For those of you who have not seen the google chat video from the AAOMPT student blog you need too. The panel of experts on the chat is excellent. One of the potential downfalls of physical therapy education is exercise and dosage is not involved in the curriculum as much as it should be due to the amount of material that needs to be covered. This chat goes beyond what is taught in school and does focus on sports quite a bit. However, the material and thoughts are sound and backed up by years of experience. I encourage you to take a listen. You might just think of exercise differently.
3/23/2013 08:25:30 am
4/11/2013 11:15:29 am
I agree. I think that soft tissue work should be considered with each patient when determining exercise parameters. However, I have read multiple different research articles and I think the jury is still out on what exact adaptations to tissues are made and how long. For example, one article I read spoke to how tissue temperature rises following mobilizations but only for up to 5 minutes following. In that case would we have to choose the "most" important exercise for following that mobilization? I am not sure. I do think that soft tissue work and other manual work is a stressor on the body though. With that in mind, as much as I hate to say it, I think it depends on what type of response we are looking for. If we are looking to induce a local tissue change and apply an additional stressor such as exercise for a specific result then I think we have to be very specific about how we dose and choose exercises following the manual work. Then again its difficult to be that specific each time we do manual work. Hopefully more research will come out to give us a clearer picture on how long the effects of different manual work lasts for so we can efficiently choose exercise parameters.
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