title: A theoretical model to describe progressions and regressions for exercise rehabilitation.
abstract: This article aims to describe a new theoretical model to simplify and aid visualisation of the clinical reasoning process involved in progressing a single exercise. Exercise prescription is a core skill for physiotherapists but is an area that is lacking in theoretical models to assist clinicians when designing exercise programs to aid rehabilitation from injury. Historical models of periodization and motor learning theories lack any visual aids to assist clinicians. The concept of the proposed model is that new stimuli can be added or exchanged with other stimuli, either intrinsic or extrinsic to the participant, in order to gradually progress an exercise whilst remaining safe and effective. The proposed model maintains the core skills of physiotherapists by assisting clinical reasoning skills, exercise prescription and goal setting. It is not limited to any one pathology or rehabilitation setting and can adapted by any level of skilled clinician.
authors.affiliation: Brighton & Hove Albion Football Club, American Express Stadium, Village Way, Falmer, East Sussex BN1 9PL, United Kingdom. Electronic address: sam.blanchard@bhafc.co.uk.
authors.forename: Sam
authors.initials: S
authors.lastname: Blanchard
authors.affiliation: Sports Institute of Northern Ireland, University of Ulster, Newtownabbey, Co. Antrim BT37 0QB, United Kingdom.
authors.forename: Phil
authors.initials: P
authors.lastname: Glasgow
mesh_terms: D059350:Chronic Pain / Q000534:rehabilitation*; D018450:Disease Progression; D015444:Exercise / Q000502:physiology*; D005081:Exercise Therapy / Q000379:methods*; D006801:Humans; D008962:Models, Theoretical; D010349:Patient Compliance
keywords: Clinical reasoning; Exercise prescription; Exercise progression; Physiotherapy