Sports injuries and Physiotherapy management.pptxkajal sansoya
Sport injuries refer to kind of injury that occur to a player during sports or exercise.
In other words, the situation which occurs accidently during physical activity or when the player does not remain in the position of participating in the game or his physical ability decreases is also referred to sports injuries.
Direct injury is caused by an external blow or force.
Indirect injury caused by an internal force as over stretching a ligament in sudden change direction.
Overuse injury any repetitive activity can lead to overuse injury, can occur over a period of time, usually due to excessive and repetitive leading of the tissue, with symptoms presenting gradually
Muscle pull
Tennis elbow/ golfer’s elbow
Rotator cuff injury
Frozen shoulder
Tendonitis
Bursitis
Runner’s knee
Achilles tendonitis
Foot arch sprain
Pulled hamstrings
Plantar fascitis
Iliotibial band syndrome
Carpel tunnel syndrome
Lower back pain A contusion is another way to say bruise and is the bleeding in the brain due to localized trauma.
A concussion refers to more widespread brain trauma from a blow to the head or swift shaking
Laceration is the tearing of skin with a sharp object or by impact injury from a blunt object or force that results in an irregular wounds.Warm up and cool down
Stretching before and after activity
Cross –train activity
Dress right
Use proper technique
Improve posture
Avoiding DOMS( delayed onset muscle soreness)
Early-stage rehabilitation is gentle exercise allowing for the damaged tissue to heal. This stage is often rushed and will result in poor quality healing and will be prone to re-injury.
Mid-stage rehabilitation involves progressively loading the muscles/tendons/bones or ligaments to develop tensile strength producing a healed tissue that will be able to withstand the stresses and strains of everyday life and exercise.
Late – the final stage (late) of rehabilitation is where the tissue adapts and is stressed using functional exercises and drills to ensure the body is ready to return to play.
Pilates is a system of repetitive exercises performed on a yoga mat or other equipment to promote strength, stability, and flexibility. Pilates exercises develop the body through muscular effort that stems from the core. The technique cultivates awareness of the body to support everyday movements that are efficient and graceful.Centering
Concentration
Control
Precision
Breath
Flow
Taping is a form of strapping. It is the procedure that uses tape, attached to the skin, to physically keep in place muscle or bone at a certain position to reduce pain and aids recovery.
It is a form of partial immobilization of joint. which allow for a certain level of functional mobility.There are a number of different types of stretching exercises which can be done to improve flexibility. The most appropriate technique will depend on your specific aims and include:
Static stretching
Dynamic stretching
PNF
Ballistic stretching
Neural stretching
Dry needling
Cupping
Gait
This PPT describes neurological gait deviations.
It describes Hemiplegic/circumductory gait, Spastic Diplegic gait, Parkinson gait, Myopathic & Ataxic gait in detail along with its causes and management in with Physiotherapy treatment. detail
Sports injuries and Physiotherapy management.pptxkajal sansoya
Sport injuries refer to kind of injury that occur to a player during sports or exercise.
In other words, the situation which occurs accidently during physical activity or when the player does not remain in the position of participating in the game or his physical ability decreases is also referred to sports injuries.
Direct injury is caused by an external blow or force.
Indirect injury caused by an internal force as over stretching a ligament in sudden change direction.
Overuse injury any repetitive activity can lead to overuse injury, can occur over a period of time, usually due to excessive and repetitive leading of the tissue, with symptoms presenting gradually
Muscle pull
Tennis elbow/ golfer’s elbow
Rotator cuff injury
Frozen shoulder
Tendonitis
Bursitis
Runner’s knee
Achilles tendonitis
Foot arch sprain
Pulled hamstrings
Plantar fascitis
Iliotibial band syndrome
Carpel tunnel syndrome
Lower back pain A contusion is another way to say bruise and is the bleeding in the brain due to localized trauma.
A concussion refers to more widespread brain trauma from a blow to the head or swift shaking
Laceration is the tearing of skin with a sharp object or by impact injury from a blunt object or force that results in an irregular wounds.Warm up and cool down
Stretching before and after activity
Cross –train activity
Dress right
Use proper technique
Improve posture
Avoiding DOMS( delayed onset muscle soreness)
Early-stage rehabilitation is gentle exercise allowing for the damaged tissue to heal. This stage is often rushed and will result in poor quality healing and will be prone to re-injury.
Mid-stage rehabilitation involves progressively loading the muscles/tendons/bones or ligaments to develop tensile strength producing a healed tissue that will be able to withstand the stresses and strains of everyday life and exercise.
Late – the final stage (late) of rehabilitation is where the tissue adapts and is stressed using functional exercises and drills to ensure the body is ready to return to play.
Pilates is a system of repetitive exercises performed on a yoga mat or other equipment to promote strength, stability, and flexibility. Pilates exercises develop the body through muscular effort that stems from the core. The technique cultivates awareness of the body to support everyday movements that are efficient and graceful.Centering
Concentration
Control
Precision
Breath
Flow
Taping is a form of strapping. It is the procedure that uses tape, attached to the skin, to physically keep in place muscle or bone at a certain position to reduce pain and aids recovery.
It is a form of partial immobilization of joint. which allow for a certain level of functional mobility.There are a number of different types of stretching exercises which can be done to improve flexibility. The most appropriate technique will depend on your specific aims and include:
Static stretching
Dynamic stretching
PNF
Ballistic stretching
Neural stretching
Dry needling
Cupping
Gait
This PPT describes neurological gait deviations.
It describes Hemiplegic/circumductory gait, Spastic Diplegic gait, Parkinson gait, Myopathic & Ataxic gait in detail along with its causes and management in with Physiotherapy treatment. detail
this is a slide show which gives in brief about anatomy and detailed description about biomechanics as well as pathomechanics of shoulder joint. various rhythms of shoulder complex are discussed as well along with the stability factors
Brian Mulligan described novel concept of the simultaneous application of therapist applied accessory mobilizations and patient generated active movements
Ergonomics in Physiotherapy and WorkplaceSusan Jose
We discuss about various risk factors related to causing of cumulative trauma disorders and how to manage each risk factor using bio mechanical principles and physiotherapy knowledge.
Shoulder joint Bio-Mechanics and Sports Specific RehabilitationFabiha Fatima
Shoulder joint Bio-Mechanics and Sports Specific Rehabilitation.
What does the PPT consists of ?
General Biomechanics of Shoulder joint as well as the Bio-mechanics of certain specific sports such as Throwing, Swimming and Racket Sports.
along with a comprehensive rehabilitation of shoulder injuries.
** Above uploaded document has been made as a study material for classroom presentation. it is powered by .gif files which may not be working in this format.**
This is the presentation which was delivered to third year Bachelor of Physiotherapy students at Kathmandu University School of Medical Sciences (KUSMS), Dhulikhel, Nepal. Different schools of thoughts in manual therapy are the part of curriculum for the undergraduate students at KUSMS.
Includes detailed description of BIOMECHANICS & PATHOMECHANICS OF KNEE JOINT AND PATELLOFEMORAL JOINT with recent evidences . Hope you find it useful!!
This PPT share the principles used in exercise prescription and the parameters which should be kept in mind while prescribing and progressing the exercise regimen
Neurodynamics, mobilization of nervous system, neural mobilizationSaurab Sharma
This is the presentation which was delivered to third year Bachelor of Physiotherapy students at Kathmandu University School of Medical Sciences (KUSMS), Dhulikhel, Nepal. Different schools of thoughts in manual therapy are the part of curriculum for the undergraduate students at KUSMS.
Presentation by Pre-Med (2013) Students of Penang Medical College. This presentation is based on a mini research paper on Multidisciplinary Management of Cerebral Palsy. Group members consist of Nurul Najihah,Daniel Koshy & Maheshwaran
Learn more about autism and how it impacts an individual's ability to function on a day to day basis.
We would love to read your feedback so please contact us and tell us what you think/feel.
this is a slide show which gives in brief about anatomy and detailed description about biomechanics as well as pathomechanics of shoulder joint. various rhythms of shoulder complex are discussed as well along with the stability factors
Brian Mulligan described novel concept of the simultaneous application of therapist applied accessory mobilizations and patient generated active movements
Ergonomics in Physiotherapy and WorkplaceSusan Jose
We discuss about various risk factors related to causing of cumulative trauma disorders and how to manage each risk factor using bio mechanical principles and physiotherapy knowledge.
Shoulder joint Bio-Mechanics and Sports Specific RehabilitationFabiha Fatima
Shoulder joint Bio-Mechanics and Sports Specific Rehabilitation.
What does the PPT consists of ?
General Biomechanics of Shoulder joint as well as the Bio-mechanics of certain specific sports such as Throwing, Swimming and Racket Sports.
along with a comprehensive rehabilitation of shoulder injuries.
** Above uploaded document has been made as a study material for classroom presentation. it is powered by .gif files which may not be working in this format.**
This is the presentation which was delivered to third year Bachelor of Physiotherapy students at Kathmandu University School of Medical Sciences (KUSMS), Dhulikhel, Nepal. Different schools of thoughts in manual therapy are the part of curriculum for the undergraduate students at KUSMS.
Includes detailed description of BIOMECHANICS & PATHOMECHANICS OF KNEE JOINT AND PATELLOFEMORAL JOINT with recent evidences . Hope you find it useful!!
This PPT share the principles used in exercise prescription and the parameters which should be kept in mind while prescribing and progressing the exercise regimen
Neurodynamics, mobilization of nervous system, neural mobilizationSaurab Sharma
This is the presentation which was delivered to third year Bachelor of Physiotherapy students at Kathmandu University School of Medical Sciences (KUSMS), Dhulikhel, Nepal. Different schools of thoughts in manual therapy are the part of curriculum for the undergraduate students at KUSMS.
Presentation by Pre-Med (2013) Students of Penang Medical College. This presentation is based on a mini research paper on Multidisciplinary Management of Cerebral Palsy. Group members consist of Nurul Najihah,Daniel Koshy & Maheshwaran
Learn more about autism and how it impacts an individual's ability to function on a day to day basis.
We would love to read your feedback so please contact us and tell us what you think/feel.
Exercise is Medicine was introduced at the University of Saskatchewan. A partnership was formed between the Student Health Services and the College of Kinesiology for Exercise Prescriptions for the treatment and prevention of chronic illness.
Exercise Is Medicine: How a Medical Fitness Center Differs from a Health ClubMercy Medical Center
During his presentation on 2/25/14, Eldon Jones, director of health & fitness at Mercy Medical Center in Canton, Ohio, explains how exercise often is as effective as medication in treating certain chronic serious health conditions, including heart disease, diabetes and more.
Eldon also covered how a medical fitness center differs from a tradition gym or health club.
Other topics covered in the presentaton:
* The importance of prescribing exercise
* US Physical Activity Guidelines
* Cardiac rehabilitation and how it works
* Components of ExRx for risk factor reduction
* FITT principle
* Stages of conditioning
* Strength training
A valuable presentation on Exercise Prescription for sports and massage therapist's. A presentation from our workshop event at the St John Street clinic on the 8th October 2016.
this ppt shares what synapses are and how information of one neuron is transmitted to other through the synapses. it also includes the properties and plasticity of synaptic transmission
Basic principles of Exercise designs for healthy and special populations, based on American College of Sports Medicine Guidelines. Target audience: Fitness trainers and health professionals. This lecture was delivered at Chennai in February 2014 in an international seminar organized by Madras Diabetes Research Foundation and Florida International University.
The role of Exercise to prevent of Non-Communicable Diseases (NCDs). Recommended Weekly Allowance. Frequency, Duration, and Intensity of Physical Activity/Exercise to be Healthy, Happy and Young
“To enjoy the glow of good health, you must exercise”
Fitness is a big part of who I am !!!
“Your Health is Our Mission”. Fitness is a big part of who I am !! To keep the body in good health is a duty…..otherwise we shall not be able to keep our mind strong and clear.
2. Special consideration in cardiac rehabilitation program for older adults.ShagufaAmber
An increasing number of cardiac patients are above the age of 65 years . They are susceptible to the adverse effect of bed rest . So early mobilization is especially important to return them to active and independent lifestyle.
- Most of the patients with heart failure, are elderly patients, shooting up to 80% in both incidence and prevalence.This is due to improved and better survival after cardiac insults, such as myocardial infarction, especially in developed countries.(AHA,2013).
-The safety and efficacy of cardiac rehabilitation have been demonstrated in the elderly (age >65 years) .(Pasquali ,et al.,2001)
-CR has a class IA recommendation by the AHA and ACSM for secondary prevention after any coronary heart disease
This lecture was delivered as part of eleventh MDRF–UAB International Seminar on Prevention and control of non-communicable diseases organized by Madras Diabetes Research Foundation (MDRF), Chennai, India in association with Florida International University(FIU), University Of Alabama at Birmingham (UAB), & University Of Minnesota, Supported by National Institutes of Health (NIH), USA February 13-17, 2013.
Sports and exercise psychology
▪ The key focus is on the development of mental skills -the ability for individuals to understand and use their minds to improve their performances and enjoyment.
TOPIC: BASIC PRINCIPLE OF EXERCISE
PRINCIPLE OF PROGRESSION
• States that as your body adopts to your exercise routine , you have to change it up.
• This can mean gradually increasing the weight , duration or intensity of your weight training in order to see growth
THE PRINCIPLES OF OVERLOAD
• To improve any aspects of physical fitness the Individual must continually increase the demands placed on the appropriate body systems
FREQUENCY PRINCIPLE OF EXERCISE
• This refers to how often you exercise. Th point is to meet your goals without overtiming the body.
• When it comes to cardio: As a general rule of thumb, aim for a minimum of three cardio sessions per week. If you’re looking to lose weight, you might increase this number to five to six sessions.
• When it comes to strength training: It’s recommended to do some sort of strength training three to four times per week. Strength training can involve the use of weights (even bodyweight workouts), resistance, barbells, or machines.
• Also includes rest days: Also account for rest days when putting together your plan. It’s important to give your muscles a chance to recover.
INTENSITY
• This refers to how difficult an exercise is.
• When it comes to strength training
• If you’re new to an exercise program, you don’t want to make the plan too challenging. This could lead to injury or burnout.
• Start at a level that feels comfortable, and then gradually increase the difficulty as your strength and endurance builds.
• With strength training, there are three primary methods you can use to measure intensity:
• amount of weight lifted
• number of repetitions completed
• number of sets
When it comes to cardio
• To measure how hard you’re working during a cardiovascular exercise, you can look to your heart rate, which is measured by beats per minute (bpm).
• This starts with determining your target heart rate zone for your fitness level and age. The heart rate zone you’re meant to target is based on a percentage of your maximum heart rate (MHR).
1. Find your max heart rate (MHR) To find your MHR, use this calculation: 220 minus your age = MHR. For example, if you’re 25 years old, your MHR is 195 (220 – 25 = 195 MHR).
2. Find your target heart rate zone According to Harvard Health, aerobic exercise is when your heart rate reaches between 70 and 85 percent of your MHR. You’re also getting a workout when your heart rate reaches 50 to 70 percent of your MHR.
TIME
This refers to the duration of each exercise.
• Experts recommend Trusted Source at least 150 minutes of moderate-intensity exercise or at least 75 minutes of high-intensity exercise a week.
• This can look like 30 minutes of moderate exercise or 15 minutes of intense exercise a day.
• Of course, you can increase or
5. HMS (MPU3412) _Physical Conditioning (20201112).pdfMrCapable2
Some topic that can relate to our lifestyle. How the right way to do activities/sport that we did everyday. We must know what the function and also how to do it properly
Exercise Oncology Transforming Research to Practice shareableAndrewChongaway
PPT discussing available research in exercise and rehabilitation with the oncology population. Takes a look at the pitfalls of exercise programming in the oncology population as well as ideas to promote appropriate exercise programming in the rehab and wellness settings.
Similar to Cerebral palsy pp exercise prescription (20)
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
2. What is Cerebral Palsy?
• “Cerebral palsy is a group of
disorders that can involve
brain and nervous system
functions such as movement,
learning, hearing, seeing, and
thinking. Mostly Motor skills”
(Blanchard).
• There are several different
types of cerebral palsy. So
many individuals differ with the
disorder. Spastic Cerebral
Palsy, Athetoid Cerebral Palsy,
Ataxic Cerebral Palsy, Mixed
Cerebral Palsy
3. Special Population/Disease
• Children and Adults with
cerebral palsy (CP) have
challenges with
movement, function and
mobility that last a
lifetime.
• This disability is not
progressive, physical
challenges faced by this
population stabilize once
they reach adulthood.
(Blanchard)
4. Max Testing
• Max testing for Cerebral Palsy is difficult
to establish a specific guideline for a max
test since each individual may suffer from
a different type of CP. There should be a
max test because exercise is very
important, but it should be modified.
• Spastic Cerebral Palsy
(stiff and difficult movement)
• Athetoid Cerebral Palsy
(Involuntary and uncontrolled movement)
• Ataxic Cerebral Palsy
(disturbed sense of balance and depth
perception)
• Mixed Cerebral Palsy
There may be a combination of these types
of cerebral palsy for any one person.
5. Concerns
• Children and adults with CP also
suffer from poor physical fitness
with consequently high energy
costs and fatigue during daily
activity.
• Unfortunately, rehabilitation and
therapy services for persons with
CP often end or decrease
dramatically at adulthood, and
rarely include fitness related goals.
• “The professional trainer should
be aware of medications the client
is currently using, and should
document the presence of
seizures or associated disorders
involving the visual, auditory,
sensory, hearing, speech or
cognitive systems” (Blanchard).
6. • “Fitness for persons with
CP should be viewed
from the perspective of
the way fitness enhances
health, function and
mobility” (Blanchard).
-cardiorespiratory
endurance
- muscular endurance
-muscular strength
- balance/agility
-body composition
- flexibility
7. • Exercises and physical activity
should be started gradually, with
close professional supervision.
• Special safety considerations include
altering exercises for the specific
individual’s needs.
• “The Universal Exercise Unit (UEU)
is used to assist children in
functional activities along with
strengthening exercises within long
intensive therapy sessions” (Euro-Peds).
• Health-related physical fitness for
persons with CP should be
developed in the same model as
fitness for all of us: start early, be
easily available and continue
throughout the life span.
Concerns cont.
8. FITT model
F.I.T.T. Cardiovascular Training Muscle Training
Frequency 3-5 days/ week; Alternate
exercise types.
Rest each joint area and
muscle group 48-72
hours between workouts.
Very intensive workouts
may require extended
rest intervals
Intensity 60-90% maximum heart
rate (max = 220 - age) or
50-65% functional
capacity
65-85% of 1 Repetition
Maximum (1RM)
Beginners should remain
near lower end for safety
Time 15-60 Minutes work up to
this slowly for safety
1-3 Sets of 6-14
Repetitions per exercise.
Type of exercise Walking; Cycling;
Aerobics; Stair climbing;
Swimming; Running.
All resistance exercise:
Pneumatic,
Computerized,
Selectorized, Plate
loaded; Free weights,
9. FITT model for CP
F.I.T.T. Cardiovascular
Training
Muscle Training
Frequency 3-5 days a week 2 sessions per week
Intensity 40-85% Depends
Time 20-40 min 1-3 sets of 8-12
Type Stationary bike, arm
ergometer, walks or
wheel chair pushes
Free weights or
weight machines
10. FITT model for CP
• “Guidelines for exercise training for persons with chronic diseases and
disabilities such as CP have been suggested:
• 1. For the person with CP, aerobic capacity and endurance can be
enhanced through exercise done at 40-85 percent peak VO2 or HR
reserve for 20-40 minutes per session, three to five days a week.
• 2. If the person is ambulatory, a stationary bicycle may be used, while an
arm ergometer is recommended if the person is in a wheelchair.
• 3. Endurance training is best done through six-to-fifteen minute walks or
wheelchair pushes, twice weekly or more often if possible.
• 4. Strength can be enhanced through the use of free weights or weight
machines doing one, two or three sets of 8-12 repetitions, two sessions
per week.
• 5. Flexibility exercises should be done for all involved and uninvolved
joints before and after all types of exercise” (ACSM).
11. Jared Horomona
• This 30-year-old from New
Zealand loves a challenge.
• Having cerebral palsy, his
lack of coordination and
strength in his hands adds
to the difficulty of working
with weights and other
active sports.
• He has completed the New
York City Marathon twice,
on his crutches.
• Jared also dropped body fat
while gaining muscle -
(“Body For Life”).
http://bodyforlife.com/success-stories/jared-horomhttp://bodyforlife.com/success-stories/jared-horom
12. Resources:
• ACSM
• "Success Stories." Body For Life. EAS, 2012. Web. 17 Apr 2012.
<http://bodyforlife.com/success-stories/jared-horomona>.
• . "Alternative Therapy for Babies with Cerebral Palsy & Other Gross
Motor Disorders." Euro-Peds. Euro-Peds, 2010. Web. 17 Apr 2012.
<http://www.europeds.org/alternative-therapy-babies.php>.
• Blanchard, Y.. Health-related fitness for children and adults with
cerebral palsy . N.p., n.d. Web. 17 Apr 2012.
<http://www.acsm.org/docs/current-comments/health-
relatedfitnessforcawithcp.pdf>.