Scientific Therapeutic Exercise Prescription

Scientific therapeutic exercise progression (STEP) is a systematic and evidence-based approach to designing and implementing exercise programs for patients with various musculoskeletal and neuromuscular conditions. It involves the use of scientific principles and research-based evidence to guide the selection, dosage, and progression of therapeutic exercises.

The STEP process involves several key steps:

1. Assessment: The first step is to assess the patient’s physical status, including their strength, flexibility, balance, and movement patterns. This helps the therapist identify any impairments or limitations that need to be addressed.
   
   
2. Goal setting: Based on the assessment, the therapist works with the patient to set specific, measurable goals that are relevant to their condition and desired outcomes.
   
   
3. Exercise selection: The therapist selects exercises that are appropriate for the patient’s condition and goals. The exercises may include strengthening, stretching, balance, and coordination activities.
   
   
4. Dosage: The therapist determines the appropriate frequency, intensity, and duration of the exercises based on the patient’s condition, goals, and response to treatment.
   
   
5. Progression: The therapist gradually increases the intensity and difficulty of the exercises as the patient improves, in order to continue to challenge and stimulate their progress.
   
   

By following a systematic and evidence-based approach, STEP can help therapists design effective and safe exercise programs for patients, and optimize their outcomes.