Mobility Exercises in Cerebral Palsy children Treatment surgery center children symptom India US UAE Europe Pakistan Nepal Bangladesh Sri Lanka Afganistan Bhutan Russia Canada United States PR China Brazil Australia Argentina Kazakhstan Sudan Algeria Greenland Saudi Arabia Indonesia Mongolia Peru Niger South Africa Colombia Egypt Nigeria Venezuela Turkey Chile Zambia Ukraine Kenya France Thailand Spain Sweden Uzbekistan Morocco Iraq Japan Zimbabwe Germany Finland Malaysia Philippines Ecuador New Zealand Netherlands Switzerland Denmark Qatar
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.
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Dr. Jitendra Kumar Jain
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