Para and Tetra WC, Stretching, and More Mat Activities

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  1. Hamstrings stretch
    • Can do it in long-sitting
    • -Can rest elbows on knees to assist in keeping the lower extremities straight
    • Can do supine
    • -Pt places hands under knee and pull the knee back while laying into a supine position
    • -If patient lacks grasp ability can use back of wrist or forearm to bring leg back.
  2. Glute Max Stretch
    • In long sitting
    • Patient uses one hand for support and other hand to pull one knee to chest
    • Once leg is pulled back pt can use both hands and grasp the shin and knee and pull leg into trunk
  3. Hip Flexors (prone lying)
    • Lay prone
    • Go PoE
    • Can progression by coming up onto arms while keeping pelvis on mat
  4. Adduction/IR stretch or Abduction/ER
    • Long sitting
    • Bring knee up into flexed position
    • With the unsupporting arm push into¬†Abduction/ER or¬†Adduction/IR
  5. Gastroc Stretch
    • Long sitting
    • Supported by the same UE as the foot the pt is stretching
    • Leg kept straight
    • Use a folded towel around the plantar surface of foot
    • Pt pulls the towel stretching the gastroc
  6. Soleus Stretch
    • Pt supports himself with arm on same side of leg being stretched
    • Bend knee at 90
    • Can pull into DF. Hand placement varies based on amount of wrist/hand control
  7. Sitting Swing-Through
    • Long sitting
    • Pt's hands should be approximately 6 inches behind hips
    • Pt depresses shoulders and extends elbows lifting the butt
    • Pt swings hips back between there hands
    • Patient flexes head to help lift butt
  8. Hip Swayer
    • Long sitting
    • One hand close to hips other hand about 6inches away
    • Flex head away from direction hips are trying to move to raise butt
    • Pt raises buttocks and moves hips toward the further away hand
  9. Trunk twist and raise
    • Long sitting
    • Bend both legs and drop to side
    • Both arms same side as legs, hands close to hips
    • Rock onto hands and knees
    • Straighten arms to raise into 4pt
    • Keep feet inline under body
    • Pelvis not stable so keep eye on and use gait belt
  10. Creeping
    • 4 point position
    • Alternately advance one UE followed by opposite LE
  11. Tall Kneeling
    • Assume 4 point
    • Creep or assistant pulls legs forward to chair/bolster
    • Patient pulls on chair into tall kneeling
    • Keep pelvis forward to avoid jack knifing
    • Pt rests on Y-ligaments
  12. WC Proper Falling
    • Arms on lap, one holding onto chair to prevent legs hitting face
    • Bend trunk/head forward
  13. Kneeling return to chair
    • Lock WC
    • Turn up right
    • Slide or drag WC so it's facing pt.
    • Assume tall kneeling position
    • In one motion push up into chair and twist body into chair.
    • Use of neck flexion to help pull butt up and around
  14. Stool return to chair
    • Lock WC
    • Slide/drag WC and position self so back is facing WC
    • Position stool between self and WC
    • Do push up onto stool then onto WC
    • Flex head forward to help raise butt
  15. Righting while seated
    If patient is strong enough they can remain seated in WC and push themselves back upright
  16. WC to standing in // bars
    • Roll WC into // bars
    • Pt lifts butt and comes to edge of WC
    • Lock orthotics
    • Pt places hands on bars
    • Put feet in front of pt's feet to prevent sliding
    • Grab gait belt and tell pt to pull up and provide assistance
    • Keep guard at the gait belt and shoulder
    • When returning to WC keep orthoses locked
  17. Balance in // bars
    Once standing in // bars toss a ballon or find another way to safely challenge balance
  18. Push ups in // bars
    • Pt comes to edge of wc
    • ?Orthotics unlocked?
    • Pt puts legs on bars, if necessary provide help
    • Progress from both arms on WC arms> 1 arm on wc and 1 arm on // bar> both hands onto bars
  19. Swing to/thru in // bars
    • Always keep shoulder and gait belt contact
    • Instruct patient to stay back on Y ligaments
    • Let patient find balance
    • Safely demonstrate a jack knife to patient
    • Pt tucks head and pushes down on the crutches to swing thru
    • Once swung thru pt lifts head and resumes a lordotic posture
  20. Standing from WC with crutches
    • Pt places crutches behind WC resting on the push handles
    • Pt moves to edge of WC (do mini push ups rather than dragging to avoid shearing)
    • Lock orthoses
    • Cross one leg over the over
    • Patient pivots over the fixed foot and pushes up to standing
    • Holding onto the WC armrest the patient secures one crutch, positions it, and then secures the second crutch.
    • Patient then walks back crutches and rests on Y ligs
  21. Return to WC with crutches
    • Reverse of getting up
    • Face WC
    • One at a time place crutches behind WC supporting self at WC arms
    • Patient unlocks one knee joint and rotates over into chair
  22. Falling with crutches/return to standing
    • Throw crutches so that you don't land on them
    • Assume prone position
    • Position tips of cane at head with handles near hips
    • Make sure orthoses are locked
    • Walk torso up
    • Reach for one crutch, use it for balance. Rest the crutch on shoulder
    • While using crutch as support reach for other crutch and position it on forearm
    • Regain balance and push up with crutches
Card Set:
Para and Tetra WC, Stretching, and More Mat Activities
2013-10-16 02:55:46
PTA 210 Neuro

2nd page of check offs
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