serves as an alternate delegate. Dr. Kopack is a frequent reviewer for physical therapist assistant textbook publishers, providing content analysis specific to physical therapist assistant curriculum content. She has presented regionally and nationally on topics related to evidence-based practice, physical therapist assistant education, and the development of the faculty team.

    Karen A. Cascardi, PhD, MS, ATC, PTA, was the director of clinical education and an assistant professor at South University Physical Therapist Assistant Program in West Palm Beach, Florida, for 20 years. In addition to her clinical education responsibilities, her teaching responsibilities in the physical therapist assistant program included therapeutic exercise, kinesiology, habilitation/rehabilitation, and current issues. She completed her bachelor’s degree at Ashland College in Ashland, Ohio; her master’s of science degree at Indiana State University in Terre Haute, Indiana; her associate’s degree in physical therapist assistant at Lynn University in Boca Raton, Florida; and her PhD in health sciences education and research from Touro University International in Cypress, California. She published her dissertation in 2008 (The Relationship of Vestibulo-Ocular Reflex [VOR] Function to Falling in the Past Year Among Physically Active Community-Dwelling Adults 75 Years and Older). Dr. Cascardi’s clinical experience spans more than 40 years as a certified athletic trainer and physical therapist assistant mostly in the outpatient setting with specialties in sports medicine, orthopedics, and vestibular rehabilitation. She continues to lecture on balance and vestibular rehabilitation.
    During her career and now in retirement, she continues to give back to the physical therapy profession by volunteering as an advanced item writer and item writer coordinator for the FSBPT. She was inducted into the Academy of Advanced Item Writers and received the Outstanding Service Award twice. Dr. Cascardi served 6 years on both the Item Bank Review Committee and the Exam Development Committee. She also works with the Area Agency on Aging Healthy Living in West Palm Beach, Florida, and is on the Advisory Council and Strategic Planning Committee.