Wenger Protocol

Question 1

Step 1

Answer 1

Passive range of motion
Ankle Pumps
Introduction to the program
Self-feeding

PAPIS

Question 2

Step 2

Answer 2

As step 1, also dangle at the side of bed

PAPIS bedside

Question 3

Step 3

Answer 3

Active assited ROM
Sitting Upright
Light recreation
bedside commode

ASUL na commode

Question 4

Step 4

Answer 4

Increased sitting time
Light activities with minimal resistance
Patient education

MIN

Question 5

Step 5

Answer 5

Light activities with moderate resistance
Unlimited sitting
Seated ADL activities

MOD

Question 6

Step 6

Answer 6

Increased resistance
Walking to bathroom
Standing ADL up to 1 hour long group meetings

STAND 1 HR

Question 7

Step 7

Answer 7

Walking up to 100 ft
Standing
Warm-up exercises

WALK 100

Question 8

Step 8

Answer 8

Increased walking
Walk down stairs (no up)
Continued education

WALK DOWN

Question 9

Step 9

Answer 9

Increased exercise program
Review energy conservation
Pacing techniques

PACE

Question 10

Step 10

Answer 10

Increased exercises with light weights and ambulation
Begin education on home exercise program

LIGHT WEIGHTS

Question 11

Step 11

Answer 11

Increased duration of activities

Question 12

Step 12

Answer 12

Walk down two flights of stairs
Continue to increase resistance in exercises

2 FLIGHTS DOWN

Question 13

Step 13

Answer 13

Continue activities

Education and home exercises program teaching

Question 14

Step 14

Answer 14

Walk up and down two flights of stairs
Complete instruction in home exercise program and in energy conservation
Pacing techniques

2 FLIGHTS UP AND DOWN