lecture 3, types of movement
TRANSCRIPT
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INTRODUCTION TOMOVEMENT
(MOVEMENT AND ITS TYPES)
Fareeha AmjadPhysiotherapist and lecturer
MSPT (Musculoskeletal)
Institute of Physical Medicine and Rehabilitation,
Dow University of Health Sciences.
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OBJECTIVES:
To understand the concept
of different types of
movements.
To memorize the types of
exercises in relation tothese movement types.
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TYPES OF MOVEMENT
A) ACTIVE MOVEMENT
B) PASSIVE MOVEMENT
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A) ACTIVE MOVEMENT
Movement of body that is done by
patient himself, is said to be active
movement.
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Active Movement is
ALWAYS performed or
controlled by the
voluntary action of
muscles.
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TYPES OF ACTIVE MOVEMENTS
1. Assisted
2. Free
3. Assisted-resisted
4. Resisted
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1) ASSISTED EXERCISE:
The external force is utilized to performthis movement.
Purpose:
The patient can move his or her limbbut cannot complete full range ofmotion because of weakness or pain.
The muscle has the strength andendurance but is not sufficient toperform the movement
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ASSISTED
EXERCISE
PASSIVE
MANNUAL MECHANICAL
ACTIVE
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ACTIVE ASSISTANCE:
The patient himself can assist with hisopposite extremity to perform the
assisted exercise.
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PASSIVE ASSISTENCE
Manual assisted exercise
Mechanical assistedexercise
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MANUAL ASSISTED EXERCISE
The passive assistance may be
given by therapist, any of the medica
professionals, patient relatives or
friends.
This type of assisted exercise is
maximum passive in nature butpatient has to try to perform the
movement up to his ability.
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MECHANICAL ASSISTED
EXERCISE:
The assisted exercise is done with
the help of the mechanical devices
are called mechanical assistedexercises.
Example:Pulleys and springs
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2) FREE EXERCISE:
These exercises are performed by the
patient himself, without any assistance or
resistance by the external force except
gravity.
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FREE EXERCISE
Localizede.g:Exs to knee joint or shoulder joint
Generalizede.g:
jogging, running
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ADVANTAGE OF FREE XS:
It is much more useful for the home program
schedule, as the patient can perform without
depending on anybody.
DISADVANTAGE OF FREE XS:
There is the possibility to perform improper,
irrelevant and accessory movements. So, thereshould be the proper supervision or proper
guidance to the patient to perform the free
exercises.
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3) ASSISTED-RESISTED EXERCISE:
This exercise is the combination of
assistance and resistance during a
single movement.
Purpose:
Muscles may be strong enough to
work against resistance in some partof range and not in others.
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4) RESISTED EXERCISE:
The activities which are
performed by opposing the
manual or mechanicalresistance is called resisted
exercise.
http://www.google.com.pk/imgres?imgurl=http://www.speedandstrengthcoach.com/images/man_fly2_fksk.jpg&imgrefurl=http://www.speedandstrengthcoach.com/Manual_Resistance_Intro.html&usg=__-6nWtGZjk7lkZWlEcd-aC1AFwo8=&h=1536&w=2048&sz=634&hl=en&start=1&zoom=1&tbnid=a00X5pAH7OABTM:&tbnh=113&tbnw=150&ei=NTSFT_qkH6P80QXI_4DJBw&prev=/images%3Fq%3Dmanual%2Bresisted%2Bexercise%26hl%3Den%26gbv%3D2%26tbm%3Disch&itbs=1 -
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MANNUAL RESISTANCE:By therapist, patient himself,
medical professional, relative or
friends.
MECHANICAL RESISTANCE:
By weights, springs, pulleys, water,
Thera bands.
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Purpose:
To increase the strength of weak
muscle.
To increase muscle power and
endurance.
To increase muscle volume
(hypertrophy)
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b) Passive movement:
Movement of body which isperformed with the help of external
force (no effort from patient)
These movements are done
whenever the muscle fail to perform
the movement by its own.
orwhen muscular activity voluntarily
reduced as much as possible to
permit movement.
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Purpose:
This is usually done to prevent
stiffness of the joint from beinginactive or paralyzed.
Also, passive range of motion isdone in conjunction with
stretching exercises.
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Manipulation Stretching Mobilization
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PASSIVEMOVEMENTS
MANUAL MECHANICAL
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REFRENCES:
http://www.physicaltherapynotes.com/2010/11/range-of-motion-types-of-range-of.html
S. Lakshami Narayanan, Text book of
therapeutic exercises, 1st edition 2005.
The principle of exercise therapy, M. Dena
Gardiner. 4th edition
Clinical Kinesiology.Brunnstroms.5th
edition.
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QUIZ...TIME
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ANY QUESTION
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UP COMING TOPIC:
Types of muscle
work.
Types of muscle
contraction.
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THANK
YOU