1\Over View
1\ A- Target population:This unit is directed to the second class students in the
physiotherapy department
1\ B- rationale:Therapeutic method is very important subject to be studied in
order to have a full knowledge about its definition, and causes
of disease, clinical feature, medical treatment, surgical
treatment, and physical treatment.
1\C- central idea:1.
2.
3.
4.
5.
Definition of hemiplegia
Causes of hemiplegia
Problems associated with hemiplegia
Spasm pattern in hemiplegia
Management and principle of physiotherapy
2\ performance objectives
1.
2.
3.
4.
5.
define the hemiplegia
determine the causes of hemiplegia
discus the problems associated with hemiplegia
enumerate spasm pattern in hemiplegia
explain the management and principle physiotherapy
3\ pre test
1- hemiplegia mean:
a-lower limbs paralysis b- four limbs paralysis c- one
side from the body paralysis
2- one cause in fant occurs the hemiplegia
a-birth injury b- C.V.A
c- trauma
3- hemiplegia problems during occur
a-disturbance of voluntary b- urinary tract infection
c- bone crosion
4- spasm pattern in hemiplegia
a-elbow=extension
b- hip=pronation
c- ankle=planter flexion
5- goals of principles of physiotherapy
a-establish communication b- ice back
c- prevention scar tissue
Note:
-Check your answer in key answer page at the ending of
this modular unit.
-2degree for each.
4\ the text
Hemiplegia is condition affecting one side of the body we talk about a
right or left hemiplegia depending on the side affected.
Quiz 1 define the hemiplegia?
Note
Check your answers in key answer page at the ending of
this modular unit.
1. In fants
 Birth injury.
 Congenital mal formation.
 Space accuping lession (tumer, absces).
 Specific fever.
2. In young
a- Truma.
B- cerebro vascular disorder.
 Thrombosis
 Ambolus
B-S.A.L.
 Tumer.
 Abscess.
3. In middle aged
 Cerebro vascular accident (C.V.A)
 Cerebro vascular disease
 Infaretion.
 Thrombosis.
 Ambolus.
 S.A.L.
 Trauma.
4. Later life:-degenerative change in blood vessel and raised blood
pressure.
Quiz 2 determine the causes of hemiplegia?
Note
Check your answers in key answer page at the ending of
this modular unit.
1.
2.
3.
4.
5.
6.
7.
8.
Altered level of consciousness.
Disturbance of commumication.
Disturbance in tone.
Disturbance of voluntary.
Sensory dysfunction.
Visual disturbance.
Intellectual.
In contineure.
Quiz 3 discus the problems associated with hemiplegia?
Note
Check your answers in key answer page at the ending of
this modular unit.
# upper limb shoulder = retrection + depretion and internal rotation.
Elbow
= flexion
Fore arm = pronation
Finger
= flexion + adduction
# lower limb (and trunk) _ pelvic = retruction
_ hip
= external rotation
_ knee = extension
_ankle = planter flexion
_trunk = lateral flexion
Quiz 4 enumerate spasm pattern in hemiplegia?
Note
Check your answers in key answer page at the ending of
this modular unit.
A. Maintain air way and ensure adequate ventilation by:1. Breathing exercises.
2. Postural drainage.
3. Vibration.
4. Assisted coughing.
B. Inhibit development of abnormal pattern of reflex activity
1. Positioning to practice reflex inhibition
2. Reflex inhibition mare pattern
C. Establish communication.
D. Increase sensory stimulus by:
1. Weight bearing through limbs.
2. Afferent cut nous stimulus.
E. Maintain joint range and ………….. . Length.
Quiz 5 explain the management and principle
physiotherapy?
Note
Check your answers in key answer page at the ending of
this modular unit.
5\ post test
1- hemiplegia problems during occur
a-disturbance of voluntary b- urinary tract infection
c- bone crosion
2- spasm pattern in hemiplegia
a-elbow=extension
b- hip=pronation
c- ankle=planter flexion
3- goals of principles of physiotherapy
a-establish communication b- ice back
c- prevention scar tissue
4- hemiplegia mean:
a-lower limbs paralysis b- four limbs paralysis c- one
side from the body paralysis
5- one cause in fant occurs the hemiplegia
a-birth injury b- C.V.A
c- trauma
6\ key answer
1- Pre test
1-c
2-a
3-a
4-c
5-a
3-a
4-c
5-a
2- Post test
1-a
2-c
Quiz 1: Hemiplegia is condition affecting one side of the body we
talk about a right or left hemiplegia depending on the side
affected
Quiz 2 :
1-
In fants
 Birth injury.
 Congenital mal formation.
 Space accuping lession (tumer, absces).
 Specific fever.
2- In young
b- Truma.
B- cerebro vascular disorder.
 Thrombosis
 Ambolus
B-S.A.L.
 Tumer.
 Abscess.
3- In middle aged
 Cerebro vascular accident (C.V.A)
 Cerebro vascular disease
 Infaretion.
 Thrombosis.
 Ambolus.
 S.A.L.
 Trauma.
4- Later life:-degenerative change in blood vessel and raised blood
pressure.
Quiz 3 :
12345678-
Altered level of consciousness.
Disturbance of commumication.
Disturbance in tone.
Disturbance of voluntary.
Sensory dysfunction.
Visual disturbance.
Intellectual.
In contineure.
Quiz 4 :
# upper limb shoulder = retrection + depretion and internal rotation.
Elbow
= flexion
Fore arm = pronation
Finger
= flexion + adduction
# lower limb (and trunk) _ pelvic = retruction
_ hip
= external rotation
_ knee = extension
_ankle = planter flexion
_trunk = lateral flexion
Quiz 5 :
a- Maintain air way and ensure adequate ventilation by:5. Breathing exercises.
6. Postural drainage.
7. Vibration.
8. Assisted coughing.
b- Inhibit development of abnormal pattern of reflex activity
3. Positioning to practice reflex inhibition
4. Reflex inhibition mare pattern
c- Establish communication.
d- Increase sensory stimulus by:
6- Weight bearing through limbs.
7- Afferent cut nous stimulus.
e- Maintain joint range and ………….. . Length.
References






Neurological for physiotherapy cash.J.E.ed
Aids to physiotherapy
Gennifer. M. Lee
Tidys massage and remedial exercises
Internet
Adult hemiplegia evalution babath and traeme