Functional Conditioning

 

What Is 'Functional Conditioning’?

Functional Conditioning is the term given to a ‘land-based’ gym exercise and strengthening program which is highly structured, goal-oriented, individualized treatment aimed at maximizing the individual’s ability to return to work.  These programs specifically focus on correct performance of simulated work tasks as well as general strengthening, muscular and cardiovascular endurance, and flexibility development.  Functional conditioning programs address not only physical fitness, but take a cognitive behavioral approach in addressing psychological and specific work-related difficulties.

Functional Conditioning is an ideal form of treatment in the post-acute stage of rehabilitation, with the purpose of functional and strength restoration. 

 

Evidence for Functional Conditioning Treatment

Inactivity due to avoidance of painful activities can lead to the ‘deconditioning syndrome’.  As a result, muscles weaken, joints stiffen, with associated reduction in neuromuscular coordination and the ability to perform complicated repetitive tasks.  The deconditioning syndrome can be reversed through mobilizations & exercise which can improve a person’s capacity to return to work.

Polatin and Mayer (1996); Mayer and Gatchel (1988)

 

Functional conditioning programs that include a cognitive-behavioural approach have been found to reduce the number of sick days lost for injured workers, and show a higher percentage of return to work.

Schonstein, Koes, Kenny (in submission); Lechner D.E., (1994); Niemeyer L.O, Jacobs K, Reynolds-Lynch K, Bettencourt C, & Lang S, (1994); King P.M, (1993).