Some Exercises Suitable For Class Work To Increase Mobility And Power In: -

Neck and Spine.

Shoulder.

Elbow.

Wrist and Fingers.

Hip.

Knee.

Ankle and Toes.

N.B. - Weight and Pulley Exercises. - I. With an assistive movement, when the weights used more than balance the weight of the limb to be raised, the movement is relaxed.

By removing the weights a relaxed movement becomes assistive and, finally, a resistive against gravity when no weights are used.

By changing the position of the patient or using a different pulley an assistive movement may become a resistive.

2. Patients with musculo-spiral paralysis should stand with their back to the ladder (see Fig. 143, p. 329).

Neck and Spine. Free Exercises.

Head flexion forward, backward or sideways.

Head rotation and rolling.

Relaxed stoop stride standing: - Trunk raising.

Stretch stride standing: - Trunk bending forward and downward.

Wing standing: - Trunk bending forward, backward or sideways.

Wing standing: - Trunk rotation and rolling.

Yard stride standing: - Trunk twisting (quick).

Standing, stoop standing or lunge standing: - Arm stretchings.

Back against wall standing: - Back stretching.

Grasp crook sitting: - Neck and back stretching.

Prone lying, pole grasped behind back: - Trunk raising.

Caterpillar crawling.

Creeping exercises (Klapp).

Breathing exercises (with or without arm movements).

Breathing exercises under tension (see Fig. 150, p. 434).

Ladder Exercises.

Suspending: - Head flexion backward. Hanging, back against ladder: - Knee raising.

Grasp crook sitting, back against ladder and knees strapped:

- Chest raising. Foot grasp prone lying: - Trunk raising (with or without arm movements). Foot grasp prone lying: - Trunk raising and turning. Stretch grasp lying: - Leg raising. Hanging, back against ladder: - Fall to arch.

Weight and Pulley Exercises.

Standing with back to ladder, top or bottom pulley: - Arm work in all directions. Standing, face to ladder, middle pulley: - Arm parting. Combined weight and pulley and sliding seat (see Fig. 149, p. 405). Nautical Wheel.

Facing wheel, double grasp, for lateral trunk work.

Shoulder. Free Exercises.

Elbows flexed: - Arm raising sideways. Yard lying: - Arm raising sideways. Lying: - Arm rotation.

Sitting: - Arm raising sideways and rotation. Standing: - Arm raising sideways, and rotation. Standing: - Alternate arm swinging forward and backward. Standing: - Alternate arm swinging in front and behind chest. Arm stretching in all directions. Bend standing: - Elbow circling. Standing: - Arm circling. Standing: - Shoulder shrugging. Standing or stoop standing: - Arm swimming. Prone lying: - Trunk raising (with or without arm movements). Folding arms behind back. Prone falling.

Reach grasp standing: - Heel raising and knee bending. Creeping with fingers up fixed pole or up wall, standing facing or sideways (cf. Figs. 100 - 102, pp. 234, 235).

Creeping as above and then holding the arm up without support. Stretch grasp lying: - Leg raising. Climbing up with hands and feet. Hanging, facing the ladder. Hanging, back to the ladder. Hanging, back to ladder, heels in: - Fall to arch.

Sitting or standing, back to ladder: - Arm drawing up with sound arm, using single rope over top pulley. Lying, sitting or standing, side towards ladder, top pulley: -

Assistive arm abduction and resistive adduction (Fig. 58, p. III). Repeat the above, gradually decreasing the weights. Standing with working arm away from ladder, bottom pulley: - Resistive arm abduction, assistive adduction (Fig. 59, p. 113). Repeat the above, gradually adding weights. Facing or back to ladder: - Arm work in all directions.

Nautical Wheel.

Facing sideways or back towards: - Double or single arm work. Facing and grasping with one hand: - Turn under arm and stand with back towards wheel.

Wrist Machine.

Sitting sideways: - Arm rotation (Fig. 61, p. 115).

Exercises with Various Apparatus.

Double grasp pole exercises in all directions.

Single grasp pole exercise for rotation.

Indian club swinging in all directions.

Ball or bean-bag throwing, under arm and over arm.

Skipping, turning rope forwards or backwards.

Elbow.

Free Exercises Standing: - Arm stretching in all directions. Yard standing: - Arm bending forward and flinging. Neck rest standing: - Arm flinging sideways.

Hands clasped, standing: - Arm raising to head rest and neck rest. Hands clasped behind back, prone lying: - Trunk raising. Prone-falling position.

Prone-falling: - Arm bending and stretching. Arm resting on inclined plank: - Elbow extension up the slope.

Reach grasp high standing: - Arm bending and stretching (Fig. 92, p. 204). Bend grasp toe fall standing: - Arm stretching. Stretch grasp high curtsey half standing: - Arm bending and knee stretching. Hand travelling (hands in pronation or supination).

Facing ladder, top pulley, straight pull with sound hand over injured one, elbows close to sides (Fig. 103, p. 236). Back to ladder, middle pulley, arm pronated or supinated: -

Assistive arm flexion and resistive extension (Fig. 98, p. 232). Facing ladder, middle or bottom pulley: - Resistive arm flexion and assistive extension (Fig. 99, p. 233).

Wrist Machine Exercises.

Pronation and supination either free or with weights (Fig. 66, p. 135).

Nautical Wheel Exercises.

Standing facing wheel or sideways working with one or both hands.

Exercises on various Apparatus.

Indian club swinging in all directions.

Double grasp pole exercises in all directions.

Single grasp pole exercise for rotation (Figs. 70 and 71, pp. 139 and 140). Ball and bean-bag throwing. Quoits. Skipping.

Wrist and Fingers. Free Exercises.