Active movements

The document discusses principles of joint mobilization including using lower grades to reduce pain and higher grades to increase mobility. It outlines convex-concave rules for determining glide direction in different joints. Treatment glides are described to improve range of motion in various joints like the shoulder, knee, ankle and elbow. Open-packed positions and grades of movement are also defined. The goal of a joint mobilization treatment is to increase range of motion through appropriate gliding techniques.

posture analysis and alignment in different views, deformities of different parts of the body segments

The document discusses scapulohumeral rhythm, which refers to the coordinated motion between the scapula and humerus during shoulder movement. There is typically a 2:1 ratio of humeral movement to scapular movement. Abnormal scapulohumeral rhythm can be caused by injuries or weakness and can be assessed using tests like the lateral scapular slide test and scapular dyskinesis test. Physical therapy management focuses on stretching shortened muscles and strengthening the scapular stabilizers to improve rhythm and mechanics.

Stretching is a therapeutic maneuver to increase flexibility by elongating shortened soft tissues. Several factors can contribute to hypomobility including immobilization, poor posture, and injury. Stretching protocols should involve proper alignment, stabilization, low intensity stretches held for 20-30 seconds repeated 3-5 times per week. Common stretching types include static, PNF, and ballistic stretching. Stretching is contraindicated for acute injuries, infections, or joint instability.

Russian current is a medium-frequency current delivered in bursts at 2500 Hz. It produces strong muscle contractions through synchronous motor nerve depolarization. Key characteristics include a carrier frequency of 2500 Hz, burst frequency of 50 Hz, burst duration of 10 ms, and a 10/50/10 training protocol. Russian current is indicated for muscle strengthening, reducing muscle spasm and edema, such as following knee ligament injuries or surgery.

The knee is a complex joint composed of the tibiofemoral and patellofemoral joints. It functions to provide mobility and support body weight during both static and dynamic activities. The knee joint contains menisci that increase joint congruence and distribute weight forces. It also contains cruciate and collateral ligaments that restrict motion and provide stability. During flexion and extension, the tibia glides and rotates on the femur through rolling and sliding motions controlled by the ligaments and menisci.

A form of exercise which are performed in group under the supervision of therapist. Ref: The principles of Exercise therapy by M. Dena Gardiner

This document defines and describes different types of passive range of motion (PROM) exercises. It begins by defining PROM as movements produced by an external force during muscular inactivity or reduced range of motion. There are three main types of PROM discussed: relaxed PROM, forced PROM, and continuous passive motion (CPM). Relaxed PROM is performed slowly through pain-free range by a therapist, while forced PROM exerts external force to end range. CPM uses a machine to passively move the joint continuously after surgery. The goals of PROM are to maintain range of motion, mobility, and prevent contractures while allowing for healing. Precautions are discussed as well as limitations compared to active exercises.

The document discusses the principles and techniques of resisted exercise. It describes the overload principle which challenges muscles to perform at a greater level by applying loads that exceed their metabolic capacity. The SAID (specific adaptation to imposed demand) principle states that the body adapts to the specific stresses placed upon it. Resistance can be applied through different ranges of motion including full, inner, outer, and middle ranges. Progressive resistance exercises gradually increase the load over time to continue challenging muscles. Resisted exercises provide benefits like increased strength, endurance, weight management, improved mobility and reduced disease risk.

Therapeutic massage involves manipulating the soft tissues of the body through techniques like effleurage, petrissage, friction, tapotement, and vibration. The goals are to increase flexibility and blood flow, decrease pain, stimulate circulation, and facilitate healing. Massage provides mechanical, physiological and psychological benefits such as reduced muscle tension, improved circulation and range of motion, and lowered stress levels. It is used to treat conditions like muscle spasms, bursitis and tendonitis. Contraindications include acute injuries, infections, blood clots and incomplete fractures.

The high voltage pulsed galvanic stimulator (HVPGS) delivers a high voltage, low amperage, short duration electrical current as a twin-peak monophasic waveform up to 300 volts to produce both mechanical muscle contractions and chemical changes in the body. It has been used clinically for over 45 years to treat various musculoskeletal conditions through analgesia, muscle stimulation, and wound healing. The high voltage allows for deep tissue penetration without risk of tissue damage due to its low total current. Typical treatments last 30-40 minutes, 3 times per day.

A complete power point presentation on principles and application of Stretching procedure in Physiotherapy