Free-Active-Exercise PDF

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Summary

Free active exercise in practical treatments and assessments ...

Description

Free Active Exercise Patient’s muscles work actively against gravity. Exercises can be made harder by changing patient position so they’re working more against gravity, decreasing speed of movement, providing less support. STRENGTH •

2-6 reps

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Make harder by doing more reps and slower

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Hold exercise in middle to make harder

MOBILITY •

Rhythmical and with gravity

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Use momentum to move limb

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Eliminate gravity as much as possible by using momentum or moving limb on a surface

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Do more reps to make it harder or do it slower so there’s less momentum

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10-15 reps

Shoulder Flexion (Strength 2-6 reps, Mobility increase speed of swinging) 1. Patient lying supine, shoulder off plinth. Move shoulder from anatomical position to full flexion (or as near as possible). Gravity will assist pass 90 flexion. Do as slowly as possible. 2. Progression: patient standing (or long sitting with plinth upright) anatomical position, start with arm at side, move up towards ceiling into flexion. Slowly for strengthening. Swinging for ROM. Shoulder Extension 1. Supine, shoulder off plinth. Extend shoulder back, as far as possible. Assisted by gravity a lot. 2. Side-lying on plinth, extend arm back as far as possible. 3. Standing (or long sitting), extend arm back as far as possible. Shoulder Abduction 1. Supine- move arm away from body (sideways) 2. Side lying- move arm away from body 3. Standing- move arm away from body Adduction

Elbow Flexion 1. Supine, flex elbow (bend arm, slowly) 2. Standing (or long sitting) flex elbow. Elbow Extension 1. Standing, from flexion, extend elbow. 2. Prone, arm off bed and shoulder abducted start with elbow flexed, extend elbow (working against gravity) Hip Flexion 1. Side lying on plinth, bend your knee and bring your leg towards your chest as far as you can (do slower to increase difficulty). 2. Supine- bring knee toward chest as far as you can 3. Standing, holding onto plinth or bar for support- bring knee up to chest as far as you can Mobility 1. Side lying, knee towards chest, as far as you can. quite quickly 2. Standing, swing, have knee slightly bent, swing knee towards chest Hip Extension 1. Side lying on plinth, top leg- move your leg back as far as you can. 2. Prone- lift leg up as far as you can. Mobility 1. Side lying- move leg back as far as you can 2. Standing- swing leg backwards and forwards (make sure they’re holding onto something) Hip Abduction 1. Supine- Move leg out away from body as far as you can 2. Side lying- Lift leg up as high as you can 3. Standing holding onto something, abduct leg out to side as far as possible. Hip Adduction

1. Supine- move leg towards body (start from abducted position). 2. Chair- on side, one leg on chair, bring other leg up to meet it (adduction).

Knee Flexion 1. Start sitting on chair or edge of plinth, leg extended. Bend knee as much as possible. 2. Side lying- bend knee towards chest 3. Prone- bend knee as much as possible lifting foot off bed. Mobility 1. Swinging lower leg on chair back and forth flexion and extension Knee Extension 1. Prone, start knee flexed. Lower into extension 2. Side lying 3. Sitting, start from flexion, go into extension Mobility 1. Sat in chair or on plinth, swing lower leg back and forth. Decrease in speed to make harder....