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Functional Rehab Strategies > Final FRS Exercises > Flashcards

Final FRS Exercises Flashcards

1
Q

Scapular Swivel Set Up Position

A
  • patient standing with both arms at 90 degree shoulder flexion in the plane of scpation
  • Elbows are flexed and the ULNAR side of forearms are pressed abasing the wall
  • Neutral spine
  • Tuck chin
  • abdominal brace
  • maintain diaphragmatic respiration
  • Set the scaps
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2
Q

Progression of the scapular swivel

A
  1. the arm of the affected side will remain in contact with the wall while the patient will pivot and swivel rising their unaffected arm off the wall and rotating their torso away from the wall
  2. progress to side bridge or side plank
  3. progress to a plank roll
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3
Q

Treatment rx for scapular swivel

A

???

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4
Q

Wall slides set up position

A
  1. pt standing facing the wall with elbow flexed and hand in contact with wall
  2. neutral spine
  3. tuck chin
  4. abdominal brace
  5. maintain diaphragmatic respiration
  6. place towel/furniture slider or fam roller between hand and the wall
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5
Q

wall slides progressions

A
  1. slowly slide into shoulder flexion, trying to achieve 170 degrees of forward flexion
  2. then instruct pt to hinge at the hips and lean forward to achieve a full 180 of forward flexion
  3. hold at the tope for one breath then slowly return to starting progress
  4. progress to wall slides in all directions (towel/furniture slider/ foam roller)
  5. progress to bilateral wall slides (foam roller)
    * **for the bilateral progression start at 90/90 then extend up into the full range of motion
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6
Q

errors found in wall slides

A

shrugging of shoulders or flaring of the forearm away from the vertical position

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7
Q

Blackburns patient set up

A
  1. prone
  2. neutral spine
  3. tuck chin
  4. abdominal brace
  5. maintain diaphragmatic respiration
  6. set the scaps
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8
Q

Y position of Blackburns

A
  1. start with thumbs up and palms facing each other, arms hanging down infront of the patient
  2. lift arms to parallel with floor at 120 shoulder flexion/abduction
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9
Q

T position of Blackburns

A
  1. start with thumbs up and palms facing each other, arms hanging down in front of the patient
  2. lift arms to parallel with floor, palms facing down at 90 degree of shoulder abduction
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10
Q

M position of Blackburns

A
  1. start with thumbs up and palms facing each other, arms hanging down in front of the patient
  2. lift arms to parallel with floor, palms facing down at approx 15 degree of shoulder abduction
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11
Q

W position of black burns

A
  1. start with thumbs up and palms facing each other, arms hanging down in front of the patient
  2. lift arms to parallel with floor, elbows flexed, palms facing down at approx. 90/90 external rotation and abduction of the GH joint
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12
Q

progressions of Blackburns

A
  1. through each motion hold at the top of the motion for 1 breath and then slowly lower the hands
  2. start with the weight of the pt’s arms only
  3. increase reps, sets, and adding resistance
  4. standing with resistance bands
  5. can utilize unstable surface (physioball, pads, etc)
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13
Q

errors of Blackburns

A

shrugging of shoulders
excessive elbow flexion in Y’s, T’s and M’s
excessive internal rotation of the GH joint
loss of neutral spine
excessive neck extension

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14
Q

Sword draws pt set up

A
  1. pt standing holding a resistance band in both hands
  2. neutral spine
  3. tuck chin
  4. abdominal bracing
  5. maintain diaphragmatic respiration
  6. set the scaps
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15
Q

sword draw progression

A
  1. the hand of the uninvolved side will anchor the resistance band at the side of the pt’s body
  2. the hand of the involved side will remain semi-rigid with slight elbow flexion, then pull the band from the inferior to superior in an oblique fashion across the patient’s body while abduction the arm in the plan of caption to approx 90 degree
  3. hold at the top of the motion for 1 breath and slowly lower the hand back to the starting position
  4. increase reps, sets, and resistance
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16
Q

errors in sword draw

A
  1. shrugging shoulders
  2. using momentum to pull the band in an uncontrolled manner
  3. flexing the elbow too much, or using extension to achieve the motion
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17
Q

seat belt pulls starting position

A
  1. start pt standing holding a resistance band in both hands
  2. neutral spine
  3. tuck chin
  4. abdominal brace
  5. maintain diaphragmatic respiration
  6. set the scaps
18
Q

progression of seat belt pulls

A
  1. the hand of the involved side will remain semi-rigid with slight elbow flexion,
  2. then pull the band from superior to inferior in an OBLIQUE fashion across the patient’s body while moving into shoulder extension and slight abduction
  3. hold at the bottom of the motion for 1 breath and slowly raise the hand back to the starting position
  4. progress by increasing reps, sets and resistance
19
Q

errors in seat belt pulls

A
  1. shrugging the shoulders
  2. using momentum to pull the band in an uncontrolled manner
  3. flexing the elbow too much, or using elbow extension to achieve the motion
20
Q

Cheerleader start position

A
  1. start the patient standing holding a resistance band in both hands at 90 degrees of shoulder flexion, elbows straight
  2. neutral spine
  3. tuck chin
  4. abdominal brace
  5. maintain diaphragmatic respiration
  6. set the scaps
  7. both arms will remain STRAIGHT throughout the motion
21
Q

Cheerleader progression

A
  1. one hand will pull the band from inferior to superior in an oblique fashion into full shoulder flexion while the other will pull the band from superior to inferior in an oblique fashion moving into shoulder extension
  2. hold at the top and bottom of the motion for 1 breath and slowly return the hands back to the starting position
  3. progress by increasing reps, sets, and resistance
22
Q

errors in cheerleader progression

A
  1. shrugging the shoulders
  2. using momentum to pull the band in an uncontrolled manner
  3. flexing the elbow too much or using elbow extension to achieve the motion
  4. moving the hands asynchronously
23
Q

oblique sit starting position

A
  1. pt is side-lying with involved side down
  2. neutral spine
  3. tuck chin
  4. abdominal bracing
  5. maintain diaphragmatic respiration
24
Q

oblique sit progression

A
  1. begin side-lying propped up on forearm, knees bent with hips, shoulders and head aligned
  2. quickly raise hips off floor, pressing the downside knee into the ground while moving the pelvis forward until the knees, hips, shoulders and head are aligned
  3. increase reps and sets
  4. leg and/or arm abduction
  5. perturbations
  6. unstable surface
25
Q

errors in oblique sit

A
  1. loss of neutral spine
  2. hips too high or not high enough (creating lateral flexion)
  3. hips stayed flexed, full ROM not achieved
  4. cannot maintain smooth, dynamic motion
26
Q

Lateral lunge set up

A
  1. patient is standing in a very wide stance, legs straight and feet pointed forward
  2. neutral spine, hands together in front of the patients chest
  3. tuck chin
  4. abdominal brace
  5. maintain diaphragmatic respiration
27
Q

lateral lunge progression

A
  1. patient will hinge at the hip, keeping one leg straight they will flex the opposite knee and hip while sitting back in a sideways motion toward the flexed side
  2. the flexed knee must remain medial to the ipsilateral foot (coronal plane motion), the patient then drives through that foot and pushes their body back to the starting position
  3. repeat on the opposite side
  4. increased depth of the lunge up to 90 degree of hip flexion
  5. increase reps and sets
  6. add resistance
  7. unstable surface
28
Q

errors in the lateral lunge progression

A
  1. loss of neutral spine
  2. the flexed knee moves past the toes
  3. the flexed knee moves laterally over the foot taking the exercise out of the coronal plane and into the sagittal plane
29
Q

Airplane set up

A
  1. patient Strats in the quadruped position
  2. knees start under hips, affected side stays in place, unaffected side has hip and knee extended back
  3. hands under shoulders (screw hands into the ground)
  4. neutral spine
  5. abdominal brace
  6. maintain diaphragmatic respiration
  7. tuck chin
30
Q

airplane progression

A
  1. patient will drive through the affected knee and pivot their trunk through the ranges of abduction and adduction about the affected hip and concentrically and eccentrically loading the muscles of abduction and external rotation. The patient can flex and extend their elbows to accommodate the movement of the trunk to keep the shoulders and pelvis aligned throughout the motion
  2. patient can progress to having the uninvolved hip and knee extended and the contralateral arm in full shoulder flexion and elbow extension, pivoting off the involved leg and its contralateral arm
  3. patient can progress to the standing position with the involved leg in slight hip and knee flexion with both arms in front supported on a platform; the uninvolved leg is extended back with the foot off the floor. The patient then pivots through the involved hip as described above
  4. patient can progress to full single-leg unsupported airplane position with the arms abducted to 90 and the uninvolved leg in full hip and knee extension as the patient pivots through the involved leg as described above
  5. increase reps and sets
  6. progress with unstable surface
31
Q

errors in airplane progression

A

loss of neutral spine
excessive counter rotation of the trunk and pelvis
excessive shaking of the stance leg and/or Valgus collapse of the knee

32
Q

deadlift/ single leg deadlift setup

A
  1. start patient with a raised platform to lower down to
  2. have pt approach platform, weight directly centered underneath them
  3. must hinge at hip instead of rounding back to lift something up
  4. cue neutral spine, breathing, and bracing
  5. screw feet into floor
  6. tuck shoulder blades into back pockets to set the scaps
  7. hip hinge
  8. keep eyes forward, dont look down
33
Q

deadlift/single leg deadlift progression

A
  1. pt sits back and lowers themselves down to pick up the weight
  2. can progress by increasing weight or distance traveled with weight (making it closer to the ground)
  3. increasing reps, sets and weight
    PROGRESS TO SINGLE LEG DEADLIFT
  4. place the weight on an appropriate platform and set the involved leg as described above
  5. bend the knee of the uninvolved leg so that only the toe is in contact with the floor
  6. the knee of the involved side is slightly bent
  7. execute movement as described above increasing depth as pt. becomes more competent
  8. progress by moving the uninvolved leg farther back until it is eventually fully extended
  9. progress as described above
34
Q

errors in deadlift/ single leg deadlift

A
  1. loss of neutral spine
  2. excessive forward flexion of the torso
  3. knees moving past the toes
  4. failure to hip hinge
  5. valgus collapse at the knee’s
35
Q

lunge set up

A
  1. start patient standing with feet should with apart
  2. neutral spine
  3. tuck chin
  4. abdominal brace
  5. maintain diaphragm respiration
36
Q

lunge progression

A
  1. stand with one foot forward then place one leg behind with knee slightly bent
  2. keeping your trunk upright, bend the front knee, lowering the body straight down
  3. in a slow and controlled manner, return to the upright position
  4. progress by increasing reps, sets, or add resistance
  5. unstable surfaces
  6. walking lunges
37
Q

errors in lunges

A
  1. loss of neutral spine
  2. excessive forward flexion of the torso
  3. the knee moves past the toes
  4. valgus collapse at the knee
  5. failure to control the eccentric portion of the movement
38
Q

Rocker board/wobble board

A
  1. start patient standing, feet shoulder width apart in the center of the board
  2. neutral spine
  3. tuck chin
  4. abdominal brace
  5. maintain diaphragmatic respiration
  6. the feet must maintain the short foot position
  7. the arms can remain in front of or the side of the patient
  8. the patient may initially require doctors support to get into position
  9. the patient will maintain position and a level board surface for a timed interval
39
Q

rockerboard progressions

A
  1. progress by increasing hold times and sets
  2. adding perturbations
  3. adding single arm movements, ipsilateral and contralateral
  4. adding continuous alternating arm movements
  5. either squats or single legs stances
40
Q

errors in rocker board

A 
loss of neutral spine 
excessive movement of the torso 
the knees buckle or collapse 
valgus collapse at the knee
failure to control the movement of the board and keep it level with the ground
41
Q

regression of rocker board

A

have the patient return back to either double leg or single leg stance exercises on a stability pad

42
Q

regressions of lunges

A
  1. use refer lunge if forward lunge is painful on knee

2. use supported split-squat to build strength and depth for forward lunge

Functional Rehab Strategies (1 decks)

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