Mobility Exercises in Cerebral Palsy Treatment surgery center children symptom India Pakistan Nepal Bangladesh Sri Lanka
Mobility Exercises in Cerebral Palsy children
Mobility exercises are sequence of the activities typically progresses to the stability within a posture and the advances through controlled movement. It is important to note that the exact methods of performing the functional activity may vary from individual patient.
Rolling. Rolling is the bed mobility functional activity, preparation for the independent positional changes in the bed. It is also important to progression to lower limb dressing. Two main patterns to roll are supine to prone and prone to supine. For supine to prone rolling head and neck are in flexion with rotation will assist the movement to take position and for prone to supine rolling head and neck are in extension with rotation will assist the movement to acquire the rolling.
Prone-on-Elbows. Functional implication of this activity is to improve the bed mobility and progression to the quadruped position and sitting position. Weight bearing in prone-on-elbow position will improve the stability of the shoulder. Rhythmic stabilization may be used to increase stability of the head, neck and scapula.
Prone-on-Hands. The functional carryover of this position includes development of the initial hyperextension of the hip and low back for the patients who will require postural alignment during the ambulation and standing rising form floor. Hand placement in prone-on-hands is similar as the standard push-up position except the hands are more lateral and arms externally rotated. Lateral weight shifting between hands increase the joint approximation. Additional approximation force can be applied through manual contacts to facilitate tonic holding. Scapular depression and prone push-ups are used as strengthening exercises.
Supine-on-Elbow. The purpose of this activity is to assist the bed mobility to improve the patient to assume long sitting position. If control strength in the abdominal muscles is present then patient is able to do supine elbow push-ups. Lateral weight shifting can be practiced in this position. Side to side movement enhances patient’s ability to align trunk when lower extremity is on bed, preparation of the positional change. Precaution it can cause shoulder pain if done in excess.
Pull-ups. The pull-ups are to strengthen the biceps to hold the crutches and canes as the lower extremity is weak. The therapist should grasp’s supinated hand just above the wrist.
Sitting. Both long and short sitting are essential for many daily living activities such as dressing, ROM exercises, transfers and mobility. Good sitting balance and the ability to move within this posture are also critical prerequisite skills to standing.
Quadruped position. The implication of this all-four position is to lead up ambulation. Rhythmic stabilization can be used to facilitate co-ordination. Weight shifting can be practiced in forward, backward and sideward’s direction. Rocking through increments of the range will promote development of balance responses. Alternatively freeing one upper extremity from weight wearing position may be used in the quadruped position.
Kneeling position. This position is particularly important for establishing functional patterns of the trunk and pelvis control and for further promoting upright balance control. It is important that this activity s done with Ankle-Foot Orthoses. Initial activities will concentrate on maintaining using available postural control. Variety of exercises used in kneeling position as weight shifting anteriorly, posteriorly and laterally with emphasis lower extremity and pelvic control.
Mobility Exercises in Cerebral Palsy
Cerebral palsy treatment surgery center children symptom India Pakistan Nepal Bangladesh Sri Lanka
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Dr. Jitendra Kumar Jain
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