polymyositis

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Polymyositis By: Dr Madhur Thawani (B.P.T., M.S.Exs., D.P.T. (USA)) Polymyositis (PM) is a chronic inflammatory myopathy, which is classified as a persistent inflammatory muscle disease. PM affects striated muscle fibers, but spares smooth muscle throughout the body and can come on gradually over weeks or months. PM targets proximal musculature, with little to no pain, impairing strength and is characterized by an elevation of serum muscle enzymes and a wide variety of skin abnormalities, sometimes including cardiopulmonary impairments. 1. Supine: Shoulder Flexion/Extension Start Position: You lie down straight on your back and hold stick as shown in the picture. Next: Patient keeps both hand straight and holds the stick End Position: Patient raises arms over the head. 5 times once 2. Supine: Shoulder Abduction/Adduction Start Position: Hold stick in your both hands in straight sky facing front position End Position: Patient slides arm on each side of the shoulder 5 times on each side. For Further Consulting and Personalized Therapy contact: સસva Multispecialty Physiotherapy Clinic Address: Shop2-5, Ground Floor Maurya Apts, Opp Grand Cambay, Nr Auda Garden, Gulab Tower Rd, Thaltej, Ahmedabad-380054. Time: Mon – Sat 8:00-8:00 :Landline: 079-27438259

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Polymyositis (PM) is a chronic inflammatory myopathy, which is classified as a persistent inflammatory muscle disease. PM affects striated muscle fibers, but spares smooth muscle throughout the body and can come on gradually over weeks or months. PM targets proximal musculature, with little to no pain, impairing strength and is characterized by an elevation of serum muscle enzymes and a wide variety of skin abnormalities, sometimes including cardiopulmonary impairments.

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Page 1: Polymyositis

PolymyositisBy: Dr Madhur Thawani (B.P.T., M.S.Exs., D.P.T. (USA))

Polymyositis (PM) is a chronic inflammatory myopathy, which is classified as a persistent inflammatory muscle disease. PM affects striated muscle fibers, but spares smooth muscle throughout the body and can come on gradually over weeks or months. PM targets proximal musculature, with little to no pain, impairing strength and is characterized by an elevation of serum muscle enzymes and a wide variety of skin abnormalities, sometimes including cardiopulmonary impairments.

1. Supine: Shoulder Flexion/Extension Start Position: You lie down straight on your

back and hold stick as shown in the picture. Next: Patient keeps both hand straight and

holds the stick End Position: Patient raises arms over the head. 5 times once

2. Supine: Shoulder Abduction/Adduction Start Position: Hold stick in your both hands in

straight sky facing front position End Position: Patient slides arm on each side of

the shoulder 5 times on each side.

3. Bridging: Starting Position: Keep your knees bent and hip

distance apart, and the soles of your feet planted firmly on the floor. Walk your heels back as close to your buttocks as possible. If it is easier, scoot your buttocks toward your heels.

End Position: Tilt your pelvis and pull belly button toward your spine to engage your abs and raise your pelvis up.

5 times with 5 second hold.

For Further Consulting and Personalized Therapy contact:સે� va Multispecialty Physiotherapy Clinic

Address: Shop2-5, Ground Floor Maurya Apts, Opp Grand Cambay, Nr Auda Garden, Gulab Tower Rd, Thaltej, Ahmedabad-380054.

Time: Mon – Sat 8:00-8:00 :Landline: 079-27438259

Page 2: Polymyositis

PolymyositisBy: Dr Madhur Thawani (B.P.T., M.S.Exs., D.P.T. (USA))

4. Straight Leg Raise Starting Position: Keep lower back in

contact with the floor, feet and legs straight and together. Place hands to sides or under lower back for support.

End Position: Keeping leg straight, back flat, lift leg upward until they are straight above hips.

Lower down to starting position slowly and with control (but do not allow feet to touch the ground between reps) to complete one rep.

5 times each leg

5. Air Cycling: Starting Position: Lie flat on the floor with

your lower back pressed to the ground. End position: Bring knee up to where they

are perpendicular to the floor. Now simultaneously, slowly go through a cycle pedal motion kicking forward with the right leg and bringing in the knee to complete one rep

5 times each leg

6. Hip Abduction/ Adduction Starting Position: Lie on your back with

your legs straight. End Position: Move your leg outward as

far as possible then move leg inward as much as possible.

Repeat it 5 times on each side.

7. Hip Internal and External Rotation: Starting Position: Lie on your back with

your legs straight Next: Turn your legs from hip to your feet,

inward as far as possible.

For Further Consulting and Personalized Therapy contact:સે� va Multispecialty Physiotherapy Clinic

Address: Shop2-5, Ground Floor Maurya Apts, Opp Grand Cambay, Nr Auda Garden, Gulab Tower Rd, Thaltej, Ahmedabad-380054.

Time: Mon – Sat 8:00-8:00 :Landline: 079-27438259

Page 3: Polymyositis

PolymyositisBy: Dr Madhur Thawani (B.P.T., M.S.Exs., D.P.T. (USA))

End Position: Turn your legs, from your hip to your feet, outward as far as possible. 5 times on each side do it once.

8. Side lying: Oblique Crunch Starting Position: Start by lying on left side

with your legs lying on top of each other. Make sure your knees are bent a little bit.

Place your right hand in front of the body on bed.

Next: Begin by moving your left elbow up as you would perform a crunch using your obliques.

End Position: Crunch as high as you can, hold the contraction for a second and then slowly drop back into the starting position.

5 times on each side do it once.

9. Prone On Elbow Starting position: Lie on your stomach on

a firm surface. End Postion: Push up onto your forearms

without raising your hips. Hold this position for 30 sec - 2 mins

10. Prone arm raise: Starting Position: Lie on your stomach

with arms staying straight while holding the stick while performing the exercise.

End Position: Raise your arms, squeeze shoulder blades then bring then bring them back down to resting position.

Do it 5 times once.

11. Baby Crawling Position: Starting Position: Lie on your stomach on

a firm surface. Next: Place your arms close to your body

and raise your back and hips up.

For Further Consulting and Personalized Therapy contact:સે� va Multispecialty Physiotherapy Clinic

Address: Shop2-5, Ground Floor Maurya Apts, Opp Grand Cambay, Nr Auda Garden, Gulab Tower Rd, Thaltej, Ahmedabad-380054.

Time: Mon – Sat 8:00-8:00 :Landline: 079-27438259

Page 4: Polymyositis

PolymyositisBy: Dr Madhur Thawani (B.P.T., M.S.Exs., D.P.T. (USA))

End Position: You are on your hands and knees as shown in the picture. Hold this position for 30 seconds

12. Prone on Physio Ball: Starting Position: Lie on your stomach

over the top of the ball. Begin with your torso on the ball and hands and feet on the floor.

End position: Lengthen your arms and stretch your hands to front of the bed. Your knees should be under your hips.

10 times one set

13. Kneel Standing Position: Starting Position: Starting Position: Lie

on your stomach over the top of the ball. Begin by squeezing your buttocks

End Position: Using your back muscles pull up your back as shown in the figure.

Hold this position for 30 Seconds once.

14. Front Pull ups Starting Position: Patient sitting straight

without back support and keeping arms straight holding hands together as shown in picture.

End Position: Bring hands towards the chest and keeping elbow at shoulder level.

10 Reps once.

For Further Consulting and Personalized Therapy contact:સે� va Multispecialty Physiotherapy Clinic

Address: Shop2-5, Ground Floor Maurya Apts, Opp Grand Cambay, Nr Auda Garden, Gulab Tower Rd, Thaltej, Ahmedabad-380054.

Time: Mon – Sat 8:00-8:00 :Landline: 079-27438259

Page 5: Polymyositis

PolymyositisBy: Dr Madhur Thawani (B.P.T., M.S.Exs., D.P.T. (USA))

15. Reaching Out: Starting Position: You

should sit straight and hold arms straight as in picture

End Position: Reach out on your right side and then reach on your left and back to neutral.

10 times on each side.

16. Back Flexion/ Extension: Starting Position: You are sitting straight

with no back support and no weights on the arms.

Next: With resistance by the therapist you should try to push your back to complete extension (back bending)

End Position: You should try to bring your back forward as much as you can then bring it back to starting position.

5 times both sides.

17. Physio Ball Bounce Squats: Starting Position: You should stand

straight near the wall holding something in front. (As shown in picture)

End Position: You sit on the ball and use your thigh and hip muscles to bounce on ball.

Bounce for 20 times do it twice.

Thank YouFor Further Consulting and Personalized Therapy contact:

સે� va Multispecialty Physiotherapy ClinicAddress: Shop2-5, Ground Floor Maurya Apts, Opp Grand Cambay, Nr Auda Garden, Gulab Tower Rd, Thaltej, Ahmedabad-380054.

Time: Mon – Sat 8:00-8:00 :Landline: 079-27438259

Page 6: Polymyositis

PolymyositisBy: Dr Madhur Thawani (B.P.T., M.S.Exs., D.P.T. (USA))

Disclaimer

This blog, text, images, videos, and other materials have been provided as general information for exercise and rehabilitation and

are intended for educational purposes. Any individual beginning mentioned, or beginning any other exercise program, should first

consult with a qualified health professional. Discontinue any exercise that causes discomfort and/or dysfunction and consult with a

qualified medical professional. Please consult with a physician prior to implementing any rehabilitation or exercise protocol. This

website does not contain medical advice. The instructions and advice presented are in no way a substitute for professional testing,

instruction, or training. The creator, producer, and distributor of website disclaim any liabilities or loss, personal or otherwise, in

connection with the exercises and advice herein.

For Further Consulting and Personalized Therapy contact:સે� va Multispecialty Physiotherapy Clinic

Address: Shop2-5, Ground Floor Maurya Apts, Opp Grand Cambay, Nr Auda Garden, Gulab Tower Rd, Thaltej, Ahmedabad-380054.

Time: Mon – Sat 8:00-8:00 :Landline: 079-27438259