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Mazyad Alotaibi
Manual Resistance Exercise
A form of active resistance exercise in which the resistance force is applied
by the therapist to either a dynamic or a static muscular contraction
Preparation for Manual resistance exercise:
1- Select the form of exercise and the appropriate resistance.
2- Choose between manual or mechanical resistance.
3- Review the goals and functional outcome.
4- Explain the plan and procedures of exercise for the patient.
5- Place the patient in comfortable position.
6- warm up before the starting of exercise.
7- Instruct the patient to perform the exercise with his maximum effort.
8- Ask the patient not to hold his breathing during exercise.
Application during Manual resistance exercise :
1- Resistance is usually applied to the distal end of the movement.
2- Resistance is usually applied opposite to the direction of motion during
concentric exercise and in the same direction during eccentric exercise.
3- Provide stabilization to avoid substitution.
4- Adjust the intensity of resistance to be equal to the abilities of the muscle.
5- In general, for most adult, use 8-12 repetitions of specific motion against a
moderate exercise load. Additional repetitions may be carries out after
adequate period of rest.
Technique of Manual resistance exercise
2 75% of 10 RM 10
3 100% of 10 RM 10
2- Oxford Technique
1- This technique was designed to be used in beginning of
rehabilitation, and to diminish resistance as muscle fatigue
develop (it is the reverse of Delorm).
2- a-Determine the 10 RM
b- The patient then carries out:
1- 10 repetitions at full of the 10 RM
2- 10 repetitions at 75% of the 10 RM
3- 10 RM at 50 % of the 10 RM.
3- This technique works to decrease the effect of fatigue.
4- Prior to beginning the bouts of resisted exercise, nonspecific
warm-up period of active exercise is needed.
Oxford Technique
Set Amount of weight Repetitions
1 100% of 10 RM 10
2 75% of 10 RM 10
3 50% of 10 RM 10
Resistance Training Techniques Used
in Rehabilitation
• DeLorme’s method • Oxford method
– Based on repetition – Used during early,
maximum of 10 intermediate & advanced
– Designed for early rehab levels of rehabilitation
– Designed for beginning – Percentages of 10 RM
rehab – Diminishes resistance as
– Introduced PRE – muscle fatigues –
“progressive loading”
“regressive load”
– Builds in warm-up period
– 100%, 75%, 50% of 10 RM
– 50%, 75% and 100% of 10
RM
15
Definitions of Some Terminology
• Repetition: number of times you repeat specific movement.
• Repetition Maximum (RM): maximum number of repetitions
at a given weight.
• Intensity: the amount of weight or resistance lifted.
• Recovery Period: the rest interval between repetitions.
• One Rep Max, or 1RM: is a measure of how much you can lift
for one repetition of an exercise..