Exercise & SCI

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" height=90 BGCOLOR="#000000" TEXT="#F7F7FF" background="75faa5a1dvldtc.jpg"> <div> <A HREF="index.htm" TARGET="_top" TITLE="Spinal Cord Injury Info Exchange"><U><IMG SRC="7bf7b4b0.gif" border=0 width="379" height="75" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A><IMG SRC="553ce240.gif" border=0 width="206" height="36" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"><FONT SIZE="3" COLOR="#FFFFFF" FACE="Arial" ><IMG SRC="787293a0.jpg" border=0 width="41" height="58" ALIGN="BOTTOM" HSPACE="0" VSPACE="0">                          </FONT></div> <div> </div> </td> </tr><tr> <td valign="top" height=350 BGCOLOR="#000000" TEXT="#F7F7FF" background="5174ab03.jpg"> <div> <I><B><U>Healthy Living</U></B></I><I><B><U> /</U></B></I><FONT SIZE="2" COLOR="#111111" FACE="Arial" ><I><B><U>Exercise & SCI</U></B></I></FONT></div> <div>      <A HREF="health.htm" TARGET="_top" TITLE="Healthy Living"><U><IMG SRC="78046200.jpg" border=0 width="70" height="32" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A> <A HREF="index.htm" TARGET="_top" TITLE="Spinal Cord Injury Info Exchange"><U><IMG SRC="78146200.jpg" border=0 width="70" height="32" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></U></A></div> <div>   </div> <div> <B>The Exercises below are provided by</B> <A HREF="http://www.physiotherapyexercises.com" TARGET="_top" TITLE="http://www.physiotherapyexercises.com"><U>http://www.physiotherapyexercises.com</U></A></div> <div> you can download these exercises and more here   <a href="HTMLobj-1988/Wheelchair_Exercises.pdf"><u>WheelChair Exercises</u> </a>  </div> <bR> <bR> <div> <TABLE BORDER="0" CELLPADDING="2" CELLSPACING="1" WIDTH="629" BORDERCOLORLIGHT="#993333" BORDERCOLORDARK="#CC6633" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP COLSPAN=2 HEIGHT= 71 ><NOBR><div>  <A NAME="wcskills"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="1" ALIGN="bottom" WIDTH="1" HSPACE="0" VSPACE="0" ></A><IMG SRC="10df0410.gif" border=0 width="496" height="65" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 468 WIDTH="439"><div> <B><U>ascending a step using a doorway. </U></B></div> <bR> <div> <B>Physiotherapist Aim: </B></div> <div> To improve the ability to ascend a step in a wheelchair. </div> <bR> <div> <B>Client Aim: </B></div> <div> To improve your ability to ascend a step in a wheelchair. </div> <bR> <div> <B>Physiotherapist Instructions: </B></div> <div> Position the patient below a step in their wheelchair. Instruct the patient to use the doorway to pull themselves up over the step. </div> <bR> <div> <B>Client Instructions: </B></div> <div> Position yourself (or have someone position you) below a step in your wheelchair. Practice using the doorway to pull yourself up over the step. </div> <bR> <div> <B>Progression and Variations: </B></div> <div> Less advanced: </div> <div> 1. Decrease the height of the step. </div> <bR> <div> More advanced: </div> <div> 1. Increase the height of the step. </div> <div> 2. Practice the task in different environments. </div> <bR> <div> <B>Precautions: </B></div> <div> 1. Caution required to prevent forward fall from wheelchair. </div> </tD> <tD VALIGN=TOP><NOBR><div> <IMG SRC="578a7ce0.jpg" border=0 width="167" height="206" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 436 WIDTH="439"><div> <B><U>attaining a wheel stand.</U></B></div> <bR> <div> <B>Physiotherapist Aim: </B></div> <div> To improve the ability to attain a wheel stand. </div> <bR> <div> <B>Client Aim: </B></div> <div> To improve your ability to attain a wheel stand. </div> <bR> <div> <B>Physiotherapist Instructions: </B></div> <div> Position the patient in their wheel stand. Instruct the patient to flip the wheelchair into a wheel stand. </div> <bR> <div> <B>Client Instructions: </B></div> <div> Position yourself (or have someone position you) in your wheel stand. Practice flipping your wheelchair into a wheel stand. </div> <bR> <div> <B>Progression and Variations: </B></div> <div> Less advanced: </div> <div> 1. Practice the task on a flat surface. </div> <bR> <div> More advanced: </div> <div> 1. Practice the task in different environments. </div> <bR> <div> <B>Precautions: </B></div> <div> 1. Ensure that wheelchair does not flip backwards</div> </tD> <tD VALIGN=TOP><NOBR><div> <IMG SRC="579a7c50.jpg" border=0 width="167" height="197" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 440 WIDTH="439"><div> <B>Physiotherapist Aim: </B></div> <div> To improve the ability to descend a grassy slope in a wheelchair. </div> <bR> <div> <B>Client Aim: </B></div> <div> To improve your ability to descend a grassy slope in a wheelchair. </div> <bR> <div> <B>Physiotherapist Instructions: </B></div> <div> Position the patient in their wheelchair at the top of a grassy slope. Instruct the patient to descend the grassy slope whilst maintaining a wheel stand. </div> <bR> <div> <B>Client Instructions: </B></div> <div> Position yourself (or have someone position you) in your wheelchair at the top of a grassy slope. Practice descending the grassy slope whilst maintaining a wheel stand. </div> <bR> <div> <B>Progression and Variations: </B></div> <div> Less advanced: </div> <div> 1. Practice on gentle slopes. </div> <div> 2. Practice on a cemented surface. </div> <bR> <div> More advanced: 1. Practice on steeper slopes. </div> <div> 2. Practice the task in different environments. </div> <bR> <div> <B>Precautions: </B></div> <div> 1. Caution required to prevent forward fall from wheelchair</div> </tD> <tD VALIGN=TOP WIDTH="179"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="440" ALIGN="bottom" WIDTH="179" HSPACE="0" VSPACE="0"></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 468 WIDTH="439"><div> <B><U>descending curb forwards in a wheelchair.</U></B></div> <bR> <div> <B>Physiotherapist Aim :</B></div> <div> To improve the ability to descend a curb forwards in a wheelchair. </div> <bR> <div> <B>Client Aim: </B></div> <div> To improve your ability to descend a curb forwards in a wheelchair. </div> <bR> <div> <B>Physiotherapist Instructions: </B></div> <div> Position the patient in their wheelchair at the edge of a curb. Instruct the patient to descend the curb whilst maintaining a wheel stand. </div> <bR> <div> <B>Client Instructions: </B></div> <div> Position yourself (or have someone position you) in your wheelchair at the edge of a curb. Practice descending the curb whilst maintaining a wheel stand. </div> <bR> <div> <B>Progression and Variations: </B></div> <div> Less advanced: </div> <div> 1. Decrease the height of the curb. </div> <bR> <div> More advanced: </div> <div> 1. Increase the height of the curb. </div> <div> 2. Practice the task in different environments. </div> <bR> <div> <B>Precautions: </B></div> <div> 1. Caution required preventing forward fall from wheelchair. </div> </tD> <tD VALIGN=TOP><NOBR><div> <B><IMG SRC="57aacd50.jpg" border=0 width="172" height="213" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></B></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 468 WIDTH="439"><div> <B><U>descending slopes forwards in a wheelchair. </U></B></div> <bR> <div> <B>Physiotherapist Aim: </B></div> <div> To improve the ability to descend a slope in a wheelchair. </div> <bR> <div> <B>Client Aim: </B></div> <div> To improve your ability to descend a slope in a wheelchair. </div> <bR> <div> <B>Physiotherapist Instructions: </B></div> <div> Position the patient in their wheelchair at the top of a slope. Instruct the patient to descend the slope whilst maintaining a wheel stand. </div> <bR> <div> <B>Client Instructions: </B></div> <div> Position yourself (or have someone position you) in your wheelchair at the top of a slope. Practice descending the slope whilst maintaining a wheel stand. </div> <bR> <div> <B>Progression and Variations: </B></div> <div> Less advanced: </div> <div> 1. Practice on gentle slopes. </div> <bR> <div> More advanced: </div> <div> 1. Practice on steeper slopes. </div> <div> 2. Practice the task in different environments. </div> <bR> <div> <B>Precautions: </B></div> <div> 1. Caution required preventing forward fall from wheelchair. </div> </tD> <tD VALIGN=TOP><NOBR><div> <IMG SRC="57babd40.jpg" border=0 width="171" height="212" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 488 WIDTH="439"><div> <B><U>descending stairs backwards in a wheelchair.</U></B><U> </U></div> <bR> <div> <B>Physiotherapist Aim: </B></div> <div> To improve the ability to descend a flight of stairs backwards in a wheelchair. </div> <bR> <div> <B>Client Aim: </B></div> <div> To improve your ability to descend a flight of stairs backwards in a wheelchair. </div> <bR> <div> <B>Physiotherapist Instructions: </B></div> <div> Position the patient in their wheelchair at the top of a flight of stairs. Instruct the patient to practice lowering themselves down the stairs with one hand on the stair rail and their other hand on the rim of the wheel. </div> <bR> <div> <B>Client Instructions: </B></div> <div> Position yourself (or have someone position you) in your wheelchair at the top of a flight of stairs. Practice lowering yourself down the stairs with one hand on the stair rail and your other hand on the rim of the wheel. </div> <bR> <div> <B>Progression and Variations: </B></div> <div> Less advanced: </div> <div> 1. Decrease the number and depth of the stairs. </div> <bR> <div> More advanced: </div> <div> 1. Increase the number and depth of the stairs. </div> <div> 2. Practice the task in different environments. </div> </tD> <tD VALIGN=TOP><NOBR><div> <IMG SRC="57ca8d10.jpg" border=0 width="168" height="209" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 464 WIDTH="439"><div> <B><U>descending stairs forwards in a wheelchair. </U></B></div> <bR> <div> <B>Physiotherapist Aim: </B></div> <div> To improve the ability to descend stairs in a wheelchair. </div> <bR> <div> <B>Client Aim: </B></div> <div> To improve your ability to descend stairs in a wheelchair. </div> <bR> <div> <B>Physiotherapist Instructions: </B></div> <div> Position the patient in their wheelchair at the top of 3-5 stairs. Instruct the patient to descend the stairs whilst maintaining a wheel stand. </div> <bR> <div> <B>Client Instructions: </B></div> <div> Position yourself (or have someone position you) in your wheelchair at the top of 3-5 stairs. Practice descending the stairs whilst maintaining a wheel stand. </div> <bR> <div> <B>Progression and Variations: </B></div> <div> Less advanced: </div> <div> 1. Decrease the number and depth of the stairs. </div> <bR> <div> More advanced: </div> <div> 1. Increase the depth of the stairs. </div> <div> 2. Practice the task in different environments. </div> <bR> <div> <B>Precautions: </B></div> <div> 1. Caution required preventing forward fall from wheelchair. </div> </tD> <tD VALIGN=TOP><NOBR><div> <IMG SRC="57d9fba0.jpg" border=0 width="159" height="186" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> </tR> <tR> <tD VALIGN=TOP HEIGHT= 414 WIDTH="439"><div> <B><U>uprighting wheelchair. </U></B></div> <bR> <div> <B>Physiotherapist Aim: </B></div> <div> To improve the ability to upright a wheelchair. </div> <bR> <div> <B>Client Aim: </B></div> <div> To improve your ability to upright a wheelchair. </div> <bR> <div> <B>Physiotherapist Instructions: </B></div> <div> Position the patient in their wheelchair tipped backwards. Instruct the patient to upright the wheelchair using one hand on the floor and the other hand on the rim of the wheel. </div> <bR> <div> <B>Client Instructions: </B></div> <div> Position yourself (or have someone position you) in your wheelchair tipped backwards. Practice uprighting the wheelchair using one hand on the floor and the other hand on the rim of the wheel. </div> <bR> <div> <B>Progression and Variations: </B></div> <div> Less advanced: </div> <div> 1. Place your hand on a stool rather than on the floor. </div> <bR> <div> More advanced: </div> <div> 1. Practice the task in different environments. </div> </tD> <tD VALIGN=TOP><NOBR><div> <IMG SRC="57eb2d00.jpg" border=0 width="178" height="208" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> </NOBR></tD> </tR> </TABLE></div> <bR> </td> </tr><tr> <td valign="top" height=40 BGCOLOR="#000000" TEXT="#F7F7FF" background="75faa5c1dvldtc.jpg"> <div> <A HREF="id42.htm" TARGET="_top" TITLE="You Are How You Feel"><U>You Are How You Feel</U></A><FONT SIZE="2" COLOR="#FFFFCC" FACE="Symbol" >   ·   </FONT><A HREF="disease.htm" TARGET="_top" TITLE="Heart Disease"><U>Heart Disease</U></A><FONT SIZE="2" COLOR="#FFFFCC" FACE="Symbol" >   ·   </FONT><A HREF="care.htm" TARGET="_top" TITLE="Skin Care"><U>Skin Care</U></A><FONT SIZE="2" COLOR="#FFFFCC" FACE="Symbol" >   ·   </FONT><A HREF="crap.htm" TARGET="_top" TITLE="Ahh Crap"><U>Ahh Crap</U></A><FONT SIZE="2" COLOR="#FFFFCC" FACE="Symbol" >   ·   </FONT><A HREF="sex.htm" TARGET="_top" TITLE="Sexuality SCI"><U>Sexuality& SCI</U></A><FONT SIZE="2" COLOR="#FFFFCC" FACE="Symbol" >   ·   </FONT><A HREF="spazz.htm" TARGET="_top" TITLE="Spasticity"><U>Spasticity</U></A><FONT SIZE="2" COLOR="#FFFFCC" FACE="Symbol" >   ·   </FONT><A HREF="h2o.htm" TARGET="_top" TITLE="H2O: Hydration"><U>H2O: Hydration</U></A><FONT SIZE="2" COLOR="#FFFFCC" FACE="Symbol" >   ·   </FONT><A HREF="pain.htm" TARGET="_top" TITLE="Pain"><U>Pain</U></A><FONT SIZE="2" COLOR="#FFFFCC" FACE="Symbol" >   ·   </FONT><A HREF="uti.htm" TARGET="_top" TITLE="UTIs Intermittent Cathing"><U>UTI's Intermittent Cathing</U></A><FONT SIZE="2" COLOR="#FFFFCC" FACE="Symbol" >   ·   </FONT><A HREF="oeg.htm" TARGET="_top" TITLE="Olfactory ensheathing glia (OEG)"><U>Olfactory ensheathing glia (OEG)</U></A><FONT SIZE="2" COLOR="#FFFFCC" FACE="Symbol" >   ·   </FONT><B>Exercise & SCI</B><FONT SIZE="2" COLOR="#FFFFCC" FACE="Symbol" >   ·   </FONT><A HREF="id44.htm" TARGET="_top" TITLE="functional neuromuscular stimulation (FN"><U>functional neuromuscular stimulation (FNS)</U></A><FONT SIZE="2" COLOR="#FFFFCC" FACE="Symbol" >   ·   </FONT><A HREF="id45.htm" TARGET="_top" TITLE="Pressure Sores(stages)"><U>Pressure Sores(stages)</U></A><FONT SIZE="2" COLOR="#FFFFCC" FACE="Symbol" >   ·   </FONT><A HREF="id46.htm" TARGET="_top" TITLE="SCI Deep Vein Thrombosis"><U>SCI & Deep Vein Thrombosis</U></A><FONT SIZE="2" COLOR="#FFFFCC" FACE="Symbol" >   ·   </FONT><A HREF="id87.htm" TARGET="_top" TITLE="Autonomic Dysreflexia"><U>Autonomic Dysreflexia</U></A></div> <bR> </td> </tr></table></body>