Exercise prescription is at the heart of every rehab professional’s arsenal. Whether you are prescribing a simple one such as a straight leg raise or something much more complex involving coordination of proprioception and plyometrics, you are intending to help your patients. There’s a key component that is often missed during rehab however, and when it is, it can limit your effectiveness. It may even drive your patients to report increased pain with treatment and in the worst cases, it prevents your patient from achieving their goals.
I don’t believe this is intentionally missed in rehab, but it’s something you will rarely see in research and a component rarely focused on in school. Is your intervention aimed at the wrong impairment?
Let’s start with this example that’s easier to see and then we’ll move onto one that may be a bit less obvious.