muscle re_education by chintu.pptx

Explanation of how to reeducate the muscles in our human body

1. Muscle Re-education Shankar

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 to develop motor awareness to develop voluntary motor control 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 diseases causing subnormal voluntary control LMNL dyskinetic movements UMNL after prolonged immobilization or disuse after tendon transfer or transplantation after arthroplasty

5. Efficacy of any exercise depends on... if the patient is medically able to safely exercise if the patient is able to understand and follow directions 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 Activation Strength Co-ordination Endurance

8. Grade 0 splinting passive movements muscle stimuation

9. quick stretching quick icing quick brushing hacking faciltatory techniques - joint approximation, weight bearing

10. Grade 1-2 - previous exercises + suspension therapy re-education board mirror therapy hydrotherapy assisted exercises

11. 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

12. The end💥