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Tribeca Physical Therapy · November 19, 2019

4 Types of Exercises in a Therapeutic Program

Therapeutic exercise is exercise prescribed to correct a specific problem, not just general fitness. Here are the four main categories a physical therapist may build your program from.

What Is Therapeutic Exercise

Exercise With A Purpose

Exercise, broadly, is activity performed to develop a specific skill or maintain fitness. Therapeutic exercise is more precise: it targets specific problems or ailments, drawing on a wide range of physical activities to restore and maintain strength, endurance, flexibility, stability, and balance. The first goal of a therapeutic exercise program is usually reducing pain and inflammation. Once that is achieved, the focus shifts to regaining range of motion and rebuilding muscle strength and endurance, work that helps prevent and decrease impairment or disability, restore physical function, and improve overall health, fitness, and well-being.

Type One

Strengthening Exercises

Strengthening exercises are any activity that makes your muscles work harder than usual, increasing their strength, size, and power, typically using your body weight or an external resistance with heavier loads and fewer repetitions. Basic muscle strength is what allows your joints to stay controlled during everyday tasks, from low-intensity static activities like sitting or standing to higher-intensity dynamic ones like walking, running, reaching, lifting, or throwing.

The benefits include increased lean muscle mass (or slower loss of it), increased bone density and reduced osteoporosis risk, a higher metabolism that supports weight management, greater muscle strength that makes everyday activities easier, and a lower risk of injury because your muscles are better able to support your joints.

Type Two

Endurance Exercises

Endurance, or aerobic, exercise engages large muscle groups over a longer period and includes activities like walking, jogging, swimming, dancing, climbing, and biking that raise your breathing and heart rate. It keeps your heart, lungs, and circulatory system healthy, supports weight loss, improves mood and sleep quality, helps prevent age-related decline, and improves overall fitness in a way that supports a longer, healthier life.

Type Three

Flexibility Exercises

Flexibility training uses low-intensity stretching and movement to increase the total range of motion of a joint or group of joints. Combined with balance work, it can reduce the muscle imbalances that lead to falls and injuries, while also improving overall range of motion, posture, and physical performance. A flexibility program can draw on several types of stretching, including dynamic, ballistic, static active, static passive, isometric, and PNF stretching.

Type Four

Balance And Coordination Exercises

Balance and coordination exercises focus on maintaining your center of gravity and executing smooth, accurate, controlled motor responses. Coordination is the ability to engage the right muscle at the right time with the right intensity to produce the intended movement. Good dynamic balance improves your ability to react to sudden changes in direction, which helps reduce fall risk, and stronger core muscles support both balance and coordination. Common coordination exercises include eye-and-hand drills, hand-and-foot drills, eye-and-foot drills, reaction-to-cue exercises, or combinations of these.

Getting Started

Work With A Physical Therapist

You can stay active even with a chronic condition like heart disease, diabetes, or arthritis, almost anyone, at almost any age, can exercise safely and see meaningful benefit. Staying safe matters whether you’re starting something new or returning to activity after time away, so it is always worth checking with your doctor before beginning a new program. Your physical therapist can help determine which exercises will get you back to the level of activity you had before your injury, and will prescribe a program built around both your short- and long-term goals.

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