EOS therapeutic exercises Flashcards
(19 cards)
50 year old, with right rotator cuff repair, grade 3 assessment, ROM is limited to 45 degrees.
prescribe an exercise to increase strength of right shoulder internal rotator muscles
muscle = subscapularis
8 x internal rotation exercise using light TheraBand, 3 sets with 2 minutes rest, 3 times a week.
progression = increase reps to
19 year old, fractured right scaphoid bone, currently 11 weeks post injury, pain free full PROM and AROM
improve wrist extensor muscles
- Prescription – 8 reps, 3 sets, 2 minutes rest, 3 times a week.
Sit in a chair placed next to a table, tie light a TheraBand to leg of plinth and hold other end in affected hand.
Place your forearm on the table while letting your hand dangle off the edge of the table.
Lift the back of your hand upwards
progression - increase reps to 10.
75 year old, struggling to get out of chair, previously very active, has full ROM at hip, knee and ankle.
improve quadriceps strength
sitting in chair doing extension
8 reps, 3 sets with 2 minutes rest, 2 times a week?
Progression - to add light TheraBand, tie band to leg of table or bed and tie to ankle (easier to wear shoes), and do same exercise and reps.
why - increasing resistance helps build strength and is still a way to improve it at home.
75 year old patient, previously very active, full ROM at hip, knee and ankle.
improve glut max strength
normal squat standing next to bed or table or all for stability, have someone beside you for stability.
8 reps, 3 sets on 3 min rest, 2 times a week
progression - increase to 10 reps
why - increasing number of reps increases strength of muscle by forcing muscle to repeatedly contract for an increased number of reps which will cause the muscle to work harder and have more microtears in the fibers which will then increase muscle growth, therefore increase strength.
60 year old patient, total right knee replacement 2 months ago, no limitations of movement, exercising or weightbearing, knee flexion is pain limited to 100 degrees.
improve ROM of knee flexion
30 repetitions of knee flexion in supine position where you hold you leg at the furthest point you can reach for a couple seconds.
There will be some minor pain, but this exercise shouldn’t be too painful, 2 times a day, 3 times a week.
progression -
60 year old patient, right total knee replacement 2 months ago, no limitations to movement, exercise or weightbearing, knee extension is -10 degrees (falling short of fully extending knee by 10 degrees).
improve knee extension
30 repetitions of knee extension in standing or lying position where you hold you leg at the furthest point you can reach for a couple seconds, there will be some minor pain, but this exercise shouldn’t be too painful, 2 times a day, 3 times a week.
progression - increase to 3 times a day.
55 year old patient, improve elbow range of movement with passive exercise
sitting on chair or plinth, relax affected arm and have other arm move forearm into flexion and extension.
30 repetitions, 2 times a day, 3 times a week.
55 year old patient, improve elbow ROM by assisted active exercises
Elbow flexion and extension (combined in exercise), 30 times, 2 times a day, how many times a week, active movement but once you get to what they think is end range of movement then use other hand to push forearm into further ROM.
progression = holding a light weight.
why - holding a weight will act as a downward force that will help her to extend her elbow further and improve ROM, by holding arm to flex elbow the extra weight will be distributed.
50 year old, right rotator cuff repair 8 weeks ago, right shoulder flexion is pain limited by 100 degrees and muscle weakness.
improve shoulder flexion ROM, active assisted.
Learn on wall to push into further shoulder flexion.
Wall provides stability.
30 repetitions, 2 times a day, 3 times a week.
progression - increase to 3 times a day.
sprained lateral ligaments of left ankle, ankle dorsiflexion is limited to 5 degrees,
improve ankle dorsi flexion ROM
Leg slightly bent with towel underneath, band around ball of foot and pull into dorsiflexion.
30 reps, 2 times a day, 3 times a week.
progression - 3 times a day.
grade 4 soleus strength, pain free ROM at ankle.
improve soleus muscle endurance
Get patient to seat/learn and plinth and do bent knee calf raises.
25 reps, 2 sets, 40 seconds between sets, 3 times a week.
progression - increase reps to 30.
16 year old, rower, full pain free elbow ROM.
improve muscle endurance of biceps brachii
Dosage = 3 sets of 25 reps of bicep curl light TheraBand, with 50 seconds rest between sets, 3 times a week.
Progression – increases repetitions to 35 reps, or add another set.
no 25 year old gymnast, right pec major muscle strain.
improve endurance of pec major
Bent knee push ups (as this reduces strain on shoulder), 15 reps, 3 sets with 60 seconds rep, 3 times a week.
Progression = normal push up.
22 year old, previously fractured her right radius and ulnar, full ROM, no pain, no restrictions
improve endurance of wrist extensors
Wrist extension with either light or no TheraBand, 25 reps, 3 sets, 40 seconds rest between sets. 3 times a
Week. (arm on plinth and patient sitting in chair).
progression - increase to 30 reps.
34 year old, touch football, has previously sustained hamstrings strains, want to prevent hamstring strains in future, pain free full range of movement at knee, grade 4 hamstring strength.
improve right hamstring endurance
In prone, hamstring flexion, 25 reps, 3 sets, 40 second’s rest. 3 x per week.
progression add another set or more reps.
25 year old basketball player. improve power of his quadriceps muscles
jump squats - 4 reps, 3 sets with 3 minutes rest, 2 times a week.
Progression = increase reps by 2 exercises.
25 year old track athlete, improve power of calf muscles
Double leg calf jumps, 4 reps, 3 sets with 3 minutes in between, 2 times a week.
Tell patient to push toes into ground.
Progression = adding weights in hand.
Teach Mrs/Mr Jones how to get up out of a chair using an appropriate walking aid.
explain how to measure the correct height for a walking aid
axillary crutches or elbow crutches
To stand. Hold both crutches in the hand opposite to the affected leg using the handpiece. Push yourself into standing with the other hand and the unaffected leg. When in standing place each crutch under your arms.
Standing with the back of your knees against the seat. Remove the crutches from underneath your arms
axillary crutches - total height of axillary crutches should be adjusted so that there is two to three finger widths space between the top of the crutch and the client’s axilla when they are standing upright
elbow crutches - For elbow (forearm, Lofstrand) crutches the forearm cuff should be adjusted so that it sits comfortably just distal to the olecranon process so that it does not interfere with elbow flexion.
teach Mrs/Mr jones how to correctly walk up stairs using a walking stick.
When going up stairs, teach patient to put their walking stick in front of themselves onto the step, with their affected leg, and have their unaffected leg follow and join. Repeat upstairs.
