The Fundamentals of Progressive Mobility

Question 1

Purpose of rehabilitation

Answer 1

Enable patients to engage as fully as possible in life activities they find meaningful

Question 2

AMAP/ANAP

Answer 2

As much as possible, as normally as possible

Patient can often do more than we give credit for. Using altered patterns which may hurt them.

Think about quality and quantity of movement.

Question 3

CC

Answer 3

• Controlling a movement is best done closer to the center of mass.
• Shoulders and hips are typically the best “control points” when attempting to maintain a patient’s stability.

Question 4

Stability-mobility

Answer 4

• Figure out stability before moving on to mobility.
• Large Base of Support and low Center of Gravity achieved beforeSmall BoS and high CoG
• Progression from stable to mobile is typical in human motor development and in rehabilitation.
• Patients are usually able to maintain a position before they can attain it.

Question 5

Focus on the objective

Answer 5

Focus on plan of care. Why am I doing this with my patient? What is next in progression? Consider functionla mobility.

Question 6

DD

Answer 6

• Direct Distally
• Directing a patient’s movements is best done distally:
• Eyes
• Head
• Fingers
• Feet
• For example, “nose over toes”