How to Improve your Clinical Practice? Difference b/w Rehab and Fitness Why the Fitness must be an essential part of your treatment process?? Is the Fitness equal to Rehab???

1. Fitness into Clinical Practice
Qurat-ul-ain Naveed PT
DPT, MS-OMPT*
qurat9847@gmail.com
+92307-4275664

2. Difference between Rehab and Fitness
*****FITNESS*****
A process of improving
movement function.
Fitness is designed to take
your movement capacity to
a higher level by creating
long term physiological
adaptations.
......A Good Rehab includes both Movement competency
& Movement capacity....2

3. In treatment Plans, we should include
both Rehab & fitness
╺ REHAB
╺ Movement Competency
╺ The ability to move
free (pain free) from
dysfunction.
╺ Competency is
measuring the quality
of movement function.
╺ FITNESS
╺ Movement Capacity
╺ The ability to
express strength
during fundamental
movement patterns.
╺ Capacity is the
measuring of
quantity of
movement function.
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4. Rehab &
Training are a
Concurrent
process, if you
have the
Appropriate
Model!
CHARLIE WEINGROFF
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5. “
“Rehab is just a training
when you are Injured”
John Rusia
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6. Why do most REHAB Fail????
 PTs focus more on the location of the
problem rather than on the source of the
Presenting Complaint.
 PTs end their Rehab Programs when the
pain is gone.
 Pain is the last thing to show up & the first
thing to go away.
 PTs fail to fully restore function before
releasing patients from Care.
 PT don't increase a patient tolerence to
Load.
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7. BIG CONCEPT
A majority of Musculoskeletal Injuries occur because the
patients are either UNDERPREPARED or OVERSTIMULATED.
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8. Underprepared
The patient's
body is not
physically
prepared for the
LOADS that they
are
participating.
What is Underprepared &
Overstimulated???
Overstimulated
The patient is
doing too much
activity; too
often and too
soon.
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9. .....Fitness is the method by which
we can better prepare patients to
tolerate larger amounts of Load....
“It is not the LOAD that
breaks an individual down. It
is the LOAD that their body
is NOT prepared for that is
the problem”.
TIM GABBET.
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10. A lot of time the
people don't have the
tissue tolerance to
participate in Motor
activity.
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*****ROLE OF FITNESS IN
CLINICAL PRACTICE****
Rehab is all about “restoring
movement function”.
“Rehab must have the purpose of
reducing pain & to return patients
to activities of daily living”.
＊Major Goal of Treatment process
is to eliminate a patient's activity
intolerence.
“Activity intolerence are the
movements which the patients
needs/wants to do but can't do due
to pain or dysfunction”

12. USE CHARTS TO
EXPLAIN YOUR
IDEAS
Gray
White Black
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13. Primary Goal of treatment process is to
attempt to prevent the potential for Re-
injury when the patient has been
released from Care.
Activity Intolerance _ are often sports or
fitness related activities.
In all treatment plans, FITNESS should be
a part of your Rehab progressions.
This allows the PTs to continue
progressing Load until a patient has
reached maximal relative function_ the
ability to perform desired activities what
they want.
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14. The whole purpose of Fitness is to be able to improve one's
tolerance to LOAD.
Your last progressions of REHAB should be your
first progress into FITNESS.
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How do we integrate Fitness_ a Return to activity
STAGES OF CARE_ RETURN TO ACTIVITY
1. Pain Generator_Reducing the patient's pain
2. Motion Segment_ Restore Joint & tissue motion.
3.Motor Control_ Restore motor control & Stability.
4. Fundamental Performance_ Improve strength in fundamental
patterns.
5. Fundamental Advancement_Improve speed & power.
6.Advanced Performance_Improve conditioning & motor skill
Acquisition.

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＊If the PTs stop their Rehab
program right after restoring
Motor control they would not
put their patient into a
position to be prepared to
tolerate the Loads of their
desired activities.
＊The inability for Patients to
tolerate Load_ main reasons
that they get hurt in the first
place.

17. Everything we do during REHAB
has the exclusive purpose to
open up Neurological windows of
opportunity to load a specific
Movement pattern. Improving
movement capacity is the only
way we can hit save on a motor
program after passive care has
be rendered.
Craig Liebenson
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╺ FITNESS is the vehicle that we can use to
bridge the gap between therapy &
performance in Musculoskeletal Practise.
Gray Cook

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The Goal of Every Patient Interaction
should be the promotion of
Activities that increase Resilience
to Stress, Develops durability to
changing Environments, AND
Enhances Longevity by Improving
Physical Autonomy.
Craig Leibenson

19. The only way we can assist a patient in
preventing the occurrence of re-injury.
The only way we can improve a patients
ability to perform specific tasks.
The only way we can bridge the gap from
rehabilitation to performance.
Place your screenshot here
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FITNESS
FITNESS is the only way we can cause
permanent changes to movement
competency.
The only way we can increase a patient's
tolerance to Load.
The only way we can help patients
eliminate their activity intolerances.

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Any questions?
You can ask me at
qurat9847@gmail.com
Instagram @qurat_shazaf

21. CREDITS
Special thanks to me and
Tom Teter.
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