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Muscle Re-education
Shankar
• it is the regaining of the normal or near normal functioning of an
injured or a denervated muscle or a muscle with a lack of control by
appropriate therapeutic techniques
Aims
1. to develop motor awareness
2. to develop voluntary motor control
3. to develop strength and endurance in patterns of movement that
are necessary, safe and acceptable
but some degree of strength and endurance are necessary to develop
motor awareness and voluntary motor control
Indications
1. diseases causing subnormal voluntary control
2. LMNL
3. dyskinetic movements
4. UMNL
5. after prolonged immobilization or disuse
6. after tendon transfer or transplantation
7. after arthroplasty
Efficacy of any exercise depends on...
1. if the patient is medically able to safely exercise
2. if the patient is able to understand and follow directions
3. if the patient is interested in his own recovery
Pre-requisites for muscle re-education
Patient evaluation:
• History
• ROM
• MMT
• Functional testing
• Sensory testing
Muscle re-education should follow a certain order
1. Activation
2. Strength
3. Co-ordination
4. Endurance
Grade 0
• splinting
• passive movements
• muscle stimuation
• quick stretching
• quick icing
• quick brushing
hacking
• faciltatory techniques -
joint approximation,
weight bearing
Grade 1-2 - previous
exercises +
• suspension therapy
• re-education board
• mirror therapy
• hydrotherapy
• assisted exercises
Grade 2-3
• active exercises
eliminating gravity
• active assisted
exercises against
gravity
• reeducation board
• hydrotherapy
• pulleys
Grade 3-4
• progressive resisted
exercises
• hydrotherapy,
pulleys, sand bags,
weight cuffs
• manual resistance
exercises, therabands
• lower limb functional
exercises
Grade 4-5
• all the previous
exercises
increasing
resistance
gradually
• endurance
training
The end💥

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muscle re_education by chintu.pptx

  • 2. • it is the regaining of the normal or near normal functioning of an injured or a denervated muscle or a muscle with a lack of control by appropriate therapeutic techniques
  • 3. Aims 1. to develop motor awareness 2. to develop voluntary motor control 3. to develop strength and endurance in patterns of movement that are necessary, safe and acceptable but some degree of strength and endurance are necessary to develop motor awareness and voluntary motor control
  • 4. Indications 1. diseases causing subnormal voluntary control 2. LMNL 3. dyskinetic movements 4. UMNL 5. after prolonged immobilization or disuse 6. after tendon transfer or transplantation 7. after arthroplasty
  • 5. Efficacy of any exercise depends on... 1. if the patient is medically able to safely exercise 2. if the patient is able to understand and follow directions 3. if the patient is interested in his own recovery
  • 6. Pre-requisites for muscle re-education Patient evaluation: • History • ROM • MMT • Functional testing • Sensory testing
  • 7. Muscle re-education should follow a certain order 1. Activation 2. Strength 3. Co-ordination 4. Endurance
  • 8.
  • 9. Grade 0 • splinting • passive movements • muscle stimuation
  • 10. • quick stretching • quick icing • quick brushing hacking • faciltatory techniques - joint approximation, weight bearing
  • 11. Grade 1-2 - previous exercises + • suspension therapy • re-education board • mirror therapy • hydrotherapy • assisted exercises
  • 12. Grade 2-3 • active exercises eliminating gravity • active assisted exercises against gravity • reeducation board • hydrotherapy • pulleys Grade 3-4 • progressive resisted exercises • hydrotherapy, pulleys, sand bags, weight cuffs • manual resistance exercises, therabands • lower limb functional exercises Grade 4-5 • all the previous exercises increasing resistance gradually • endurance training
  • 13.
  • 14.