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Universal Exercise Unit Part I

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<strong>Universal</strong> <strong>Exercise</strong> <strong>Unit</strong><br />

Training Course<br />

©2006TheraMedia


<strong>Universal</strong> <strong>Exercise</strong> <strong>Unit</strong> <strong>Part</strong> I<br />

Pulley and suspension system<br />

Table of Contents<br />

<strong>Universal</strong> <strong>Exercise</strong> <strong>Unit</strong> <strong>Part</strong> I<br />

Pulley and Suspension System<br />

3<br />

<strong>Universal</strong> <strong>Exercise</strong> <strong>Unit</strong> <strong>Part</strong> II<br />

Upper Extremities <strong>Exercise</strong>s<br />

39<br />

<strong>Universal</strong> <strong>Exercise</strong> <strong>Unit</strong><br />

SPIDER<br />

<strong>Part</strong> III<br />

93<br />

<strong>Universal</strong> <strong>Exercise</strong> <strong>Unit</strong><br />

Additional Applications<br />

<strong>Part</strong> IV<br />

135<br />

Beginning Position<br />

Goals<br />

Movement<br />

Special Considerations<br />

©2006TheraMedia 2


<strong>Universal</strong> <strong>Exercise</strong> <strong>Unit</strong> <strong>Part</strong> I<br />

Reciprocal knee extension<br />

Pulley and suspension system<br />

<strong>Exercise</strong><br />

8<br />

Beginning Position<br />

Goals<br />

Supine with both lower extremities in neutral<br />

position. Upper extremities along side the body.<br />

Establish normal gait pattern.<br />

Teach reciprocation and coordinated movement.<br />

Other goals as in exercise #1.<br />

Movement<br />

Special Considerations<br />

Reciprocating hip and knee flexion followed<br />

by hip and knee extension with resistance.<br />

Assure fluent movement.<br />

©2006TheraMedia 11


<strong>Universal</strong> <strong>Exercise</strong> <strong>Unit</strong> <strong>Part</strong> II<br />

Unilateral shoulder adduction<br />

Upper extremities exercises<br />

<strong>Exercise</strong><br />

17<br />

Beginning Position<br />

Goals<br />

Sitting with exercised upper extremity abducted<br />

to 90 degrees.<br />

To improve range of motion of the shoulder.<br />

Strengthening: shoulder adductors.<br />

Movement<br />

Special Considerations<br />

Unilateral shoulder adduction with resistance<br />

followed by controlled, slow abduction.<br />

Use to target specific deficits in range of motion<br />

and upper extremity strength.<br />

©2006TheraMedia 56


<strong>Universal</strong> <strong>Exercise</strong> <strong>Unit</strong> <strong>Part</strong> II<br />

Upper extremity exercises<br />

Reciprocation: upper extremity fl exion and lower extremity extension<br />

<strong>Exercise</strong><br />

32<br />

Beginning Position<br />

Goals<br />

Quadruped position with trunk suspended.<br />

Weight bearing on upper extremities.<br />

Movement<br />

Preparation for creeping. To improve: shoulder<br />

and core stabilization.<br />

Strengthening: hip extensors, shoulder flexors,<br />

head and trunk extensors.<br />

Special Considerations<br />

Heterolateral hip extension, shoulder flexion<br />

Elbow immobilizers strongly recommended.<br />

©2006TheraMedia 71


<strong>Universal</strong> <strong>Exercise</strong> <strong>Unit</strong> <strong>Part</strong> II<br />

Trunk rotation<br />

Upper extremity exercises<br />

<strong>Exercise</strong><br />

48<br />

Beginning Position<br />

Goals<br />

Sit facing the side wall in the universal exercise<br />

unit. Trunk rotated to the right. Elbow flexed to<br />

90 degrees with hands cupped together.<br />

Stretching: trunk rotators.<br />

Strengthening: trunk rotators.<br />

Movement<br />

Special Considerations<br />

Trunk rotation to the left with resistance.<br />

Pelvis and lower extremities may need to be<br />

stabilized to obtain isolated trunk rotation.<br />

©2006TheraMedia 87


<strong>Universal</strong> <strong>Exercise</strong> <strong>Unit</strong> <strong>Part</strong> III<br />

SPIDER<br />

<strong>Exercise</strong><br />

16<br />

Creeping<br />

Beginning Position<br />

Goals<br />

Quadruped position.<br />

Movement<br />

Preparation for crawling and creeping.<br />

To improve: coordination, core stabilization.<br />

Strengthening: elbow extensors, shoulder<br />

flexors and hip extensors.<br />

Special Considerations<br />

Pattern movement for creeping:<br />

1. right shoulder flexion<br />

2. left hip extension<br />

3. left shoulder flexion<br />

4. right hip extension.<br />

Elbow immobilizers can be used.<br />

©2006TheraMedia 109


<strong>Universal</strong> <strong>Exercise</strong> <strong>Unit</strong> <strong>Part</strong> III<br />

SPIDER<br />

Hip extension / fl exion<br />

<strong>Exercise</strong><br />

32<br />

Beginning Position<br />

Goals<br />

High kneeling on the bolster.<br />

Stretching: hip flexors.<br />

Strengthening: hip and trunk extensors and<br />

hip flexors.<br />

Movement<br />

Special Considerations<br />

Hip extension/flexion.<br />

Provide hip abduction with cases of hip<br />

subluxation.<br />

©2006TheraMedia 125


<strong>Universal</strong> <strong>Exercise</strong> <strong>Unit</strong> <strong>Part</strong> IV<br />

Additional applications<br />

©2006TheraMedia 136

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