The Student​ Physical Therapist
  • Home
  • About Us
  • TSPT Academy
  • Resources
    • Newsletter
    • Orthopedic Blog
    • Featured Articles
    • Research Articles
    • Residency Corner
  • Special Tests
    • Cervical Spine >
      • Alar Ligament Test
      • Bakody's Sign
      • Cervical Distraction Test
      • Cervical Rotation Lateral Flexion Test
      • Craniocervical Flexion Test (CCFT)
      • Deep Neck Flexor Endurance Test
      • Posterior-Anterior Segmental Mobility
      • Segmental Mobility
      • Sharp-Purser Test
      • Spurling's Maneuver
      • Transverse Ligament Test
      • ULNT - Median
      • ULNT - Radial
      • ULNT - Ulnar
      • Vertebral Artery Test
    • Thoracic Spine >
      • Adam's Forward Bend Test
      • Passive Neck Flexion Test
      • Thoracic Compression Test
      • Thoracic Distraction Test
      • Thoracic Foraminal Closure Test
    • Lumbar Spine/Sacroiliac Joint >
      • Active Sit-Up Test
      • Alternate Gillet Test
      • Crossed Straight Leg Raise Test
      • Extensor Endurance Test
      • FABER Test
      • Fortin's Sign
      • Gaenslen Test
      • Gillet Test
      • Gower's Sign
      • Lumbar Quadrant Test
      • POSH Test
      • Posteroanterior Mobility
      • Prone Knee Bend Test
      • Prone Instability Test
      • Resisted Abduction Test
      • Sacral Clearing Test
      • Seated Forward Flexion Test
      • SIJ Compression/Distraction Test
      • Slump Test
      • Sphinx Test
      • Spine Rotators & Multifidus Test
      • Squish Test
      • Standing Forward Flexion Test
      • Straight Leg Raise Test
      • Supine to Long Sit Test
    • Shoulder >
      • Active Compression Test
      • Anterior Apprehension
      • Biceps Load Test II
      • Drop Arm Sign
      • External Rotation Lag Sign
      • Hawkins-Kennedy Impingement Sign
      • Horizontal Adduction Test
      • Internal Rotation Lag Sign
      • Jobe Test
      • Ludington's Test
      • Neer Test
      • Painful Arc Sign
      • Pronated Load Test
      • Resisted Supination External Rotation Test
      • Speed's Test
      • Posterior Apprehension
      • Sulcus Sign
      • Thoracic Outlet Tests >
        • Adson's Test
        • Costoclavicular Brace
        • Hyperabduction Test
        • Roos (EAST)
      • Yergason's Test
    • Elbow >
      • Biceps Squeeze Test
      • Chair Sign
      • Cozen's Test
      • Elbow Extension Test
      • Medial Epicondylalgia Test
      • Mill's Test
      • Moving Valgus Stress Test
      • Push-up Sign
      • Ulnar Nerve Compression Test
      • Valgus Stress Test
      • Varus Stress Test
    • Wrist/Hand >
      • Allen's Test
      • Carpal Compression Test
      • Finkelstein Test
      • Phalen's Test
      • Reverse Phalen's Test
    • Hip >
      • Craig's Test
      • Dial Test
      • FABER Test
      • FAIR Test
      • Fitzgerald's Test
      • Hip Quadrant Test
      • Hop Test
      • Labral Anterior Impingement Test
      • Labral Posterior Impingement Test
      • Long-Axis Femoral Distraction Test
      • Noble Compression Test
      • Percussion Test
      • Sign of the Buttock
      • Trendelenburg Test
    • Knee >
      • Anterior Drawer Test
      • Dial Test (Tibial Rotation Test)
      • Joint Line Tenderness
      • Lachman Test
      • McMurray Test
      • Noble Compression Test
      • Pivot-Shift Test
      • Posterior Drawer Test
      • Posterior Sag Sign
      • Quad Active Test
      • Thessaly Test
      • Valgus Stress Test
      • Varus Stress Test
    • Foot/Ankle >
      • Anterior Drawer
      • Calf Squeeze Test
      • External Rotation Test
      • Fracture Screening Tests
      • Impingement Sign
      • Navicular Drop Test
      • Squeeze Test
      • Talar Tilt
      • Tarsal Tunnel Syndrome Test
      • Test for Interdigital Neuroma
      • Windlass Test
Picture

The Benefits of Proper Loading During Exercise

8/13/2017

1 Comment

 
One of the foundations of physical therapy is exercise prescription. While every PT school is required to teach their students the fundamentals of exercise physiology and prescription, many would agree that what should be an expertise of the profession is often a weakness. More and more research is showing that exercise is likely one of the best interventions we can provide as health care professionals, for both tissue healing and addressing biopsychosocial factors.
Picture
A common mistake many are prone to (myself included) is insufficiently challenging the patient. Whether truly focusing on strength, proper tissue loading, or for psychological benefit, it is our duty to properly load our patients. One aspect we should consider is if we are having our patients exercise on a table too much. While there is a time and place for some exercises there, it is not the only place our patients should be challenged. Getting exercises into closed-kinetic chain movements simulates more daily motions that table-based ones. Additionally, we can progress the load our patients are having to move off the table. While those aspects are likely pretty obvious, I believe it can also be motivating to the patient psychologically. I often try and have my patients perform exercises like goblet squats, deadlifts, and others that they may have never thought possible for themselves. It can be extremely exciting! The additional load can also help to desensitize the affected tissue both locally and centrally, meaning the individual isn't overly focused on the area.

​While challenging our patients with more advanced exercises has its benefits on improving function and mental health, it is still essential that we recognize the foundations of exercise physiology. If we are truly looking to strengthen a muscle, we must focus our efforts on the proper fuel system and rep scheme. If a patient is performing 20 repetitions of an exercise without any struggle, they aren't strengthening. I'm not saying there isn't a place for an exercise like that or even that there isn't a benefit, but if we are truly wanting to strengthen them, the load must be increased.

​-Dr. Chris Fox, PT, DPT, OCS

Picture
For more advanced examination and treatment techniques, check out The Insider Access Page. Our goal is to help you improve your clinical reasoning, exercise prescription, and manual techniques.
If you are looking to improve upon your clinical skills, orthopaedic knowledge and clinical decision making, consider joining OPTIM's COMT program. With OPTIM, you can expect a residency-like learning experience without breaking the bank, all while learning from highly skilled physical therapists. Check out optimfellowship.com for more information!
Picture
1 Comment
BorderFreeHealth link
4/18/2024 06:02:57 am

Proper loading during exercise, when tailored to individual capabilities, yields numerous benefits for overall health and performance. Through strategic weight distribution and resistance adjustments, individuals can enhance muscle strength, cardiovascular endurance, and joint stability. This method not only reduces the risk of injury but also optimizes the efficiency of workouts, fostering consistent progress. BorderFreeHealth promotes this approach, emphasizing personalized training regimens that prioritize safe and effective loading techniques. By adhering to such principles, individuals can maximize their fitness gains while minimizing the potential for strain or overexertion.


Reply



Leave a Reply.

    Picture


    Archives

    July 2019
    June 2019
    May 2019
    March 2019
    February 2019
    January 2019
    December 2018
    November 2018
    October 2018
    September 2018
    August 2018
    July 2018
    June 2018
    May 2018
    April 2018
    March 2018
    February 2018
    January 2018
    December 2017
    November 2017
    October 2017
    September 2017
    August 2017
    July 2017
    June 2017
    May 2017
    April 2017
    March 2017
    February 2017
    January 2017
    December 2016
    November 2016
    October 2016
    September 2016
    August 2016
    July 2016
    June 2016
    May 2016
    April 2016
    March 2016
    February 2016
    January 2016
    December 2015
    November 2015
    October 2015
    September 2015
    August 2015
    July 2015
    June 2015
    May 2015
    April 2015
    March 2015
    February 2015
    January 2015
    December 2014
    November 2014
    October 2014
    September 2014
    August 2014
    July 2014
    June 2014
    May 2014
    April 2014
    March 2014
    February 2014
    January 2014
    December 2013
    November 2013
    October 2013
    September 2013
    August 2013
    July 2013
    June 2013
    May 2013
    April 2013
    March 2013
    February 2013
    January 2013
    December 2012
    November 2012
    October 2012
    September 2012
    August 2012

    Categories

    All
    Chest
    Core Muscle
    Elbow
    Foot
    Foot And Ankle
    Hip
    Knee
    Manual Therapy
    Modalities
    Motivation
    Neck
    Neural Tension
    Other
    Research
    Research Article
    Shoulder
    Sij
    Spine
    Sports
    Therapeutic Exercise


    RSS Feed

Home

Contact Us

Copyright © The Student Physical Therapist LLC 2023
Photos from dsearls, moo.review, liverpoolhls, matturick, lwpkommunikacio, Lake Clark NPS, Tobyotter, Charly Meunier, Vincent Albanese, CNBP, Zepfanman.com, aotaro, sportEX journals, jillccarlson, Yann07, US Department of Education, osseous, TheeErin, ajy591, Mark P / PIX41, Thomas Fisher Rare Book Library, UofT, teresatrimm, donnierayjones, NNelumba, Tobyotter, Frédéric de Villamil, Jordanhill School D&T Dept, danabooo, cadillacjr2002, ingridkreuz, RDECOM, U.S. Naval Forces Central Command/U.S. Fifth Fleet, Wonderlane, hectorir, Jeffrey, Chris Hunkeler, quillons, COD Newsroom, Alan Cleaver, CCFoodTravel.com, liverpoolhls, Dr.Farouk, Jeffrey, Sten Dueland, Håkan Dahlström, PPGWings, Parker Michael Knight, MLazarevski, dno1967b, Fimb, Jim Larrison, infomatique, U.S. Naval Forces Central Command/U.S. Fifth Fleet, Idhren, iwona_kellie, AnEternalGoldenBraid, quinn.anya, jlk.1, Villainette, mlsaero, roelandpype, Defence Images, CiscoANZ, istolethetv, Our Dream Photography (Personal), BraNewbs, Meg Stewart, phalinn, akeg, hectorir, philcampbell, MilitaryHealth, akeg, Army Medicine, Shar Ka, Subconsci Productions, Eric Kilby, Anonymous9000, quinn.anya, COD Newsroom, UMN Department of Plant Pathology, familymwr, all of olive., Keith Allison, JD Hancock, Synergy by Jasmine, roger_mommaerts, John-Morgan, a.drian, Instant Vantage, Beshef, markhillary, Vegar S Hansen Photography, DEC International, kaolin fire, smith_cl9, cinnamon_girl, jillccarlson, Extra Ketchup, brain_blogger, heyjoewhereyougoinwiththatguninyourhand, tv42, COMSALUD, Nicholas_T, Ano Lobb. @healthyrx, kaibara87, mlinksva, smbuckley23, sappsnap, Menage a Moi, brain_blogger, MaloMalverde, One Way Stock, ethet., ~ggvic~, MAClarke21, Keith Allison, pictures of money, mendolus shank, HotlantaVoyeur, Mr. T in DC, abbamouse, HystericalMark, Travis Hornung, jenny downing, shock264, Peter Mooney, Futurilla, sfslim, Emily Carlin, PFX Photo, ITU Pictures, TP studio, akunamatata, Magdalena Roeseler, osseous, smith_cl9, warrenski, Sh4rp_i, mrbichel, Renaud Camus, sicamp, GreenFlames09, infomatique, mark i geo, Volker Davids, TerryJohnston, Daniela Vladimirova, CJS*64, VarsityLife, Quentin Verwaerde, Annie Mole, US Army Africa, RLHyde, openBIT e. V., Vox Efx, fabola, Gerry Dincher, mlsaero, Infomastern, N4n0, Wonderlane, TheeErin, Nanagyei, gogogadgetscott, Pulmonary Pathology, PELeCON, Elvert Barnes, @RunRockPrincess, woodleywonderworks, Asbestos Bill, Joelk75, otisarchives4, jillccarlson, sportEX journals, The Wandering Angel, perpetualplum, V31S70, colecamp, jpalinsad360, JulyYu, Andres Rueda, Whenleavesfall, melloveschallah, Pink Sherbet Photography, canonim, BrianHenry ////|//, Leonard John Matthews, mikecogh, Zepfanman.com, Kevin M. Gill, Claire L. Evans, afunkydamsel, The Official CTBTO Photostream, cyOFdevelin fame, dok1, Pam loves pie, hoshi7, opensourceway, hatcher10027, Andy G, sandiegopersonalinjuryattorney, rubyswoon, OIST (Okinawa Institute of Science and Technology), Jiv.Talking, ljgoyke, www.ilkkajukarainen.fi, giulia.forsythe, Carine06, RRaiderstyle, Keith Allison, Andrew Campbell Photography, shinya, ljgoyke, marcoverch, Peder Sterll, sportEX journals
  • Home
  • About Us
  • TSPT Academy
  • Resources
    • Newsletter
    • Orthopedic Blog
    • Featured Articles
    • Research Articles
    • Residency Corner
  • Special Tests
    • Cervical Spine >
      • Alar Ligament Test
      • Bakody's Sign
      • Cervical Distraction Test
      • Cervical Rotation Lateral Flexion Test
      • Craniocervical Flexion Test (CCFT)
      • Deep Neck Flexor Endurance Test
      • Posterior-Anterior Segmental Mobility
      • Segmental Mobility
      • Sharp-Purser Test
      • Spurling's Maneuver
      • Transverse Ligament Test
      • ULNT - Median
      • ULNT - Radial
      • ULNT - Ulnar
      • Vertebral Artery Test
    • Thoracic Spine >
      • Adam's Forward Bend Test
      • Passive Neck Flexion Test
      • Thoracic Compression Test
      • Thoracic Distraction Test
      • Thoracic Foraminal Closure Test
    • Lumbar Spine/Sacroiliac Joint >
      • Active Sit-Up Test
      • Alternate Gillet Test
      • Crossed Straight Leg Raise Test
      • Extensor Endurance Test
      • FABER Test
      • Fortin's Sign
      • Gaenslen Test
      • Gillet Test
      • Gower's Sign
      • Lumbar Quadrant Test
      • POSH Test
      • Posteroanterior Mobility
      • Prone Knee Bend Test
      • Prone Instability Test
      • Resisted Abduction Test
      • Sacral Clearing Test
      • Seated Forward Flexion Test
      • SIJ Compression/Distraction Test
      • Slump Test
      • Sphinx Test
      • Spine Rotators & Multifidus Test
      • Squish Test
      • Standing Forward Flexion Test
      • Straight Leg Raise Test
      • Supine to Long Sit Test
    • Shoulder >
      • Active Compression Test
      • Anterior Apprehension
      • Biceps Load Test II
      • Drop Arm Sign
      • External Rotation Lag Sign
      • Hawkins-Kennedy Impingement Sign
      • Horizontal Adduction Test
      • Internal Rotation Lag Sign
      • Jobe Test
      • Ludington's Test
      • Neer Test
      • Painful Arc Sign
      • Pronated Load Test
      • Resisted Supination External Rotation Test
      • Speed's Test
      • Posterior Apprehension
      • Sulcus Sign
      • Thoracic Outlet Tests >
        • Adson's Test
        • Costoclavicular Brace
        • Hyperabduction Test
        • Roos (EAST)
      • Yergason's Test
    • Elbow >
      • Biceps Squeeze Test
      • Chair Sign
      • Cozen's Test
      • Elbow Extension Test
      • Medial Epicondylalgia Test
      • Mill's Test
      • Moving Valgus Stress Test
      • Push-up Sign
      • Ulnar Nerve Compression Test
      • Valgus Stress Test
      • Varus Stress Test
    • Wrist/Hand >
      • Allen's Test
      • Carpal Compression Test
      • Finkelstein Test
      • Phalen's Test
      • Reverse Phalen's Test
    • Hip >
      • Craig's Test
      • Dial Test
      • FABER Test
      • FAIR Test
      • Fitzgerald's Test
      • Hip Quadrant Test
      • Hop Test
      • Labral Anterior Impingement Test
      • Labral Posterior Impingement Test
      • Long-Axis Femoral Distraction Test
      • Noble Compression Test
      • Percussion Test
      • Sign of the Buttock
      • Trendelenburg Test
    • Knee >
      • Anterior Drawer Test
      • Dial Test (Tibial Rotation Test)
      • Joint Line Tenderness
      • Lachman Test
      • McMurray Test
      • Noble Compression Test
      • Pivot-Shift Test
      • Posterior Drawer Test
      • Posterior Sag Sign
      • Quad Active Test
      • Thessaly Test
      • Valgus Stress Test
      • Varus Stress Test
    • Foot/Ankle >
      • Anterior Drawer
      • Calf Squeeze Test
      • External Rotation Test
      • Fracture Screening Tests
      • Impingement Sign
      • Navicular Drop Test
      • Squeeze Test
      • Talar Tilt
      • Tarsal Tunnel Syndrome Test
      • Test for Interdigital Neuroma
      • Windlass Test