Course & No.

: RSPT 325 – Physiology of Exercise and Basic Therapeutic Exercises

Course Credits: Lecture 3 units; Laboratory 1 unit
Contact Hours: MB 101 MW 8:00 – 9:30 AM; MB 103 W 3:00 – 6:00 PM
Prerequisite: Physics, Human Gross Anatomy and Physiology

FACULTY INFORMATION
Name: Pretzel K. Zuniga, Ph.D., PTRP
Degree/s: Physical Therapist, MA Education (Curriculum and Instruction), PhD Biology (Molecular
Biology/Physiology)
Contact No.: (063) 221-9219 local 813 (office)
Email: z_pretzel@yahoo.com
Academic Counseling Schedule: Thursday 9-11 AM and 2-4 PM; you may also reach me by phone as listed above
or through email which I will check a few times daily. I will respond to you as soon as possible.

Description: This course deals with the principles and physiology of exercise for all ages, general types, techniques
and classification, including ROM, strengthening, joint and soft tissue mobilization, aerobics and aquatic exercises,
posture, gait training exercises and transfer techniques. It integrates evidence-based practice on the use of
techniques.

Learning Outcomes: By the end of the course, students shall be able to:
LO1: Discuss the physiological basis and principles underlying general techniques of therapeutic exercise
LO2: Demonstrate techniques of general and specific therapeutic exercises

Enabling Outcomes:
1. Differentiate the basic terms in therapeutic exercise and foundational concepts.
2. Evaluate the goals of therapeutic exercise and the terminology comparison.
3. Perform the fundamental positions
4. Relate the range of motion exercise, the indication and the goals.
5. Estimate the limitations, precautions and contradictions for range of motion.
6. Carries out the procedures for applying range of motion techniques and use atomic planes of motion for joints
and muscles.
7. Collect the techniques of range of motion using the combined patterns of motion.
8. Construct a continuous passive motion.
9. Develop competence in guiding principles of muscles and resistance exercise.
10. Label the skeletal muscle function.
11. Cite the determinants of resistance exercise.
12. Differentiate the goals and indications of resistance exercise.
13. Formulate the types of resistance exercise, principles, precaution and contradiction.
14. Practice the manual resistance exercise and the techniques.
15. Select properly the principles of proprioceptive neuromuscular facilitation.
16. Choose the mechanical resistance and specific regimens.
17. Apply the proper equipment for resistance exercise.
18. Break down the techniques of terms related to joints mobilization
19. State the basic concept of joints mobilization, indication, and limitations.
20. Formulate the indications, contraindications and precautions in use of therapeutic exercise
21. Perform the procedures for applying joints mobilization techniques.
22. Document the peripheral joints mobilization techniques, movement principles and concept of mobilization.
23. Evaluate the terms related to mobility and stretching.
24. Identify the properties of soft tissue that affect response to immobilization and elongation.
25. Familiarize the therapeutic methods to elongate soft tissue and the determinants of stretching exercises.
26. Demonstrate the correct stretching exercises and identify the advantages.
27. List all the guidelines for application of stretching procedures and goals.
28. Identify indications, contraindications and precautions in use of therapeutic exercise.
29. Familiarize the techniques of stretching using anatomic planes of motion.
30. Evaluate the principle of aerobic exercises and the key terms.
31. Distinguish the physiologic response to aerobic exercises
32. Evaluate the testing as a basis for exercise program and determinants.
33. Carries out the physiologic changes that occurs in training.
34. Apply the principles of an aerobic conditioning program for patient with coronary diseases.
35. Perform the correct application of aerobic training for the deconditioned individual and the patient with chronic
illness.
36. Differentiate the aquatic exercises and understand the goals and indications.
37. Familiarize the precautions, contradictions to aquatic exercises, and properties of water, aquatic temperature,
and therapeutic exercises.
38. Select the correct equipment for aquatic exercise.
39. Demonstrate the stretching exercise, strengthening exercises and aerobic conditioning.
40. Distinguish the principles of treating soft tissue, bony and post-surgical condition.
41. Examine the stages of inflammation and repair, the acute stages, the sub-acute stages, and the chronic stages.
42. Give the correct indication of the patient condition such as arthritis/arthrosis and fractures-post traumatic
immobilization.
43. Familiarize the exercises of coordination deficits and CNS involvement and the changes in coordinated
movement with age.
44. Practice the exercises for improving coordination.
45. Determine the posture and the function of the spine.
46. Identify the correct guidelines for treating acute symptoms.
47. Break down the different lesions of the spine and muscles.
48. Give correct information of the patient’s conditions.
47. Demonstrate the proper dynamic and equilibrium of posture that can cause impairment of common faulty
posture.
48. Evaluate the correct procedures to relieve pain from stress and muscle tension.
49. List the procedures to train and strengthen muscles function and to develop endurance for postural control.
50. Perform the procedures to retain kinesthetic and proprioceptive awareness for posture correction.
51. Examine the procedures of postures to avoid recurrences of the problem.
52. Apply and use the correct traction of the effects of the spinal.
53. Check the traction description that they can use and apply the correct traction indication for spinal and know
the limitations, contradictions and precaution.
54. Familiarize the general procedures, the cervical and lumbar traction techniques.
55. Demonstrate the proper gait training and understand the common gait deviations.
56. Perform the positions of the correct rolling, prone-on-elbow, prone-on-hands position, hook lying, bridging,
pelvic elevations, quadruped position, sitting, kneeling, half-kneeling, modified plant grade, standing, walking and
parallel bars progressions.
57. Practice the assistive device and gait pattern and the use of different level surfaces and stairs.

Methodology:
Discussion, oral and written reports, lecture-demonstration, return-demonstration, case studies, role-playing,
worksheets, library work

Textbook/s: Kisner, C. and Colby, L.A.: Therapeutic Exercise: Foundations and Techniques, 6th ed., Philadelphia:
FA Davis Co., 2013.

IFL Themes: Functional Independence; sense of well-being; belongingness; healthy lifestyle

Scope and Sequence:
Prelim: (exam schedule :)
I. Introduction to Therapeutic Exercise
A. Therapeutic Exercise: Foundational Concepts
B. Terminology Comparison
C. Goals of Therapeutic Exercise
D. Fundamental Positions
E. Derived Positions
II. Range of Motion Exercises
A. Definition of ROM Exercises
B. Indications and Goals for Range of Motion
C. Limitations of Range of Motion
D. Precautions and Contraindications for Range of Motion
E. Procedures for Applying Range of motion Techniques
F. Techniques for Joint and Muscle ROM Using Anatomic Planes of Motion
G. Techniques of ROM Using Combined Patterns of Motion
H. Techniques for ROM Using Self-Assistance and Mechanical Assistance
I. Continuous Passive Motion
J. Independent Learning Activities: Critical Thinking and Discussion
III. Resistance Exercise
A. Definitions and Guiding Principles of Muscle Performance and Resistance Exercise
B. Skeletal Muscle Function and Adaptation to Resistance Exercise
C. Determinants of Resistance Exercise
D. Goals and Indications of resistance Exercise
E. Types of Resistance Exercise
F. Principles, Precautions and Contraindications of Resistance Exercise
G. Manual Resistance Exercise
H. Techniques of Manual Resistance Exercise
I. Principles and techniques of Proprioceptive Neuromuscular Facilitation
J. Mechanical Resistance Exercise
K. Specific Exercise Regimens
L. Use of Equipment’s with Resistance Exercise
M. Independent Learning Activities: Critical Thinking and Discussion

Midterm (Exam Schedule :)

IV. Joint Mobilizations
A. Definition of Terms related to Joint Mobilizations techniques
B. Basic Concepts of Joint Motion
C. Indications of Joint Mobilization
D. Limitations of Joint Mobilization
E. Contraindications and Precautions
F. Procedures for Applying Joint Mobilization Techniques
G. Mobilization with Movement Principles and Concepts
H. Peripheral Joint Mobilization Techniques
I. Independent Learning Activities: Critical Thinking and Discussion
V. Stretching
A. Definitions of Terms related to Mobility and Stretching
B. Properties of Soft Tissue that Affect Response to Immobilization and Elongation
C. Therapeutic Methods to Elongate Soft tissue
D. Determinants of Stretching Exercises
E. Types of stretching and Its Advantages
F. Guidelines for Applications of Stretching Procedures
G. Indications and Goals of Stretching
H. Contraindications and Precautions
I. Application of Inhibition and Relaxation Procedures
J. Techniques of Stretching Using anatomic Planes of Motion
K. Independent Learning Activities: Critical Thinking and Discussion
VI. Principles of Aerobic Exercise
A. Key Terms Related to Aerobic Exercises
B. Physiologic Response to Aerobic Exercises
C. Testing as a Basis for Exercise Program
D. Determinants of an Exercise Program
E. The Exercise Program
F. Physiologic Changes That Occurs with Training
G. Application of Principles of an Aerobic Conditioning Program for Patient with Coronary Diseases
H. Application of Aerobic Training for the Deconditioned Individual and the Patient with Chronic Illness
I. Age Differences
J. Independent Learning Activities: Critical thinking and Discussion

Semifinal (Exam Schedule :)

VII. Aquatic Exercise
A. Definition of Aquatic Exercise
B. Goals and indications of Aquatic Exercise
C. Precautions and Contraindications to Aquatic Exercise
D. Properties of Water
E. Aquatic Temperature and Therapeutic Exercise
F. Special equipment for Aquatic Exercise
G. Stretching Exercises
H. Strengthening Exercises
I. Aerobic Conditioning
J. Independent Learning Activities: Case Studies
VIII. Principles of Treating Soft Tissue, Bony and Post-Surgical Conditions
A. Soft Tissue Lesions
B. Stages of Inflammation and Repair
C. The Acute Stage
D. The Sub-acute Stage
E. The Chronic Stage
F. Cumulative trauma-Chronic Recurring Pain
G. Arthritis/Arthrosis: OA and RA
H. Fractures-Post-Traumatic Immobilization
 I. Surgery
J. Independent learning Activities: Critical thinking and Discussion
IX. Coordination Exercises
A. Coordination Deficits and CNS Involvement
B. Changes in Coordinated Movement with Age
C. Testing Procedures
D. Exercises for Improving Coordination

Final (Exam Schedule :)

X. The Spine and Posture
A. Review of Structure and Function of the Spine
B. General Guidelines for Treating Acute Symptoms
C. Inter-vertebral Disks and Flexion Load Lesions
D. Facet Joint Lesions of the Spine
E. Muscle and Soft Tissue Lesions: Strains, Tears, Contusions from Trauma or Overuse
F. Selected Conditions: Torticollis, Tension Headache and TMJ Dysfunction
G. Posture Defined
H. The Dynamic and Equilibrium of Posture
I. Characteristics and Impairments of Common Faulty Posture
J. Procedures to Relieve Pain from Stress and Muscle Tension
K. Procedures to Increase Range of Motion for Specific Structures
L. Procedures to Train and Strengthen Muscle Function and to Develop Endurance for Postural Control
M. Procedures to Retrain Kinesthetic and Proprioceptive Awareness for Posture Correction
N. Procedures to Teach Management of Posture to Avoid Recurrences of the Problem
XI. Spinal Traction
A. Effects of Spinal Traction
B. Definitions and description of Traction
C. Indications for Spinal Traction
D. Limitations, Contraindications and Precautions of Traction
E. General Procedures
F. Cervical and Lumbar Tractions Techniques
XII. Preambulation and Gait Training
A. Gait Terminology
B. Common Gait Deviations
C. Preambulation Mat Program: Preparation for Standing
1. Rolling
2. Prone-on-Elbows
3. Prone-on-Hands Position
4. Hook lying
5. Bridging, Pelvic Elevation
6. Quadruped position
7. Sitting
8. Kneeling
9. Half-kneeling
10. Modified Plant grade
 11. Standing
12. Walking and Parallel Bars Progression
D. Assistive Devices and Gait Patterns
E. Uses of Assistive Devices on Different Level Surfaces and Stairs

Major Course Outputs:

As evidence of attaining above learning outcomes, students must perform and submit the following
during the indicated dates of the term:

Learning Outcomes Required Output Due Date

LO1 Formulate an exercise regimen for February 29, 2016
selected PT conditions

LO2 Develop a home exercise program February 29, 2016

(HEP) and teach clients/Pts. for the
development of optimum wellness.

GRADING SYSTEM
A passing grade of 60% or D (letter grade); = (Raw Score/Perfect score) X 100
Students’ Grade: (LECTURE) 60%
 Based on Classroom Performance (40%) in terms of:
a. Quizzes (long/short): 60%
b. Assignments/Activities: 35%
c. Attendance/Class participation: 5%
 And Major Exams, which includes Prelim. Midterm, Semifinal, and Final Exams (60%)
Students’ Grade: (LABORATORY) 40%
 Based on Laboratory Performance (60%) in terms of:
- Quizzes (long/short): 20%
- Lab Demo: 40%
- Requirements/Activities : 30%
- Materials/equipment/Uniform: 10%
 And Major Practical/Return Demo Exams conducted on or before Prelim. Midterm, Semifinal, and
Final Exams (40%)
Students’ OVERALL Grade:
 Classroom/Laboratory Performance Overall Percentage (60%) + Major/Practical Exams Percentage
(40%) = 100%
 LECTURE (60%) + LABORATORY (40%) = 100%
 Final Grade = (Prelim + Mid Term + Semi Final + Final)/4

COURSE POLICIES

1. Using of gadgets are prohibited inside the classroom unless they are used for learning purposes.
2. Attendance:
 a. Should a student accumulate more than 20% of absences in a class, the student will be given a grade of
FA for the final semestral grade regardless of the students’ grade in any of the terms.
b. More than 30 minutes late is considered absent.
c. Students with perfect attendance may be given additional merits.
3. Passing rate is 60 % (professional subjects) using a zero-based system.
a. Removal exam will be given only ONCE to students who will acquire a final grade of 58% - 59%. A
highest grade of 60% will be given to a student after passing a removal exam.
b. A special exam and/or removal exam fee of P150.00 will be collected from the students to be placed in
the department fund.
4. Quizzes:
a. No special quizzes will be given to late and absent students unless they can present valid reasons with
documents (marriage, sickness, death, etc.) subject for approval by the Dean of SAHMS.
b. Students who will take special quiz must present a medical certificate from a hospital or a medical
doctor, or a valid excuse letter signed by the dormitory dean.
5. Examinations:
a. No special examinations will be given to late and absent students, except if their reason is valid (sickness,
death of immediate family, or a delegate or representative of school in school approved activity) and
subject for approval by the Dean of SAHMS.
b. It is the student’s responsibility to arrange a special examination schedule with the instructor.
6. Projects/assignment/lab activity:
a. No late assignments or laboratory activity will be accepted.
7. Others;
a. A student must be in complete uniform (as prescribed) in order to be admitted in class.
b. Complete uniform for laboratory includes white t-shirts, white shorts and white rubber shoes.

REFERENCES

Basmajian, J and Wolf, S. Therapeutic Exercise, 5th ed., Baltimore: Williams and Wilkins, 1990.
Gardiner, MD. The Principles of Exercise Therapy, 4th ed., London: G. Bell and Sons Limited, 1996.
Hall, CM and Brody, LT. Therapeutic Exercise: Moving Towards Function, 2nd ed., Philadelphia: Lippincott,
Williams, Wilkins, 2005.
Kisner, C. and Colby, L.A.: Therapeutic Exercise: Foundations and Techniques, 4th ed., Philadelphia: FA Davis
Co., 2002.
O’Sullivan, Schmitz Physical Rehabilitation Assessment and Treatment 6th Ed. Philadelphia, F.A. Davis Co.
2013.

Prepared by: Approved by:

Pretzel K. Zuniga, Ph.D., MAEd, PTRP Dr. Pretzel Zuñiga, MAEd, PTRP
Instructor Dean/Chairperson, PT

Dr. Ian C. Abordo, VPAA

Quality Assurance Personnel