Training Program For Cerebral Palsy Essay, Research Paper
Background and Purpose
This preparation plan is for Bob, a male 11 year-old pupil with intellectual paralysis. This requires him to utilize a wheelchair most of the clip although he is able to stand and walk for short distances of about 30 pess when there is something to hang on to for stableness. With more muscular preparation, that distance could be increased greatly as the lone ground he can non go on is fatigue and hence the hazard of falling or other hurt. It should be noted that an helper will be needed for this plan. Bob besides has limited extension at the articulatio genuss and limited dorsiflexion at the mortise joint. He is scraggy for his tallness as he is 4 & # 8242 ; 11 & # 8243 ; and merely 77 pound. but this could be due to the deficiency of muscular development in the legs and thighs.
Lord Roberts/Ellen Douglass School in the Winnipeg School Division has a plan running where pupils with disablements take a coach to the BoniVital Archibald Swimming Pool every Wednesday afternoon. This is a perfect location for the preparation Sessionss as it provides a merriment environment to exercising in, he can walk with less than normal organic structure weight and Bob is able to swim. The pool is 25 pess broad and 60 pess long with an increasing deepness from 2 & # 8242 ; 6 & # 8243 ; to 4 & # 8243 ; ; it is the smaller of the two pools at the composite. The lone disadvantage to this is that the school merely goes one time a hebdomad and the kids merely acquire a half-hour per group of childs to be able to swim. This doesn & # 8217 ; Ts leave a batch of clip for a full preparation plan, therefore exercisings are besides needed for place and more in-pool preparation is required during a public swimming clip.
Through his preparation, Bob should derive in the countries of balance, flexibleness, and muscular strength and endurance in the lower limbs. All of these contribute to one personal end for Bob: independency. With a better ability to take on all of the yearss undertakings, Bob would be able to populate his life with a batch less assistance from others. He could go forth his chair if there were an obstruction that it disabled him from making and pull off to get the better of it himself.
Bob is excessively immature for the PAR-Q questionnaire nevertheless I was told that all of the kids had to confer with a physician before take parting in the swimming categories.
Explanation of Exercises for Assistant
Stretching & # 8211 ; Hamstrings, Calf musculuss
These stretches can be done at place but when Bob is at the pool, this part can be done in the hot bath to assist loosen up the musculuss. Have Bob sit and seek to widen his articulatio genus articulation while you merely assist him by seting one manus on his thigh and using a little pulling force per unit area with the other manus that is keeping the dorsum of the calf. This will stretch his hamstrings. Besides help him dorsi-flex ( lift toes upward ) his mortise joint as a stretch. Range of gesture is normal at all other articulations, those are the lone two that need particular attending.
Walk in pool & # 8211 ; All-around lower organic structure
Keep your weaponries straight out so that Bob may keep onto your carpus or custodies for stableness ( he will slowly fall frontward when non keeping onto anything ) . Try non to flex your cubituss as it doesn & # 8217 ; t give Bob adequate room to walk decently. Let him make up one’s mind how fast to travel ; if you move to fast he is light plenty that he will merely get down to drift in the deep terminal and autumn in the shallow terminal.
Reverse Leg Lifts & # 8211 ; Gluteus maximus, Hamstrings
Have Bob ballad on his tummy and raise his full leg to the ceiling so easy lower back down to the land
Bent-Knee Leg Lifts & # 8211 ; Iliopsoas
While sitting, have Bob flex his hip with his articulatio genus in a flexed place, so easy return
Quadriceps Extension & # 8211 ; Quadricepss
In a seated place, Bob should widen his articulatio genus and easy lower it once more.
Hamstringing Curls & # 8211 ; Hamstrings
Standing and utilizing the grips of the wheelchair for balance, bend one articulatio genus and return it to original place.
Squats & # 8211 ; Quadriceps, Gluteus maximus
British shilling does hold adequate strength to make knee bends in the pool but non on land. As of now he can merely make them in the center of the pool nevertheless as his strength additions he could easy travel towards to shoal terminal thereby seting more of his organic structure above the H2O and increasing the weight.
Balance
Have Bob base in the deep terminal and allow travel of your custodies ( stand without any assistance ) . He can non stand for really long by himself but he is easy bettering.
Toe Raises & # 8211 ; Calf Muscles
Standing behind the wheelchair and utilizing the grips to keep for balance and some support, go from a level footed stance to being raised up on the toes and balls of the pess.
Toe Pulls & # 8211 ; Dorsi-flexors
This can be done at place. Simply take an elastic strap and topographic point it over the toes of Bob & # 8217 ; s places wh
ile he is puting on a support with his pess off of the border. Keep on to the elastic so there is no slack and your terminals are traveling off from Bob. He will so dorsi-flex his mortise joint to stretch the elastic and easy ease the tenseness off by plantar-flexing his mortise joint.
Wall-Walking & # 8211 ; All-around lower organic structure
This can besides be done at place. Bob faces the wall and places his custodies on it for support and by traversing pes over pes he should walk across the room.
Jumping & # 8211 ; Quadriceps, Gluteus maximus, Calf musculuss
When in the deep terminal of the pool, allow Bob keep your custodies for balance as he jumps and as he lands, starts another leap. Ten back-to-back leaps form a set.
Training Agenda
Monday & # 8211 ; Home
Topographic point a warm towel or other beginning of heat on the articulations for 5 proceedingss
Stretch until you feel you are good stretched out ( about 3-4 proceedingss )
Wall-walking & # 8211 ; travel until you think you may fall, take a one minute breathing place and
repetition twice more
Reverse Leg Lifts & # 8211 ; 3 sets of 10 repetitions/leg ( 30 2nd remainder in between sets )
Bent-Knee Leg Lifts & # 8211 ; 3 sets of 10 reps./leg ( 30 2nd remainder in between sets )
Tuesday & # 8211 ; Home
Topographic point a warm towel or other beginning of heat on the articulations for 5 proceedingss
Stretch until you feel you are good stretched out ( about 3-4 proceedingss )
Quadriceps extensions & # 8211 ; 3 sets of 10 reps./leg ( 30 2nd remainder in between sets )
Hamstringing Curls & # 8211 ; 3 sets of 10 reps./leg ( 30 2nd remainder in between sets )
Toe Raises & # 8211 ; 3 sets of 10 reps. ( 30 2nd remainder in between sets )
Toe pulls & # 8211 ; 3 sets of 10 reps./foot ( 30 2nd remainder in between sets )
Wednesday & # 8211 ; Pool ( clip allocation of 30 proceedingss )
Stretch for 5 proceedingss in the hot bath
Walk in the deep terminal get downing at one side, there and back 5 times
Squats & # 8211 ; 3 sets of 10 reps. ( 30 seconds in between sets )
Balance & # 8211 ; work on this for approximately 5 proceedingss
Thursday & # 8211 ; Home
Topographic point a warm towel or other beginning of heat on the articulations for 5 proceedingss
Stretch until you feel you are good stretched out ( about 3-4 proceedingss )
Wall-walking & # 8211 ; travel until you think you may fall, take a one minute breathing place
and reiterate twice more
Reverse Leg Lifts & # 8211 ; 3 sets of 10 reps./leg ( 30 2nd remainder in between sets )
Bent-Knee Leg Lifts & # 8211 ; 3 sets of 10 reps./leg ( 30 2nd remainder in between sets )
Friday & # 8211 ; Home
Topographic point a warm towel or other beginning of heat on the articulations for 5 proceedingss
Stretch until you feel you are good stretched out ( about 3-4 proceedingss )
Quadriceps extensions & # 8211 ; 3 sets of 10 reps./leg ( 30 2nd remainder in between sets )
Hamstringing Curls & # 8211 ; 3 sets of 10 reps./leg ( 30 2nd remainder in between sets )
Toe Raises & # 8211 ; 3 sets of 10 reps. ( 30 2nd remainder in between sets )
Toe pulls & # 8211 ; 3 sets of 10 reps./leg ( 30 2nd remainder in between sets )
Saturday & # 8211 ; Pool ( Public Swimming )
Stretch for 5 proceedingss in the hot bath
Walk in the deep terminal get downing at one side, there and back 5 times
Squats & # 8211 ; 3 sets of 10 reps. ( 30 seconds in between sets )
Jumping & # 8211 ; 3 sets of 10 reps. ( 30 seconds in between sets )
Swiming & # 8211 ; 2 sets of 5 laps ( one forepart, one dorsum ) 2 minute remainder in between
Balance & # 8211 ; work on this for approximately 5 proceedingss
Sunday & # 8211 ; Day Off
Program Change
For all of the exercisings in the pool, they can be made more hard by merely traveling them to the shallow terminal to increase the challenge for Bob. In the instance of the walking in the pool exercising exchange it from walking side to side to walking from the deep terminal to the shoal so it becomes progressively hard the farther he goes, so swim back to the other terminal and start over. Wall-walking could be replaced by leg lifts and raises ; ballad on side ( right ) and raise the leg on the land ( right ) or raise the other ( left ) . Bent-knee leg lifts and change by reversal leg lifts could be replaced by walking and utilizing the wheelchair as a Walker & # 8211 ; to supply balance and back up some weight. Quadriceps extensions and hamstring coils may be done with ankle weights or on a weight machine designed for these and toe rises and pulls could be replaced with measure aerobic exercises in the H2O as the pool has the equipment for this.
Decision
Through treatment with Bob I have found that he rather enjoys this plan as he loves to be in the pool and can already see his ain advancement in balance. The yearss were chosen to supply a six twenty-four hours plan with two yearss in the pool nevertheless Bob is normally busy with household on Sundays so that was made a designated twenty-four hours off.
