Active-assisted exercise involves moving a joint through its range of motion with some assistance provided by an outside force like a therapist or machine. This type of exercise is used when a patient has weak muscles, usually below a grade 3 on a manual muscle test. The assistance provided augments the patient's muscle contraction and is decreased as strength improves. Active-assisted exercise maintains muscle elasticity and contractility, provides sensory feedback, and trains coordination to help regain independence in activities of daily living. It should be done within a patient's pain-free range of motion and only provide as much help as needed for the movement.
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Rebox electrotherapeutic method is based on non-invasive transcutaneous application of specific electric currents to a living tissue. Main indications for using the Rebox include treatment of acute and chronic pain, immobility, musculoskeletal and neurological disorders and oedema.
suspension therapy in details with the principles, indications, benefits, advantages and disadvantages, materials required for performing activities using suspension techniques.
Rebox electrotherapeutic method is based on non-invasive transcutaneous application of specific electric currents to a living tissue. Main indications for using the Rebox include treatment of acute and chronic pain, immobility, musculoskeletal and neurological disorders and oedema.
Active and Passive movements in joints.pptxreeshmapk93
Active and passive movements in human joints with examples and how it can be utilized with modern exercise principles with resistance to increase strength and flexibility of human joints
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
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Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
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India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
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Growing Prevalence of Lifestyle Diseases
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CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
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2. • Definition of AAROM: Movement
performed within the unrestricted ROM
controlled by the voluntary contraction of
the muscle, In which assistance is provided
by an outside force, either manual or
mechanical when muscle strength is
inadequate to complete the motion.
3. -(muscle strength is less than grade 3 manual
muscle test). Once patients gain control of
their ROM, they are progressed to AROM
4. The principles of active assisted
exercises:
1-When the voluntary contraction of the muscle is
insufficient to produce movement,
2- An external force may be added to complete range.
3- This external force must be applied in the direction of
the muscle action.
4-The magnitude of this assisting force must be
sufficient only to augment the muscular action but not
allowed to act as a substitute for it.
5-As the muscular power is increasing, the assistance
given must be decreased proportionally.
5. Types of assistance
• Manual assistance: as the therapist or
by the sound limb of the patient (self
assistance).
7. Effects and uses of AAROM:
1- When the patient has weak musculature (poor to fair
minus muscle test grade).
2- Maintain physiologic elasticity and contractility of the
muscles which will gain strength and hypertrophy.
3- provide sensory feedback from the contracting muscle
to be used in early stages of neuromuscular re-education.
4- provide stimulus for bone integrity, so the range of
effective joint movement may be increased.(ROM)
8. 5-The repetitive assisted exercises on the correct
pattern learn the patient to control the movement by
himself, so helping in training co-ordination.
6-Confidence of the patient in his ability to move
and helping to co-operate.
7- Can increase metabolism to help lose weight and
decrease stress and pain.
9. • 8- Increase local circulation, Maintain and
improve cardiopulmonary function.
• 9- A decrease in the risk of heart disease and
heart attack is another benefit of regular exercise,
as it reduces blood pressure and cholesterol.
10. Indications:
• 1- Muscle weakness as result of disuse or after
plaster cast.
• 2- Muscle re-education. And Following tendon
or m. transplantation.
• 3- Inability to do Activities of Daily Living.(ADL)
• 4-To increase ROM.
11. • 1- Swelling ,fever and redness.
• 2-Immediatlly followed myocardial
infarction.
• 3-If active assisted exercises induced sever
pain during movement.
• 4- Cardiopulmonary dysfunction.
• 5- Unhealed or unprotected recent fracture
or recent surgical site.
• 6- In cases of DVT.
Contra-indications of AAROM:
12. • ROM exercises proximal and distal to the
injured and /or immobilized joint: to
minimize venous stasis and thrombus
formation
Precaution:
13. • 1-Starting position: stability of the body is important
to ensure that the patient’s attention is concentrated on
the pattern of the movement and the effort required to
perform it.
• 2-Pattern of movement: this can be explained to the
patient by performing it passively or actively on the
sound limb.
• 3-Fixation: fixation of the proximal part of the prime
movers improves their efficiency. Avoid trick
movements to occur by proper fixation.
14. 4- Support: the moved part should be supported to
reduce the load on the muscle. Pillows, Boards, Slings,
Manually.
• Support → eliminate any force or load on the weak
ms. by counterbalancing the effects of gravity
(eliminate effect of gravity ).
15. • 5-Traction: preliminary stretching of the
weak muscle provides a powerful stimulus
to contraction because it stimulate the
muscle spindle( Myotatic reflex) which
helps in the initiation of movement.
• 6- The antagonistic muscle: a proper
starting position should be selected to
reduce the tension in the antagonistic
muscles, e.g. a position in which the knee
flexed is suitable for assisted dorsiflexion of
the foot.
16. • 7- The assistance force: the force used in assisting
the action of the muscle must be applied in the
direction of the movement by the PT hands.
• 8- The character of the movement: movement is
performed smoothly
• 9- Repetitions: repetition of the movement
depends on the condition of the patient.
• 10-The cooperation of patient: this is essential
during this type of exercise. The patient should be
encouraged to exert maximum effort.