Episode 1873 - Intentional underdosage: when & how?
Dec 18, 2024
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Explore the innovative strategy of intentional underdosage in rehabilitation for older adults. Discover how gradual exposure to exercise can enhance confidence and self-perception. Learn practical applications for clinics, homes, and gyms, and the positive impact this approach has on quality of life. Engaging insights from an expert show how tailored interventions can make a real difference in the lives of older individuals.
Intentional underdosage strategically tailors rehabilitation exercises for older adults, aligning perceived abilities with actual capacities to empower progress.
This approach promotes early patient successes through incremental exercise adjustments, fostering confidence and enhancing overall quality of life.
Deep dives
Understanding Intentional Underdosage
Intentional underdosage is a strategic approach used in rehabilitation, particularly for older adults. It involves prescribing exercises based on a patient's perceived capacity rather than their actual abilities. For example, instead of immediately introducing a potentially daunting exercise, like lifting a heavier kettlebell, a clinician might start with a simple banded deadlift to build confidence and ensure success. This method helps align patients' perceptions of their physical abilities with their true capacities over time, promoting a more gradual and empowering rehabilitation process.
Building Confidence Through Gradual Exposure
The process of intentional underdosage includes careful assessment and incremental progression of exercises to avoid overwhelming patients. By starting with lighter weights or modified movements, the clinician can help the patient experience early wins, which fosters a positive mindset and builds trust in their abilities. For instance, after assessing a patient's comfort with a lighter band during deadlift exercises, a clinician can gradually increase the weight as the patient becomes more confident. This not only improves their physical strength but also enhances their overall quality of life by encouraging them to engage in activities they previously avoided due to fear.
Long-Term Impact of Perception Alignment
Aligning perceived capacity with actual capability can have profound effects on a patient's lifestyle and mental well-being. As patients come to realize their true strength, they often regain confidence and become more willing to engage in previously avoided activities, such as traveling or taking part in hobbies. This transformation can lead to a more active lifestyle and improved quality of life, as individuals replace fear with confidence. Ultimately, the intentional underdosage approach not only aids in physical rehabilitation but also empowers patients to exceed boundaries they once considered unbreakable.
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Bridging Perception and Reality: The Power of Intentional Underdosage in Rehabilitation
In today's episode of the PT on ICE Daily Show, join Modern Management of the Older Adult division leader Dustin Jones discusses the concept of intentional under dosage, particularly in the context of working with older adults. Dustin shares insights on when and how to effectively implement this strategy across various settings, including clinics, homes, hospitals, and gyms.
Take a listen to learn how to better serve this population of patients & athletes, or check out the full show notes on our blog at www.ptonice.com/blog.