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The therapeutic exercise framework: an integrative approach to optimizing tissue capacity
Christina Inman1, Peter Schrey1, John Borstad1
1Doctor of Physical Therapy Program, Oregon State University - Cascades, Bend, OR, USA.
Physiotherapy Theory and Practice
|July 31, 2026
Summary
This study presents an integrative framework for therapeutic exercise in musculoskeletal conditions. It guides clinicians in selecting exercises and parameters to enhance tissue capacity and optimize patient recovery.
Area of Science:
- Integrative framework for therapeutic exercise.
- Clinical decision-making in musculoskeletal rehabilitation.
Background:
- Therapeutic exercise prescription is complex.
- A need exists for a structured approach to exercise selection and parameter modification.
Purpose of the Study:
- To present an integrative framework for clinical decisions in therapeutic exercise.
- To provide a paradigm for optimizing exercise selection and parameters in musculoskeletal conditions.
Main Methods:
- Framework integrates physical stress on tissue, stages of tissue healing, and tissue-specific mechanobiology.
- Considers person-centered care principles.
Main Results:
- Enables precise identification of patient loading tolerance.
- Facilitates safe, evidence-based timelines and optimized stress-strain zones.
- Aims to build tissue capacity for rehabilitation or enhanced functional demands.
Conclusions:
- The framework offers a structured approach to therapeutic exercise.
- It supports optimizing patient outcomes by enhancing tissue capacity.
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