Therapeutic exercise is a paramount of any rehabilitation program and should be included as part of the concurrent care of any patient. Every year more research are showing an high level evidence that therapeutic exercise was beneficial for patients across broad areas of physiotherapy practice. In these researches,Therapeutic exercise was more likely to be effective if individualised than standardised programs.

It has demonstrated to increase range of motion and strength decrease pain, improve balance and proprioception, and restore function. Also it has a preventive effect, promoting health, wellness, and fitness.

Another way through exercises seems to induce analgesia is Conditioned pain modulation (CPM: pain inhibits pain) theory,where exercise that is painful may activate descending inhibitory pathways resulting in subsequent pain relief. It seems to provoke a reduced  pain facilitation and more pain inhibition.

Also exercise is a powerful tool to stimulate several brain processes, there is a strong relationship between physical activity and mood,the available evidence support the value of exercise in reducing depressive symptoms.

Therapeutic exercise consist of a variety of exercises inclusive of balance, strengthening, range of motion, endurance, and plyometric activities. 

That’s why at 5 STAR CLINIC we take care to combine manual therapy and therapeutic exercises, delivering an Home Exercise Program to help the resolution of the condition.

References:

Smidt N. et al.(2005)Effectiveness of exercise therapy: A best-evidence summary of systematic reviews. Australian Journal of Physiotherapy Volume 51, Issue 2, 2005, Pages 71-85

https://www.sciencedirect.com/science/article/pii/S0004951405700362?via%3Dihub

https://doi.org/10.1016/S0004-9514(05)70036-2

Stolzman S.,Bement M.H., Does Exercise Decrease Pain Via Conditioned Pain Modulation in Adolescents?

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5098832/

doi: 10.1097/PEP.0000000000000312

Jigami H.et al. (2012). Effects of weekly and fortnightly therapeutic exercise on physical function and health-related quality of life in individuals with hip osteoarthritis. Journal of Orthopaedic Science, 17(6), 737–744.

https://www.ncbi.nlm.nih.gov/pubmed/22918618

doi:10.1007/s00776-012-0292-y

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