1) Use
Ensure
that
theany
floor
is clean
andthat
free
debris.
4)
3)
5)
Perform
Check
a gait
exercises
equipment
belt
near
time
to
athe
ensure
railing
patient
or
practices
in of
itparallel
is exercises
operating
bars to
or
correctly.
allow
to grab
challenge
when
or
necessary.
destabilize
balance.
2) activities
Dopatient
not that
perform
exercises
near sharp
edges of
equipment or objects.
6) Stand slightly behind and to the side of the patient
with one arm holding or near the gait belt and the other
arm on or near the top of the shoulder (on the trunk,
not the arm).
7) Have one person in front and one behind when
working with patients at high risk of falling or during
activities that pose a high risk of injury.
8) Guard patient when getting on and off equipment
(such as treadmills and stationary bikes).
Co-ordination Exercises ( Frenkel’s Exercises )
Principles of co-ordination exercises
Vision
Therapist’s command
Patient attention
Start unilateral then bilateral.
Start fast then slow movement.
Start by proximal then by distal joints.
Start by symmetrical then asymmetrical movement.
Avoid fatigue.
Normal range of motion.
Lying
Walking
Four Basic
position
Standing
Sitting
Starting position:
Lie on a bed with a smooth surface along
which the feet maybe moved easily. Your head
should be raised on a pillow so that you can
watch every movement.
6)Bend
both
hips
and
sliding
heels
on
the
5) Bend
Bend
the
hip
and
knee
of
one
leg
and
place
that
2)
one
leg
atat
the
hip
and
knee
as
in
No1.
Then
1)
Bend
one
legleg
the
hip
and
knee,
sliding
your
7)
Bend
one
atknees
the
hip
and
knee
while
4)
Bend
and
straighten
one
leg
at
the
hip
and
knee
3)
Bend
one
leg
at ankles
the
hip
and
knee
with
the
heel
bed
keeping
your
together.
Straighten
both
heel
on
the
opposite
knee.
Then
slide
you
heel
slide
your
leg
out
to
the
side(abduction)
leaving
straightening
the
other
in
a
bicycling
motion.
heel
along
the
bed.
Straighten
the
hip
and
knee
to
sliding
your
heel
along
the
bed
stopping
at
any
raised
from
the
Straighten
yourleg
leg
to he
return
legs
return
to
starting
position.
downto
the
shin
tobed.
the
ankle
and
back
up back
to
your
heel
on
the
bed.
Slide
your
to the
the
returnofto
the starting
position.
Repeat
with
point
command.
Repeat
with
the
other
leg.
knee.
the starting
position
andother
repeat
to
the Return
startingtoposition.
Repeat
with
the
leg.
center(adduction)
and
straighten
your
hip
and
knee
other
leg.
with the other leg.
to return to the starting position. Repeat with the
other leg. We can progress to extended knee with
abd & add.
Starting position:
Sit on a chair with feet flat on the floor.
3) Learn to rise from the chair, at one, bend trunk
2)
Make
two
cross
marks
on
the
floor
with
chalk.
1)
Raising
just
the
heel.
Then
progress
to
alternately
forward; at two, rise by straightening the hips and
Alternately
glidefoot
theand
footplacing
over the
cross:
lifting the entire
the marked
foot firmly
on
knees
and
thena the
trunk.
Reverse
forward,
backward,
left
and
right. the procedure to
the
floor
upon
traced
foot
print.
sit down.
C. Standing Position
Starting position:
Stand erect with feet 4 to 6 inches apart
between parallel bars.
3) Learn how to move one limb sideway
2)
& forward while
standing
1) Weight
Shift on the other
limb to specific target (lines or foot
print)
Starting position:
Stand erect with feet 4 to 6 inches apart.
3)
1)
Walk
Walk
sideways
forward
beginning
placing
with
each
half
foot
steps
on
to
a
2)Walk
Walkup
forward
between
two
parallel
lineat a
5)
and
down
the
stairs
one
step
4)
Turn
to
the
right.
At
one,
raise
the
the
right.
Perform
this
exercise
to
a
counted
footprint
traced
on
the
floor.
Foot
prints
14
inches
apart
placing
the
right
foot
justand
time.
Place
the
right
foot
on
one
step
right
toe
and
rotate
the
right
foot
cadence:
At
one,
shift
the
weight
to
the
left
should
be right
parallel
from
inside the
line, and
and 2theinches
left foot
justa
foot,
at
two,
place
the
right
foot
12
inches
to
bring
the
left
up
beside
it.
Later
practice
outward,
pivoting
on
the
heel;
at
two,
inside line.
the left
line. with
Emphasize
correct
center
Practice
quarter
steps,
the
right;
at
three,
shift
the
weight
to
the
right
walking
upleft
the
stairs
placing
one
foot
on
raise
the
heel
and
pivot
the
left
leg
placement.
Rest
after
10
steps.
half
and
foot; steps,
at four,three-quarter
bring the left steps,
foot over
to full
the
each
step.
At
first
use
thehalf
railing,
then
as
inward
on
the
toes;
at
three,
completing
right.
Repeat
exercise
with
steps
to
the
steps.
balance
dispense
the left.
railing.
the
turn,
and
to right
the
left. full
The improves,
size of
thethen
steprepeat
takenwith
to
or left
may be varied.