EXERCISE PRESCRIPTION &
Exercise Prescription and Rehabilitation
No two patients are alike. A variety of factors affect patient management. These include the patient’s genetics - height, bone structure and flexibility, to name a few. Predisposition for genetic conditions, such as arthritis, also influence management and outcome. Other factors include physical makeup, the clinical findings on assessment, lifestyle, attitudes & beliefs as well as the patients functional and sports demands.
Consequent to this, exercise and rehabilitation have to be prescriptive for each individual. They have to be tailored to factor in the specific imbalances and demands of each individual.
An accountant who sits all day in sustained trunk flexion with a forward head posture can cause overloading. This may result in thoracic pain, neck pain, low back pain, or headaches. His, or her management has to be different to a squash player who is involved in a sport that creates asymmetrical loading. People involved in asymmetrical loading (this includes repetitively carrying a school bag over one shoulder) can present with unilateral (on one side) injuries of the knee, hip, ankle, shoulder, back etc.
Patients with biomechanical imbalances can frequently present with recurrent or multiple injuries. Identification of these risk factors to injury is possible prior to injury occurring.
Correction of injury risk factors by correcting muscle imbalances, motor control, muscle recruitment and movement patterns can significantly reduce injury risk, improve sports performance and reduce pain in sustained work positions.
In all instances, best outcomes are achieved with a prescriptive exercise & rehabilitation programme individualised to each patient & their specific influencing factors & physical demands.