lecture 3, types of movement

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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