הפיזיותרפיסט הוסיף תרגיל חיזוק לתוכנית הטיפול.

ה־ is the Hebrew definite article, equivalent to the in English.

• פיזיותרפיסט = physiotherapist
• הפיזיותרפיסט = the physiotherapist

In Hebrew, the article is attached directly to the beginning of the noun instead of being a separate word.

הוסיף is the past tense, third-person masculine singular form of להוסיף, meaning to add.

So it matches a subject that is:

• third person = he / she / it
• masculine
• singular

Because the subject here is הפיזיותרפיסט (masculine singular), הוסיף is the correct form.

Related forms:

• הוסיפה = she added
• הוסיפו = they added

Hebrew uses את before a definite direct object, not before an indefinite one.

Here, תרגיל חיזוק is indefinite, so there is no את.

Compare:

• הוסיף תרגיל חיזוק = added a strengthening exercise
• הוסיף את תרגיל החיזוק = added the strengthening exercise

So the absence of את tells you the object is not definite.

No. חיזוק is not an adjective here; it is a noun.

• תרגיל = exercise
• חיזוק = strengthening, reinforcement

Together, תרגיל חיזוק is a noun+noun combination, literally something like an exercise of strengthening. In natural English, that becomes a strengthening exercise.

This is very common in Hebrew: English may use an adjective, but Hebrew often uses two nouns together.

Because תוכנית הטיפול is a construct chain (called סמיכות in Hebrew).

In this structure:

• the first noun is תוכנית = plan/program
• the second noun is הטיפול = the treatment

In a construct chain, the whole phrase can be definite even if only the second noun has ה־.

So:

• תוכנית טיפול = a treatment plan
• תוכנית הטיפול = the treatment plan

That is why you do not say התוכנית הטיפול here.

ל־ is a preposition meaning to or for, and in Hebrew it attaches directly to the following word.

So:

• ל + תוכנית = לתוכנית

That is completely normal in Hebrew. Prepositions like ב־ (in), ל־ (to/for), and כ־ (as/like) are often written as prefixes.

Here, לתוכנית הטיפול means to the treatment plan. The whole phrase is definite because of the construct chain, even though the ל־ is attached to תוכנית.

Yes. פיזיותרפיסט is the masculine singular form.

The feminine form is:

• פיזיותרפיסטית = female physiotherapist

If the subject were feminine, the verb would change too:

• הפיזיותרפיסטית הוסיפה... = the female physiotherapist added...

So Hebrew shows gender not only on some nouns, but also on verbs in the past tense.

Yes. Hebrew word order is flexible.

This sentence uses a very straightforward order:

• Subject + Verb + Object + Prepositional phrase

That makes it very learner-friendly.

But Hebrew could also say:

• הוסיף הפיזיותרפיסט תרגיל חיזוק לתוכנית הטיפול

This is also grammatical. It may sound a bit more narrative or stylistically different, but the meaning stays the same. Hebrew often changes word order for emphasis or style more freely than English does.

A helpful pronunciation guide is:

ha-fizyoterapist hosif targil chizuk letokhnit hatipul

A few notes:

• ח in חיזוק is a throaty sound, like the ch in German Bach
• תוכנית is pronounced roughly tokhnit
• טיפול is pronounced roughly tipul

Approximate stress:

• fizioteraPIST
• hoSIF
• tarGIL
• chiZUK
• tokhNIT
• tiPUL