Skip to main content

PHYSIOTHERAPY HOME PLAN ( PHYSIOTHERAPY EXERCISES FOR CEREBRAL PALSY CHILD )

 


Note:  This is a General physiotherapy home program that is applicable to all children suffering from a motor disability  such as cerebral palsy, muscular dystrophy, cerebral stroke, Dandy-Walker Syndrome, etc















PHYSIOTHERAPY HOME PLAN  ( PHYSIOTHERAPY EXERCISES FOR CEREBRAL PALSY CHILD )



PHYSIOTHERAPY 


Stretching of the following muscle 

 B/L medial hamstring 

B/L Adductor 

B/L hip flexor iliopsoas 

B/L T A  ( calf muscle )

 Strengthening exercises 

Selective movement 

Active muscle strengthening 

Weight culf oriented strengthening 

Theraband oriented strengthening 

Functional strengthening 

Of the following muscle 

Bilateral hamstring 

Bilateral quadriceps 

Bilateral hip flexor 

Bilateral hip extensor 

Bilateral dorsiflexor 

Truncal strengthening 

Advance combined strengthening and functional exercises 

Bridging 

Reverse bridging 

Pull to stand

Pull to sit 

Bottom lifting (using push up bar 

Throwing ball high Sitting 

Standing and kneeling 

Sit to stand high-level chair to low-level chair 

Squatting to standing 

Mini squat (wall supported ) 

High Sitting 

Pivoting 

High Sitting to standing 

Catch and throw 

Reach out in a different direction 

Get to sit ) floor to high-level chair to low-level chair ) Picking object from the ground and putting on the overhead 

Kneeling 

Initially start from the heel Sitting 

Supported kneeling 

Heel Sitting to kneeling 

Kneeling with one hand supported 

Kneeling without supported 

Activity oriented kneeling 

Reach out in kneeling 

Pushing and pulling 

Catch and throw 

Move forward and backwards 

Pivoting in kneeling

Inclined heel Sitting to kneeling  ( use prone wedge )

Lateral reach out in kneeling 

Playing in kneeling 

Half kneeling 

Start from the kneeling 

From kneeling to half kneeling 

Move one leg forward and keeping another leg on kneel position Initial half kneeling support ( caregiver or with some objects) Bilateral half-kneeling supported 

Single hand half-kneeling supported 

Independent half kneeling 

Bloaster oriented half kneeling 

Half kneeling to standing 

Standing oriented exercise 

Back supported standing 

Front support standing 

Step standing 

Stride standing 

One foot standing 

Picking objects from the floor putting on the  overhead

 Play in standing 

Pushing and pulling in standing kicking in standing Marching at one place 

Stepping over stick level 

Ring activity 

Pegboard

Lateral reach out 

Rotation activity 

Push to stand wall supported 


Initially start with stick 

Gait training activity 

Tandem standing 

Crossing obstacle 

Jumping 

Hooping 

Single limb hooping 

Short jump 

Long jump 

Walking on circle figure of 8 walking Waking with holding keeping hand at chest level Walking over foot mark 

Zig zag walking 

Blind folded walking 

Squatting 

Squatting position keep maintain the position Anterior weight shift 

Squatting to standing 

Core muscle strengthening 

Prone extension

One hand reach out 

One hand and one leg reach out 

Prone on hand reach out 

Quadruped 

Reach out activity 

Crawling backward forward 

Mobility 

Forward walking 

Backward walking 

Sidewise walking 

Independent walking 



 Transition 

On four-position -- heel sitting -- kneeling -- half-kneeling--standing  ( repeat 5 times each side )





Author: Dr. Akshay Raj Chandra ( Consultant pediatric physiotherapist )

             Senior Pediatric physiotherapist at Continua kids Gurgaon 

           Founder of .. Home-Based Therapy 

            https://physiohomebased.com/


 Book your online Consultation: +917827068869 ( LEAVE WHATSAPP MSG )

Comments

Popular posts from this blog

What is Ankle Foot orthosis

Use of AFO   In CEREBRAL PALSY  CHILD and Other child Developmental Disability  What is a AFO brace An AFO is a device that is used to control instabilities in the lower limb by maintaining proper alignment and controlling motion. It is most often used with patients suffering from neurological or orthopedic conditions such as stroke, multiple sclerosis, cerebral palsy, fractures, sprains and arthritis. What are the positive impacts of wearing an AFO? The results of these studies indicate that wearing an AFO can positively affect gait speed, temporal and distance factors, and joint kinematics and kinetics of the ankle and knee joints, but the effects of AFO use on gait when not wearing an AFO have not been shown.   Why do people with CP wear braces and orthotics? The strength and stability of a person's body is of paramount concern for individuals with Cerebral Palsy; the more stable a body is, the better a person can ambulate and complete tasks both big and small. Orthotic devices

Physiotherapy Assessment and Home program of Spastic Hemiplegic Cerebral Palsy Child

  Name : XyZ  Age /sex : 16 years DOB : 1-07-2005 Birth cry ; yes Delivery ; normal Delivery Diagnosis : mental retardation with seizures Disorder with old CVA ( RT fronto temporo parietal infarct ) Past medical history : Fever and jaundice Current medical history Frequent episode of Seizures Problem list ; Circumductory gait High steeping Internal tibial torsion left leg Both side hams tight Left side T A tight Flat feet Left hand flexed internal rotated wrist flexion ulnar deviation Tightness of pectoral muscle Shoulder flexor Pronator teres tightness Gross muscle weakness of left side of upper limb and lower limb Physiotherapy management Mild Hamstring stretching of left side leg T .A stretching left side Hip flexor stretching Left hand Pronator stretching Basic active muscle strengthening exercise Bridging Pull to stand Pull to sit Throwing ball high Sitting Standing and kneeling Sit to stand high level chair to low level chair Squatting to standing with maintaining alignment Knee

Key Points of Control ( Neurodevelopmental Treatment Technique )

Neurodevelopmental Treatment Technique Key Points of Control Following are the points from which spasticity is reduced and simultaneously to facilitate more normal postural and movement reactions. Head  Extension of the head (with extension of the shoulder girdle) Rising of the head in prone - lying, in sitting and standing, helps in most cases to facilitate extension in the rest of the body. But if there is an influence of symmetrical tonic reflex activity when the head is raised, flexion of the hips and legs may follow, and this , although neck and spine extend, may lead to lordosis and increased flexor spasticity of the hips and legs. If rising of the head produces a total extension pattern it is useful in prone lying and standing, but will interfere with hip flexion in sitting. Flexion of the head with flexion of the shoulder girdle. This will inhibit extensor spasticity or extensor spasms, (e.g. in spastic and athetoid patients with strong neck and shoulder retraction when they ar