Flexibility Activity

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Flexibility Activity

• How far am I suppose to go? Click here
• The objective of Range of motion exercises is to
  introduce, describe, and teach range of motion
  exercise. Range of Motion is a key in the
  caregivers plan toward maximum recovery and
  independence. One of the goals of patient care is
  to maximize independence in performing activities
  of daily living (ADL). Performance of normal
  daily activities does not always maintain a full
  Range of motion, nor is a full range of motion
  necessary to most patients performance of ADLs.
  Full range of motion may not be achieved by all
  of the exercises in this book.
• Loeper J. Range of Motion Exercises Minneapolis
  Sister Kenny Institute 1985 p.4
• Not everyone is capable of moving a joint
  through the same range of motion. The
  individuals range of motion is affected by many
  factors genetic make-up, developmental pattern,
  the presence or absence of disease processes, and
  the amount and type of physical activity in which
  they normally engage.
• Days required to recover range of motion
  increase geometrically with the length of
  immobilization for example, three weeks of
  immobilization may require a year for full
  recovery of previous range.
• Talbot, Pearson, and Loeper. Disuse Syndrome The
  preventable Disability, Minneapolis Sister Kenny
  Institute, 1978, p.8.

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How to

• Line of Pull
• Vs
• Spread the Wealth

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Joint Play
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Mechanical and Dynamic Properties of Soft Tissues

• Elasticity, Hookes Law and states that there is
  a constant or proportional arithmetical
  relationship between force and elongation. The
  elastic element must have full recovery and
  regain its exact original dimensions from the
  deformation
• Plasticity is the property of a material to
  permanently deform when it is loaded beyond its
  elastic range (e.g.modeling clay)
• Viscosity is the property of materials to
  resist loads that produce shear and flow

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Mechanical and Dynamic Properties of Soft Tissues
cont

• Most biological materials are neither perfectly
  elastic nor perfectly plastic, they exhibit a
  combination of properties referred to as
  Viscoelasticity
• Hysteresis is a phenomenon associated with energy
  loss exhibited by viscoelastic materials when
  they are subjected to loading and unloading cycles

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• When a resting muscle is suddenly stretched and
  held at a constant length, after a period of time
  there is a slow loss of tension
  stress-relaxation
• In contrast the lengthening that occurs when a
  constant force or load is applied is called creep

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Methods of facilitating muscular relaxation

• Static
• PNF
• Massage
• Manipulation
• Heat
• Cold
• Meridian Trigger Points

• Breathing and patterns
• Eye positioning

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• Ballistic
• Active
• Passive
• PNF
• Muscle energy techniques
• Similar to methods of PNF, however 20-25 effort
• A new one

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Types and Varieties of StretchingProprioceptive
Neuromuscular Facilitation types

• Repeated contractions RC isotonic agonistic
  fatigue
• Rhythmic Initiation RI relax/passive/contract
• Slow reversal SR isotonic antagonists/agonists
• Slow reversal hold SRH - isotonic antagonists/
  isometric agonists
• Rhythmic Stabilization RG isometric
  agonist/isometric antagonist
• Contract-Relax CR max isotonic antagonist
  (w/resistance) / passive stretch
• Contract-Relax agonist contract CRAC CR plus
  agonist con. contracted
• Hold-Relax HR isometric antagonist / active
  stretch
• Slow reversal-Hold-Relax SRHR isotonic
  antagonist isometric antagonist /relax/isotonic
  agonist
• Agonistic Reversal AR isotonic ROM w/resistance
  / ecc./con. repeats

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Swiss Ball

• Why?
• Stability
• Range of motion

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Basic Positions

• Table top
• Hip Extension
• Seated