Paradigm Ex

Exercise prescription is presented through a framework called Paradigm Ex, designed to help clinicians think more systematically about prescribing and tracking exercise. The section explains why this model was developed, emphasizing that while the overall framework has not yet been tested in a randomized trial, each of its parts is grounded in evidence. A central idea is to view exercise effects across levels: local, regional, and global. That means considering not only a single joint, but also the limb, larger body regions, and broader effects such as mental health or anti-inflammatory benefits. The approach does not require a fixed sequence, but encourages clinicians to think beyond isolated exercises. The section also contrasts traditional exercise tracking methods—such as sets, reps, duration, and home exercise sheets—with a broader system that identifies the purpose or construct of each exercise. These constructs include areas such as activation, motor control, eccentric work, range of motion, plyometrics, speed, and power. Learners can expect practical ideas for organizing exercise programs more clearly and matching them to a patient’s stage of recovery or performance goals.