Program for 20 meatings

1. Mattress activities
2. Massage
3. Breathing exercises

Mattress activities will include:

I. Mobilizing and strengthening the trunk and upper limbs

II. Preliminary training for functional activities

Exercise will apply to the trunk, shoulder, scapular and neck muscles.

The following maneuvers provide the basis for functional activities such as dressing, bedding and
transfers:

1. Raising on the mattress

2. Movements on the mattress

3. Paralyzed limb movement ( pasiv )

4. Sitting up and sitting in dorsal decubitus

4. Rolling in ventral and lateral decubitus

1. Mobilizing and strengthening the trunk and upper limbs

Passive mobilizations for the extension of the hand

Passive mobilizations for elbow joint
Passive mobilizations in the shoulder joint
Passive mobilizations for shoulder flexion/extension
The abduction/adduction movement of the shoulder
1. Passive foot mobilizations and strengthing
1.1 From the dorsal decubitus

All the limbs and segments are mobilized passively by the physical therapist in all
directions of movement. The physical therapist performs passive stretching exercises
on all segments and on all directions of movement.
With a stick or elastic cord; the patient performs upper limb movements.
With elbow support; the patient transfers his weight from one elbow to the other.
With elbow support; the patient raises his buttocks on the bed and holds for a few
seconds, relaxes, then resumes the exercise.
The kinetotherapist kneels over the patient, with the knees on both sides of the
patient's hips: the kinetotherapist holds the patient's forearms in the fist, the patient
pulls to sit up and then leaves on the mattress (for tetraplegics).
Kneeling knees (supported by physical therapist), hands on thighs; the patient raises
his head and shoulder blades from the bed, sliding his hands on his thighs.
Kneeling knees (supported by physical therapist), arms around the body, hands on
the bed; the patient slips with the trunk (lateral flexion) on the bed, leading his hands
to the heel

1.2 From ventral decubitus

With elbow support; the patient passes the weight from one forearm to the
other; at first the free forearm rests on the bed, then raises it.
With elbow support; the patient creeps forward and backward and the physical
therapist opposes leg resistance.
With hand support; the patient passes the weight from one hand to the other.
With hand rests; the patient is doing flotation.
The crawl exercise; the patient is left to one side, elbowing the elbow while the
opposite upper limb is taken forward by pulling the hemicorp and the hemibazin.
1.3 From the sitting

With extended knees, hands hold on two cards; the patient raises his basin and
makes antero-posterior pelvic, lateral and rotational movements.
With extended knees; the patient performs flexion of the trunk trying to reach
with the fingers of the hands at the toes
With the legs hanging on the edge of the bed; the patient performs
anteroposterior body torsion, the physical therapist opposes the resistance.
With the legs hanging on the edge of the bed; the patient throws the ball on a
wall or the ball is thrown by the physical therapist.
On a chair with a face to the trellis; the patient performs lifting and sitting on the
chair with the help of hands that catch a sling.
On a chair in front of a mirror; the patient performs the movements of the upper
limbs at the command of the physical therapist, first with his eyes open, then
with his eyes closed.
With his back supported by the back of the chair, the forearm glued to the chest,
with two dumbbells in his hands; the patient performs elbows-elongation of the
elbows.

1.4 From the four-legged

The patient alternately picks up one superior member, transferring the
weight to the other half of the body.
The physical therapist is behind the patient with sockets on the patient's
hips; the patient tries to pass
the weight on the opposite hemicorp and the physical therapist opposes
the resistance
The patient performs forward, backward, diagonal and diagonal
movements (the movement amplitude will progressively increase).
The physical therapist behind the patient prints an imbalanced impulse
in anteroposterior and lateral sense. The patient performs this position;
forward, back, sideways.
1.5 From the "knee"
With the face to the trellis, with the seat on the heel; and with his hands
he catches a stick; execute the lift in the knee position by climbing your
hands on the treadle.
The physical therapist stands on the heel in front of the patient, with his
hands on the kinetotherapist's shoulders, guiding the patient's pelvis
manually.