kine

1. Suspension for the lower
extremity
The Hip
Abduction and Adduction
 The starting position is lying with the
opposite leg abducted to its limit
 The fixation point is immediately above the
hip joint

2. abduction and adduction of
hip
 One sling is put under the lower thigh and
one three-ring sling on the foot and ankle;
each is attached to a rope hung from the
fixation point
 May be utilized for the mobility or facilitation
of abduction and adduction or resistance can
be given manually of by shifting the point of
fixation

3. The Hip for Abduction &
Adduction

4. Hip Flexion Extension
 The starting position is side lying with the
underneath leg flexed as far as possible
 The fixation point and sling arrangements are
as above, with the limb lifted until it is
horizontal.

5. Hip Flexion Extension
 If the movement of flexion is to be mobilized
the knee and hip must be flexed together to
overcome the passive insufficiency of the
hamstrings
 Equally, when mobilizing extension the knee
should be extended to overcome active
insufficiency of the hamstrings

6. Flexion and Extension of hip
 .

7. FLEXION AND EXTENSION of knee
 The starting position is side lying with one or
two pillows between the slightly flexed thighs
 One three-ring sling is applied to the foot and
ankle and one rope attached to a fixation
point above the knee joint.

8. Knee flexion and extension
 By keeping the hip slightly flexed on the trunk
the foot can be seen each time the knee is
extended and part of the arc of movement is
thus observed by the patient.This position
may be used to mobilize the knee joint or to
work the flexors or extensors of the knee

9. Knee Flexion Extension

10. The Ankle
 It is rarely necessary to use suspension as in
this case it is easier to perform supported
movements by using a polished board.

11. Suspension For Upper Extremity
The shoulder joint
ABDUCTION & ADDUCTION
 The starting position is lying, quarter turned
towards the arm which is to be moved
 This allows the normal anatomical movement
to be performed in the plane of the scapula.

12. Abduction & Adduction of
shoulder
 Alternatively, the starting position is prone
lying, quarter turned towards side lying with a
pillow under the trunk on the side of the arm
which is to be movedThe advantage of prone
lying is that the therapist can see the
movements of the scapula as well as those of
the arm

13. Abduction & Adduction of
shoulder
 Two single ropes are required, one attached
to a single sling under the elbow and one to a
three-ring sling applied to the wrist and hand.
 The fixation point is over the shoulder joint.
 Glenohumeral rhythm may be re-educated
and all the muscles performing shoulder
girdle movements may be worked.

14. Abduction & Adduction of
shoulder

15. Flexion & Extension of
shoulder
 The starting position is side lying on pillows
and quarter turned to the back.
 Female patients need two pillows under the
head and one under the shoulder.
 The slings and ropes are arranged as
described above and again the movement
may be limited to the glenohumeral joint and
the muscles working over it, or movements of
the shoulder girdle may be included.

16. Shoulder External Rotation &
internal Rotation
 If it is desired to perform rotation
of the glenohumeral joint,
 Then only one sling should be
used at the level of the elbow
and a single pulley rope should
be attached to the fixed point
above the shoulder.
 The ends of the sling are
attached to each end of the
pulley circuit and it will then be
possible to perform medial or
lateral rotation with two angular
movements

17. Flexion and extension of
elbow
 Because of the carrying angle of the forearm it is
easier to perform these movements when the
arm is suspended in abduction.
 The starting position is sitting on a low-backed
chair.
 A single sling and rope supports the arm in
vertical fixation, and a three-ring sling and single
rope are fixed to a point above the elbow joint.
 The therapist should stand behind as she may
need to give additional support by holding the
arm with a grasp inside the sling.

18. Flexion and Extension of
elbow

19. flexion and extension of wrist
 This is more usually and conveniently
performed on a polished board or table.

20. Flexion and Extension of Arm
 As a functional movement this may be
performed with the patient in the sitting
position, e.g. practising taking the hand to
the mouth may be done by using two single
slings attached to two single pulley rope
circuits.

21. Flexion and Extension of Arm
 One sling is placed round the arm and one round
the forearm. If the ropes are sufficiently tightened
the patient can grasp, supinate and flex the elbow
and shoulder while adducting and laterally rotating
 Utilized for patients having problem in performing
personal feeding, turning pages of book at eye level