5/29/2020

EXERCISE IS MEDECINE
INTRODUCTION
EXERCISE IS MEDECINE &
EXERCISE IS CULTURE

THE WORLD & ENVIRONTMENT CHANGE, CONSTANT AND FASTER

THE WORLD CHANGE
DIGITAL TRANFORMATION
CULTURE/POP

EDUCATION INTERNET OF THING

SOCIAL STRUCTUR ARTIFICIAL INTELEGENT PEOPLE CHANGE HOW TO COMMUNICATE

CONNECTION
HEALTH SYTEM
INSTANT
DEMOCRACY
UNLIMITED
RELIGION
HYPOKINETIC
NEED NEW IDEA TO SURVIVE POPULATION GROWING OLDER

COVID-19 THE UNPREDICTABLE TREAT

SCIENCE DO NOT PROVIDE QUICK ANSWER AND MOVE SLOW THAN TREAT

THE NATURE PROVIDE SOURCES CHEAPER

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BRIEF OF HISTORY ( SCIENCE IN PT) THE PHYSIOTHERAPY APPROACH

• Physical therapy is concerned with identifying and maximizing
PASIVE APPROACH
movement potential, within the spheres of promotion, prevention,
treatment and rehabilitation. Physical therapy involves the
PASIVE & ASISTED DEVICE
interaction between physical therapist, patients or clients, families
and care givers, in a process of assessing movement potential and in
establishing agreed upon goals and objectives using knowledge and
ACTIVATION LOCAL COMPONENT skills unique to physical therapists.

ACTIVE /BIOMECHANICS/ INTERCONECTION

THE PHYSIOTHERAPY APPROACH WHY EXERCISE ?

• Physiotherapists specialize in developing and maintaining people’s ability to move
and function throughout their lives. With an advanced understanding of how the
body moves and what keeps it from moving well, physiotherapists promote
wellness, mobility and independence.
• As experts in movement and exercise and with a thorough knowledge of risk
factors and pathology and their effects on all systems, physical therapists are the
ideal professionals to promote, guide, prescribe and manage exercise activities
and efforts.
• Exercise promotes wellbeing and fitness (Hage,at. All,2003) It is a powerful
intervention for strength, power, endurance, flexibility, balance, relaxation, and
the remediation of patho-physiology, impairments, activity limitations and
participation restrictions

QUOTATION 1
• In the Tenth Mary McMillan Lecture in 1975, Helen Hislop shared with
us her not-so-impossible dream that physical therapy would achieve
greatness as a profession. She declared our vulnerabilities as being
relatively defenseless against modern science and the lack of a clear
identity. Hislop claimed these vulnerabilities would leave us “open to
attacks against [our] inadequacies—attacks from medicine, attacks
from government, challenges from fiscal agencies, and questions
from the consuming public. (Dunn)
QUOTATION 2
• As physical therapists, we are educated and qualified to analyze,
diagnose, and provide interventions to address the human movement
system. We are clinically oriented to movement impairments and the
interventions necessary to correct them. This systems-level
inclination, along with an underrepresentation of molecular science in
our academic preparation, often causes us to overlook the cellular
and molecular biology influenced by our movement-related
interventions

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DR. Hisllop Dream HOW DOES EXERCISE WORK ?

MECHANO RECEPTOR CELLULAR COMMUNICATION

• MANY TYPE CELLS WERE KNOWN TO
SENSYTIVE OF MECHANICAL INFLUENCE.
• Our current understanding is that living cells
have their own cytoskeleton, an internal
molecular framework that can sense,
generate, and respond to forces applied
across the membrane.
• Cells also have machinery to sense and
respond to the relative stiffness .
We have a choice ,Either we assume control of the science of Physical
Therapy or we fail to take the responsibility and see our profession
become increasingly irrelevant, redundant, and its practice deteriorate
• The communication throughout a
tissue to distribute the loading
message
• Direct Contact
• Paracrine Signaling
• Endocrine Signalling
• Synaptic Signaling
• FIRST STEP, ACROSS THE CELL
MEMBRANE → SIGNALING CASCADE
• TRANSMIT SIGNAL FROM SURFACE TO
EFFECTOR FOR GENETIC REGULATION

KEY TO ANSWER : BIOMECHANICS MECHANOTHERAPY

• Mechanotherapy refers to such

mechanical stimuli in the context of
promoting healing, tissue repair and
rehabilitation, i.e., “any intervention
that introduces mechanical forces
with the goal of altering molecular
pathways and inducing a cellular
response that enhances tissue
growth, modeling, remodeling, and/or
repair” (Thompson et al., 2016)

MECHANOTRANSDUCTION THE FORCE

• EXOGENOUS FORCE
• FORCE FROM OUTSIDE : ground reaction
between outside world and the sole of the foot
• ENDOGENOUS FORCE
• FORCE FROM INSIDE: heart Pumping in the chest
cavity) mechanical stimuli literally shape the
body’s unfolding template during development,
as well during growth and re-/modeling of the
body’s tissues and organs throughout life

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KEY TO ANSWER : ENDOCRINE SYSTEM MUSCLE AS ENDOCRINE ORGAN

• MUSCLE CONTRACTION : CELLULAR METHABOLISM ( AEROB-AN
AEROB)
• MUSCLE CONTRACTION : SECRETION OF ENDOCRINE –HORMON :
MYOKINE
• MUSCLE CONTRACTION : STRECH NEUROMUSCULAR TISSEUE :
RELAXATION

EXERCISE IS MEDICINE EXERCISE IS CULTURE

• EXERCISE IS MOTHODE THAT DONE BY PT NOT ONLY TO TREAT BUT
ALSO TO ASSES, DIAGNOSE AND EVALUATE PATIENT CONDITION .
MECHANOTRANSDUCTION REMODELING
• AS EXERCISE EXPERT PT IMPLEMENTED AS A SPECIFIC INTERVENTION
WITH A HIGH SKILL AND UNIQUE
C
E
• EXERCISE IS NOT JUST AS A MEANS TO TREAT PATIENTS BUT IS A
EXCERCISE L WAY OF LIVE
L

ENDOCRINE SYSTEM ANTI INFLAMATION ANALGESIA

REFERENCES
• Joane l. Ng (2017) Establishing the Basis for Mechanobiology-Based
Physical Therapy Protocols to Potentiate Cellular Healing and Tissue
Regeneration.
• Chenyu Huang, (2013), Mechanotherapy: revisiting physical therapy
and recruiting mechanobiology for a new era in medicine .
• K.M Khan, A Scott (2014), Mechanotherapy: how physical therapists’
prescription of exercise promotes tissue repair .
• Sahrman Shirley, Movement Impairment Syndrom