Neurology Passive And Active Exercises Flashcards
What would you assess before starting exercise treatments? (10)
Cognitive ability Cardiorespiratory status Range of movement Strength Power Endurance Coordination Patients expectations of treatment Any contraindications, allergies, meds Outcome measure you will use
State the categories of the exercise continuum from 0-5.
0-1 passive movements 1-2 active assisted exercise 2-3 active exercise 3-4 resisted exercise 4-5 functional activities
What are some limitations of the Oxford scale as an outcome measure? (4)
Lack of functional relevance
No linearity
Subjective
Assessment of concentric muscle work only
Who are passive movements performed by? (3)
By the physio, patient or mechanically
How much muscle activity should be occurring in a passive movement?
Zero
What are the effects of performing passive movements? (6)
Maintain ROM Prevent contractures of tissue Increase venous return Increase synovial fluid production Increase kinaesthetic awareness Reduce pain in joints and tissue
What are the contraindications of passive movement? (6)
Post injury when still inflamed Early fractures Pain beyond tolerance Recent muscle or ligament tears Hypermobile joints Where circulation may be damaged
What are the effects of active assisted movements? (5)
Maintain elasticity and contractility of muscles
Sensory feedback for the muscles
Stimulus for bone and joint tissue integrity
Increase circulation
Develop co-ordination and motor skills for ADLS
What are the contraindications for active assisted movements? (4)
Can be disruptive to healing process
Recent acute tears, fractures or surgery
Increased pain or inflammation
Upper limb work should be avoided after MI, CABG or breast surgery
What principles should you consider when performing active assisted exercises? (6)
Communication Remove restricted clothing Clear the work space Position of you and the patient Demonstrate passively first then do active assisted Provide assistance as needed
What are the three types of active assisted exercise?
Manually
Self assisted
Mechano-assisted
What grade on the oxford scale do patients need to be to do active exercise?
3 (can move against gravity, muscle can contract actively and move without assistance)
What are the types of active exercise? (8)
Rhythmical Pendular Single or patterned Short or long levers Open or closed chain Localised or general Individual or in a class Circuit
What are the effects of active exercise? (9)
Maintain muscle length and strength Maintain joint range Maintain CR fitness Stronger connective tissue Increased joint nutrition Increased stability Repetition facilitates neuromuscular pathways Increases confidence Decrease pain
