This document discusses range of motion (ROM) exercises including self-assisted ROM, wand exercises, continuous passive motion (CPM), and ROM through functional patterns. Self-assisted ROM uses the uninvolved extremity to move the involved extremity and can be done manually, with equipment, or using reciprocal motion devices. Wand exercises provide guidance for shoulder and elbow ROM. CPM machines passively move a joint through a controlled ROM post-surgery to prevent stiffness and adhesions. Early ROM training focuses on functional patterns like eating, reaching, and dressing.
Active movements are the movements that an individual performs voluntarily in his/her routine to accomplish the tasks.
This presentation includes all the required information that a first year BPT student should know.
Hope it helps to whosoever refers these slides.
Extensor mechanism of finger, very easy notes. Referred from cynthia norkin. In this ppt in last two slides u can see the identify the parts. Its like a quiz for candidates who studying this ppt. They can able to know that how well they prepared this topic.
Thank you, From Liki pedia
(A student physiotherapist)
Active movements are the movements that an individual performs voluntarily in his/her routine to accomplish the tasks.
This presentation includes all the required information that a first year BPT student should know.
Hope it helps to whosoever refers these slides.
Extensor mechanism of finger, very easy notes. Referred from cynthia norkin. In this ppt in last two slides u can see the identify the parts. Its like a quiz for candidates who studying this ppt. They can able to know that how well they prepared this topic.
Thank you, From Liki pedia
(A student physiotherapist)
As a general term, traction means pulling on part of the body.
Most often, traction uses mechanical force (sometimes generated by weights and pulleys) to put tension on a displaced bone or joint, such as a dislocated shoulder, to put it back in position and keep it still. In the medical field, traction refers to the practice of slowly and gently pulling on a fractured or dislocated body part. It’s often done using ropes, pulleys, and weights. These tools help apply force to the tissues surrounding the damaged area.
Gait, Phases of Gait, Kinamatics and kinetics of gaitSaurab Sharma
Intended for BPT 1st year undergraduate students.
Acknowledgement: Swathi Ganesh, my classmate during MPT prepared the slide which I modified for the purpose of teaching students.
As a general term, traction means pulling on part of the body.
Most often, traction uses mechanical force (sometimes generated by weights and pulleys) to put tension on a displaced bone or joint, such as a dislocated shoulder, to put it back in position and keep it still. In the medical field, traction refers to the practice of slowly and gently pulling on a fractured or dislocated body part. It’s often done using ropes, pulleys, and weights. These tools help apply force to the tissues surrounding the damaged area.
Gait, Phases of Gait, Kinamatics and kinetics of gaitSaurab Sharma
Intended for BPT 1st year undergraduate students.
Acknowledgement: Swathi Ganesh, my classmate during MPT prepared the slide which I modified for the purpose of teaching students.
Traction: a basic physiotherapy modality used for inducing space between the joints. this slideshow deals with various types of traction and its application to cervical, thoracic and lumbar spine.
Rehabilitation of dominant upper limb amputationJoe Antony
Hand dominance is the preferential use of one hand over the other for motor tasks.
90% of people are right-hand dominant, and the majority of injuries (acute and cumulative trauma) occur to the dominant limb, creating a double-impact injury whereby a person is left in a functional state of single-handedness and must rely on the less dexterous, non-dominant hand.
When loss of dominant hand function is permanent, a forced shift of dominance is termed injury-induced hand dominance transfer
There are innate differences in dexterity influenced by hand dominance.
Although most activities are accomplished bimanually, the dominant hand acts as the more dexterous, main executor while the non-dominant hand acts as supporter.
In the context of rehabilitation, permanent loss of dexterity in dominant hand is more devastating because dexterity skill previously endowed to dominant hand must be transferred to non-dominant hand
Persons with unilateral dexterity loss of the dominant limb have two challenges
they are forced to complete two handed tasks with one hand.
the remaining limb, which primarily functioned as the supporting limb, must assume dexterity responsibilities of the dominant limb.
Hand dominance is therefore a critical factor related to rehabilitation addressing dexterity of persons with upper limb injuries.
Persons with unilateral dexterity loss of the dominant limb have two challenges
they are forced to complete two handed tasks with one hand.
the remaining limb, which primarily functioned as the supporting limb, must assume dexterity responsibilities of the dominant limb.
Hand dominance is therefore a critical factor related to rehabilitation addressing dexterity of persons with upper limb injuries.
Persons with unilateral dexterity loss of the dominant limb have two challenges
they are forced to complete two handed tasks with one hand.
the remaining limb, which primarily functioned as the supporting limb, must assume dexterity responsibilities of the dominant limb.
Hand dominance is therefore a critical factor related to rehabilitation addressing dexterity of persons with upper limb injuries.
Leading cause of upper limb amputations is trauma occurring in males ages 15-25 years,
Most of traumatic amputation happen on dominant limb
vascular complications of diseases.
No limb prefernces
cancer/tumors (common cause of more proximal amputations such as a shoulder disarticulation or forequarter amputation)
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Stem Cell Solutions: Dr. David Greene's Path to Non-Surgical Cardiac CareDr. David Greene Arizona
Explore the groundbreaking work of Dr. David Greene, a pioneer in regenerative medicine, who is revolutionizing the field of cardiology through stem cell therapy in Arizona. This ppt delves into how Dr. Greene's innovative approach is providing non-surgical, effective treatments for heart disease, using the body's own cells to repair heart damage and improve patient outcomes. Learn about the science behind stem cell therapy, its benefits over traditional cardiac surgeries, and the promising future it holds for modern medicine. Join us as we uncover how Dr. Greene's commitment to stem cell research and therapy is setting new standards in healthcare and offering new hope to cardiac patients.
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Prevention Strategies: Education, healthy coping mechanisms, community support, and policies are vital in preventing substance use.
Harm Reduction Strategies: Safe use practices, medication-assisted treatment, and naloxone availability aim to reduce harm.
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Personal Stories: Real stories of recovery emphasize hope and resilience.
Interactive Q&A: Engage the audience and encourage discussion.
Conclusion: Recap key points and emphasize the importance of awareness, prevention, and seeking help.
Resources: Provide contact information and links for further support.
Rate Controlled Drug Delivery Systems, Activation Modulated Drug Delivery Systems, Mechanically activated, pH activated, Enzyme activated, Osmotic activated Drug Delivery Systems, Feedback regulated Drug Delivery Systems systems are discussed here.
KEY Points of Leicester travel clinic In London doc.docxNX Healthcare
In order to protect visitors' safety and wellbeing, Travel Clinic Leicester offers a wide range of travel-related health treatments, including individualized counseling and vaccines. Our team of medical experts specializes in getting people ready for international travel, with a particular emphasis on vaccines and health consultations to prevent travel-related illnesses. We provide a range of travel-related services, such as health concerns unique to a trip, prevention of malaria, and travel-related medical supplies. Our clinic is dedicated to providing top-notch care, keeping abreast of the most recent recommendations for vaccinations and travel health precautions. The goal of Travel Clinic Leicester is to keep you safe and well-rested no matter what kind of travel you choose—business, pleasure, or adventure.
Dr. David Greene R3 stem cell Breakthroughs: Stem Cell Therapy in CardiologyR3 Stem Cell
Dr. David Greene, founder and CEO of R3 Stem Cell, is at the forefront of groundbreaking research in the field of cardiology, focusing on the transformative potential of stem cell therapy. His latest work emphasizes innovative approaches to treating heart disease, aiming to repair damaged heart tissue and improve heart function through the use of advanced stem cell techniques. This research promises not only to enhance the quality of life for patients with chronic heart conditions but also to pave the way for new, more effective treatments. Dr. Greene's work is notable for its focus on safety, efficacy, and the potential to significantly reduce the need for invasive surgeries and long-term medication, positioning stem cell therapy as a key player in the future of cardiac care.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
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International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
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This document is designed as an introductory to medical students,nursing students,midwives or other healthcare trainees to improve their understanding about how health system in Sri Lanka cares children health.
17. Self assisted ROM
• After surgery or traumatic injury, self-assisted ROM (S-
AROM) is used to protect the healing tissues when more
intensive muscle contraction is contraindicated.
• Self-Assistance
• With cases of unilateral weakness or paralysis or during
early stages of recovery after trauma or surgery, the
patient can be taught to use the uninvolved extremity to
move the involved extremity through ranges of motion.
18. • These exercises may be done supine, sitting, or
standing. The effects of gravity change with patient
positioning, so when lifting the part against gravity,
gravity provides a resistive force against the prime
motion, and therefore, the prime mover requires
assistance. When the extremity moves downward,
gravity causes the motion, and the antagonists need
assistance to control the motion eccentrically.
19. • Forms of Self-Assisted ROM
• ■ Manual
• ■ Equipment
• ■ Wand or T-bar
• ■ Finger ladder, wall climbing, ball rolling
• ■ Pulleys
• ■ Skate board/powder board
• ■ Reciprocal exercise devices
20. • Guidelines for Teaching Self-Assisted ROM
• ■ Educate the patient on the value of the motion.
• ■ Teach the patient correct body alignment and stabilization.
• ■ Observe patient performance and correct any substitute or
unsafe motions.
• ■ If equipment is used, be sure all hazards are eliminated for
application to be safe.
• ■ Provide drawings and clear guidelines for number of
repetitions and frequency.
• Review the exercises at a follow-up session. Modify or
progress the exercise program based on the patient response
and treatment plan for meeting the outcome goals.
27. Wand (T-Bar) Exercises
• When a patient has voluntary muscle control in an involved upper
extremity but needs guidance or motivation to complete the ROM in
the shoulder or elbow, a wand (dowel rod, cane, wooden stick, T-
bar, or similar object) can be used to provide assistance .
• The choice of position is based on the patient’s level of function.
Most of the techniques can be performed supine if maximum
protection is needed. Sitting or standing requires greater control.
• Choice of position is also guided by the effects of gravity on the
weak muscles.
• Initially, guide the patient through the proper motion for each activity
to ensure that he or she does not use substitute motions.
• The patient grasps the wand with both hands, and the normal
extremity guides and controls the motions.
33. Continuous Passive
Motion
• Continuous passive motion (CPM) refers to passive
motion performed by a mechanical device that moves a
joint slowly and continuously through a controlled ROM.
The mechanical devices that exist for nearly every joint
in the body.
34. USES OF CPM
• Total knee replacement
• ACL tear repair
• Tibial plateau fracture
• Patellar realignment
35. Benefits of CPM
• ■ Prevents development of adhesions and contractures
and thus joint stiffness.
• ■ Provides a stimulating effect on the healing of tendons
and ligaments.
• ■ Enhances healing of incisions over the moving joint
• ■ Increases synovial fluid lubrication of the joint and thus
increases the rate of intra-articular cartilage healing and
regeneration.
• ■ Prevents the degrading effects of immobilization
• ■ Provides a quicker return of ROM
• ■ Decreases postoperative pain
36. General Guidelines for
CPM
• 1. The device may be applied to the involved extremity
immediately after surgery while the patient is still under
anesthesia or as soon as possible if bulky dressings
prevent early motion.
• 2. The arc of motion for the joint is determined. Often a
low arc of 20° to 30° is used initially and progressed 10°
to 15° per day as tolerated. The portion of the range
used initially is based on the range available and patient
tolerance.
37. • 3. The rate of motion is determined; usually 1 cycle/45
sec or 2 min is well tolerated.
• 4. The amount of time on the CPM machine varies for
different protocols—anywhere from continuous for 24
hours to continuous for 1 hour three times a day. The
longer periods of time per day reportedly result in a
shorter hospital stay, fewer postoperative complications,
and greater ROM at discharge.
38. • 5. Physical therapy treatments are usually initiated during
periods when the patient is not on CPM, including active
assistive and muscle-setting exercises. It is important that
patients learn to use and develop motor control of the ROM
as motion improves.
• 6. The duration minimum for CPM is usually less than 1 week
or when a satisfactory range of motion is reached. Because
CPM devices are portable, home use is possible in cases in
which the therapist or physician deems additional time would
be beneficial. In these cases, the patient, a family member, or
a caregiver is instructed in proper application.
39. • 7. CPM machines are designed to be adjustable, easily
controlled, versatile, and portable. Some are battery
operated (with rechargeable batteries) to allow the
individual to wear the device for up to 8 hours while
functioning with daily activities.
42. ROM Through Functional
Patterns
Early ROM training for functional upper extremity and neck patterns may
include activities such as:
■ Grasping an eating utensil; utilizing finger extension and flexion
■ Eating (hand to mouth); utilizing elbow flexion and forearm supination
and some shoulder flexion, abduction, and lateral rotation.
■ Reaching to various shelf heights; utilizing shoulder flexion and elbow
extension.
■ Brushing or combing back of hair; utilizing shoulder abduction and lateral
rotation, elbow flexion, and cervical rotation.
■ Holding a phone to the ear; shoulder lateral rotation, forearm supination,
and cervical side bend.
■ Donning or doffing a shirt or jacket; utilizing shoulder extension, lateral
rotation, elbow flexion and extension.
■ Putting on socks and shoes; utilizing hip external rotation and abduction,
knee flexion and ankle dorsi and plantarflexion, and trunk flexion.