Treatment (passive To Acitve Exercise) Flashcards
Benefits of,exercise
Reduces stress, increases balance and co ordination, reduces cardiovascular disease, reduces osteoporosis, increases muscle strength power and Tone
Assessment for exercise
Cognitive ability, strength, power, endurance cardio respiratory status, co ordination
What’s the Oxford scale
Limitations to the Oxford scale, lack of functional relevance, degree of subjectivity between assessors
What’s a passive movement (Oxford scale 1-2)
Movements performed by the physio for the patient maybe performed at a single joint or several joints
Effects of passive movement
Maintains ROM, prevents contractures. Maintains integrity of soft tissue, increases venous return, maintains functional movement patterns, reduces pain
Contraindications of prom
Post injury, early fractures, incomplete muscle or ligament tears, hypermobile joints
Effects of active assisted exercises (Oxford scale 2)
Maintain physiological elasticity and contractility of participating muscles, sensory feedback for contracting muscles, provide a stimulus for bone and joint tissue Integrity, increase circulation and prevent thrombus formation , develops co ordination
Lady had a stroke and has weakness throughout her right side what are the benefits of passive movement to this lady, what passive movements may you do on this lady
Maintain her rom for her joints, maintain integrity of soft tissue, increase venous return, maintain functional movement patterns, Rom of the shoulder, flexion, extension, abduction adduction, rotation, flexion and extension of elbow, Plantar flexion and Doris flexion of foot
When would you perform active assisted exercise
When the prime movers aren’t strong enough to perform the full ROM
A 35 year old lady has been admitted to hospital with a relapse of her MS. She normally walks without an aid but is now weak (2+/5) in both her dorsiflexors, quads and hip extensors. She has increased spasticity in her hip adductors.
•Demonstrate manual AA exercises for the above muscles
DORSIFLEXORS- plantar flexion and dorisflexion
QUADS- hip flexion and extension
HIP extensors
Progression from active assisted exercise
Once the patient has gained sufficient control and strength of their movement they can be progressed to active free exercise and eventually resisted exercise (3/5) (4/5) resisted exercise will help return to functional exercises
What’s active exercise (3/5)
May be used to promote ROM and Muscle strength.
•Active exercise involves the movement of a segment(s) within the unrestricted ROM that is produced by active contraction of the muscles crossing that joint
Indications of active exercise
When the muscle is able to contract actively and move a segment without assistance.
–When the muscle is weak and able to move the joint through a range of movement against gravity but NOT against resistance
