Upload
others
View
4
Download
0
Embed Size (px)
Citation preview
Active Care:The Easy Way
Helping Chiropractors make and keep more money.
eManual
POSTURE
Normal
Forward Head
Thoracic Kyphosis
(R) Head Rotation
Chin Protrusion
Military Neck
Round. Shoulders
(L) Head Rotation
(R) Head Tilt
(L) Head Tilt
(R) Shoulder
(L) Shoulder
Patient Name: Date:
Cervical Spine Functional Assessment
RANGE OF MOTION CERVICAL SPINE
P=Passive A=Active Mark Degrees With Appropiate Letter
Inclinometer Goniometer Subjective
STRENGTH
Muscle
Biceps
Triceps
Deltoids
Wrist Ext.
Wrist Flex.
Neck Ext.
Neck Flex.
SCM
Upper Trap.
Serratus Ant.
L
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
R
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
© 2011 KMC University / Kathy Mills Chang, Inc. All Rights Reserved.
PALPATION (S=Spasm T=Tight L=Loose P=Pain)
SCM
Scalenes
Suboccipitals
Deep Neck Flexors
Pectorals
Levator Scap
Upper Trap
Lower Trap
Latissimus Dorsi
Rhomboids
COMMENTS
Examiner’s Name:
Examiner’s Signature:
Date:
Flexion Extension (R) Lat. Flex (L) Lat. Flex. (L) Rot. (R) Rot.
N= Normal
Patient Name: Date:
Lumbar Spine Functional Assessment
RANGE OF MOTION LUMBAR SPINE
P=Passive A=Active Mark Degrees With Appropiate Letter
Inclinometer Goniometer Subjective
STRENGTH
Muscle
Abdominals
Trunk Extensors
(L) Lat Flexors
(R) Lat Flexors
Obliques
Hip Flexors
Hip Extensors
Quads
Hanstrings
Adductors
Abductors
L
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
R
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
1 2 3 4 5
© 2011 KMC University / Kathy Mills Chang, Inc. All Rights Reserved.
POSTURE
Normal
( ) Lordosis
(High) (R) Ilia
(L) Antalgia
Military
( ) Lordosis
(High) (L) Ilia
(R) Antalgia
Scoliosis
Flexion
Flex Antalgia
PALPATION (S=Spasm T=Tight L=Loose N=Normal)
Abdominals
(L) Lat Flex
(L) Hip Flex
(L) Hip Ext
(L) Quad
(L) Hamstrings
(L) Obliques
Trunk Ext
(R) Lat Flex
(R) Hip Flex
(R) Hip Ext
(R) Quad
(R) Hamstrings
(R) Obliques
COMMENTS
Examiner’s Name:
Examiner’s Signature:
Date:
Flexion Extension (R) Lat. Flexion (L) Lat. Flexion
Basic Cervical Active Care Protocol Days 1-6 Patient Name: _____________________________
Exercise Date Setting Date Setting Date Setting Date Setting Date Setting Date SettingExercise Date Setting Date Setting Date Setting Date Setting Date Setting Date Setting
Reps #'s Reps #'s Reps #'s Reps #'s Reps #'s Reps #'s
Cervical Day 1 Day 2 Day 3 Day 4 Day 5 Day 6
Flexion 10 10 10 10 10 10
Cervical Day 1 Day 2 Day 3 Day 4 Day 5 Day 6
Extension 10 10 10 10 10 10
Cervical Day 1 Day 2 Day 3 Day 4 Day 5 Day 6
R Lat Flex 10 10 10 10 10 10
Cervical Day 1 Day 2 Day 3 Day 4 Day 5 Day 6
L Lat Flex 10 10 10 10 10 10
Cervical Day 1 Day 2 Day 3 Day 4 Day 5 Day 6
R Rot 10 10 10 10 10 10R Rot 10 10 10 10 10 10
Cervical Day 1 Day 2 Day 3 Day 4 Day 5 Day 6
L Rot 10 10 10 10 10
8 way Day 4 Day 5 Day 6
Flexion 10 15 10 15 10 15
8 way Day 4 Day 5 Day 6
Extension 10 15 10 15 10 15
8 way Day 4 Day 5 Day 68 way Day 4 Day 5 Day 6
L Lat Flex 10 15 10 15 10 15
8 way Day 4 Day 5 Day 6
R Lat Flex 10 15 10 15 10
Basic Cervical Active Care Protocol Days 7-12 Patient Name: _____________________________
Exercise Date Setting Date Setting Date Setting Date Setting Date Setting Date Setting Reps #'s Reps #'s Reps #'s Reps #'s Reps #'s Reps #'s
8 way Day 7 Day 8 Day 9Flexion 10 15 10 15 10 158 way Day 7 Day 8 Day 9
Extension 10 15 10 15 10 158 way Day 7 Day 8 Day 9
L Lat Flex 10 15 10 15 10 158 way Day 7 Day 8 Day 9
R Lat Flex 10 15 10 15 10 15Sci Fit Day 7 Day 8 Day 9 Day 10 Day 11 Day 12
15 lvl2/40prm 15 lvl2/40rpm 15 lvl2/40rpm 15 lvl3/40 rpm 15 lvl3/40rpm 15 lvl3/40rpmTheraband Day 10 Day 11 Day 12
Sh flex 20 Red 20 Red 20 RedTheraband Day 10 Day 11 Day 12
Sh Ext 20 Red 20 Red 20 RedTheraband Day 10 Day 11 Day 12Lat Raise 20 Red 20 Red 20 Red
Theraband Day 10 Day 11 Day 12Shrugs 20 Red 20 Red 20 Redg
Basic Lumbar Active Care Protocol Days 1-6 Patient Name: _____________________________
Exercise Date Setting Date Setting Date Setting Date Setting Date Setting Date Setting Reps #'s Reps #'s Reps #'s Reps #'s Reps #'s Reps #'s
Single Day 1 Day 2 Day 3 Day 4 Day 5 Day 6Knee L 10 10 10 10 10 10Single Day 1 Day 2 Day 3 Day 4 Day 5 Day 6
Knee R 10 10 10 10 10 10Double Day 1 Day 2 Day 3 Day 4 Day 5 Day 6Knee 10 10 10 10 10 10HS Day 1 Day 2 Day 3 Day 4 Day 5 Day 6Left 10 10 10 10 10 10HS Day 1 Day 2 Day 3 Day 4 Day 5 Day 6
Right 10 10 10 10 10 10Calf Day 1 Day 2 Day 3 Day 4 Day 5 Day 6Right 10 10 10 10 10 10Calf Day 1 Day 2 Day 3 Day 4 Day 5 Day 6Left 10 10 10 10 10 10
Lumbar Day 4 Day 5 Day 6Ext 10 40 10 40 10 40
Lumbar Day 4 Day 5 Day 6Flex 10 40 10 40 10 40Flex 10 40 10 40 10 40
Sci Fit Day 4 Day 5 Day 610 lvl2/40RPM 10 lvl2/40RPM 10 lvl2/40RPM
Basic Lumbar Active Care Protocol Days 7-12 Patient Name: ___________________________________
Exercise Date Setting Date Setting Date Setting Date Setting Date Setting Date Setting Reps #'s Reps #'s Reps #'s Reps #'s Reps #'s Reps #'s
Lumbar Day 7 Day 8 Day 9Ext 10 40 10 40 10
Lumbar Day 7 Day 8 Day 9Flex 10 40 10 40 10
Sci Fit Day 7 Day 8 Day 915 lvl2/40RPM 15 lvl2/40RPM 15
Theraball Day 7 Yellow Day 8 Yellow Day 9 Yellow Day 10 Green Day 11 Green Day 12 GreenABC's 1 1 1 2 2 2
Theraband Day 10 Day 11 Day 12Flex 10 Red 10 Red 10 Red
Theraband Day 10 Day 11 Day 12Ext 10 Red 10 Red 10 Red
Theraband Day 10 Day 11 Day 12L Lat 10 Red 10 Red 10 Red
Theraband Day 10 Day 11 Day 12R Lat 10 Red 10 Red 10 Red
Theraband Day 10 Day 11 Day 12L Rot 10 Red 10 Red 10 Red
Theraband Day 10 Day 11 Day 12R Rot 10 Red 10 Red 10 Red
PR
OG
RE
SS
IVE
ST
RE
NG
TH
EN
ING
EN
DU
RA
NC
E E
XE
RC
ISE
S
P
atie
nt
Nam
e: _
____
____
____
____
____
____
____
____
__
Exe
rcis
eD
ate
Set
ting
Dat
eS
ettin
gD
ate
Set
ting
Dat
eS
ettin
gD
ate
Set
ting
Dat
eS
ettin
gE
xerc
ise
Dat
eS
ettin
gD
ate
Set
ting
Dat
eS
ettin
gD
ate
Set
ting
Dat
eS
ettin
gD
ate
Set
ting
Rep
s#'
s
R
eps
#'s
Rep
s#'
s
R
eps
#'s
Rep
s#'
s
R
eps
#'s
Cer
vica
l
Fle
xion
Cer
vica
l
Ext
ensi
on
Cer
vica
l Lat
.
Fle
x R
Fle
x R
Cer
vica
l Lat
.
Fle
x L
Cer
vica
l
R R
otat
ion
R R
otat
ion
Cer
vica
l
L R
otat
ion
Ove
rpre
ssur
e
Cer
vica
l
Fle
x/E
xt
Cer
vica
l C
ervi
cal
Rot
atio
n
Cer
vica
l
L/R
Lat
Fle
x
PR
OG
RE
SS
IVE
ST
RE
NG
TH
EN
ING
EN
DU
RA
NC
E E
XE
RC
ISE
S
P
atie
nt
Nam
e: _
____
____
____
____
____
____
____
____
__
Exe
rcis
eD
ate
Set
ting
Dat
eS
ettin
gD
ate
Set
ting
Dat
eS
ettin
gD
ate
Set
ting
Dat
eS
ettin
gE
xerc
ise
Dat
eS
ettin
gD
ate
Set
ting
Dat
eS
ettin
gD
ate
Set
ting
Dat
eS
ettin
gD
ate
Set
ting
Rep
s#'
s
R
eps
#'s
Rep
s#'
s
R
eps
#'s
Rep
s#'
s
R
eps
#'s
ISO
Cer
vica
l
Fle
xion
ISO
Cer
vica
l
Ext
ensi
on
ISO
Cer
vica
l
R L
at F
lax
R L
at F
lax
ISO
Cer
vica
l
L La
t Fle
x
ISO
Cer
vica
l
R R
otat
ion
R R
otat
ion
ISO
Cer
vica
l
L R
otat
ion
Sho
ulde
r
Pre
ss
Sta
ndin
g
Row
Rev
erse
R
ever
se
Flie
s
Upr
ight
Row La
tLa
t
Pul
ldow
n
Consult your healthcare provider before beginning this exercise program. If you experience any pain or difficulty with any exercises, stop and consult your healthcare provider. The Hygenic Corporation is not liable for any injuries incurred while using exercises or programs accessed via this website. User must wear suitable eye protection such as safety goggles to protect against possibility of eye injury as a result of the band or tube snapping towards the face if grip is lost or if
the band or tube breaks.
Cervical Rehabilitation Exercises: These exercises are for rehabilitation of the cervical spine.
Print Exercise Program Close Window
Thera-Band Cervical Flexion-Dynamic Isometric (sitting)Begin in sitting with a loop of band securely attached on one end, and the loop around your head. Keep you back and neck straight while you slightly lean forward from your hips, moving your head about 10cm forward. Hold and slowly return to the starting position. Keep your neck straight, moving with your shoulders.
Thera-Band Cervical Extension-Dynamic Isometric (sitting)Begin in sitting with a loop of band securely attached on one end, and the loop around your head. Keep you back and neck straight while you slightly lean forward from your hips, moving your head about 10cm forward. Hold and slowly return to the starting position. Keep your neck straight, moving with your shoulders.
Page 1 of 3Thera-Band Academy - Exercise Program
6/8/2011http://www.thera-bandacademy.com/exercises/print_showroutine.asp?id=57
Thera-Band Cervical Sidebending-Dynamic Isometric (sitting)Begin in sitting with a loop of band securely attached on one end, and the loop around your head. Keep you back and neck straight while you slightly lean to the side from your hips, moving your head about 10cm. Hold and slowly return to the starting position. Keep your neck straight through the exercise.
Thera-Band Cervical Rotation IsometricPlace the middle of the band around the back of your head. Cross the ends of the band over your forehead and grasp the ends of the band at eye level near your head. Keep your neck in a neutral position with the chin slightly tucked. Extend your elbows outward to the side, stretching the band away from your head. Slowly return, and keep your neck stable. Repeat with the other hand.
Thera-Band Cervical Extension-Dynamic Isometric (standing)Begin in standing with a loop of band securely attached on one end, and the loop around your head. Keep you back and neck straight while you step backward. Hold and slowly return to the starting position. Keep your neck straight throughout the exercise.
Page 2 of 3Thera-Band Academy - Exercise Program
6/8/2011http://www.thera-bandacademy.com/exercises/print_showroutine.asp?id=57
Thera-Band Cervical Flexion-Dynamic Isometric (standing)Begin in standing with a loop of band securely attached on one end, and the loop around your head. Keep you back and neck straight while you step forward. Hold and slowly return to the starting position. Keep your neck straight throughout the movement.
Thera-Band Cervical Sidebending-Dynamic Isometric (standing)Begin in standing with a loop of band securely attached on one end, and the loop around your head. Keep you back and neck straight while you step to the side. Hold and slowly return to the starting position. Keep your neck straight throughout the movement.
Print Exercise Program Close Window
THERA-BAND® and Associated Colors are trademarks of the Hygenic Corporation. Unauthorized use is strictly prohibited. © 2003 The Hygenic Corporation. All rights reserved.
Send site related comments e-mail: [email protected] page last modified Thursday, January 04, 2007
Sponosored by THERA-BAND®.
Consult your healthcare provider before beginning this exercise program. If you experience any pain or difficulty with any exercises, stop and consult your healthcare provider. The Hygenic Corporation is not liable for any injuries incurred while using exercises or programs accessed via this website. User must wear suitable eye protection such as safety goggles to protect against possibility of eye injury as a result of the band or tube snapping towards the face if grip is lost or if the band or tube
breaks.
Page 3 of 3Thera-Band Academy - Exercise Program
6/8/2011http://www.thera-bandacademy.com/exercises/print_showroutine.asp?id=57
©2004. The Hygenic Corporation. All Rights Reserved.
Exercise Station
Neck Rehabilitation Program Always consult a healthcare professional before attempting these exercises.
Some exercises may not be appropriate for your specific condition or ability. For more information, visit www.Thera-BandAcademy.com
Lat Pull Down
Seated Row
Quadruped Stabilization 1
Quadruped Stabilization 2
Upright Row
Overhead Press
A1 | may 2009 | volume 39 | number 5 | journal of orthopaedic & sports physical therapy
[ CLINICAL COMMENTARY ]
EVIDENCE-BASED HOME NECK CARE EXERCISE PROGRAM, PHASE 1These therapeutic neck exercises are from clinical trials noted in TABLE 1 for individuals with chronic neck pain and select exercises are for the acute phase. The exercises should be judiciously tailored to individual circumstances and applied as indicated based on a clinical examination. Phases 1 to 3 depict a progressive dose of exercises detailed in TABLE 3.
1. Craniocervical flexionStart with pressure biofeedback inflated to 20 mmHg. Make sure your chin and forehead are lined up. Nod your head, keeping the large neck muscles soft and bringing the reading up to 22 mmHg. Work up to ten 10-second holds. Then progress to 24, 26, and 28 mmHg.Sets___ Reps___
2. Neck active range of motionStart with your head in neutral, thenA. Tilt backwardB. Bend forwardC. Tilt side to sideD. Turn side to sideSets___ Reps___
3. Resisted shoulder extension with elbow flexed“Set” your cervical spine, abdominals and scapulae, then extend your arm with elbows bent backward.Sets___ Reps___
APPENDIX
journal of orthopaedic & sports physical therapy | volume 39 | number 5 | may 2009 | A2
4. Resisted shoulder extension with elbow straight“Set” your cervical spine, abdominals, and scapulae, then extend your arm backward.Sets___ Reps___
5. Resisted shoulder shrug“Set” your cervical spine, abdominals, and scapulae, then slightly abduct arms and minimally shrug shoulders.Sets___ Reps___
6. Resisted elbow exercise“Set” your cervical spine, abdominals, and scapulae, thenA. BendB. Straighten level 1C. Straighten level 2your elbows.Sets___ Reps___
A3 | may 2009 | volume 39 | number 5 | journal of orthopaedic & sports physical therapy
[ CLINICAL COMMENTARY ]
EVIDENCE-BASED HOME NECK CARE EXERCISE PROGRAM, PHASE 2
These therapeutic exercises should be tailored to the individual based on sound clinical decision making. Phases 1 to 3 depict a progressive dose of exercise detailed in TABLE 3.
1. Head liftStart with your head in neutral (chin and forehead lined up), do a chin nod and lift your head, while maintaining your chin tucked. Hold for a count of 5 to 10 seconds and return smoothly with your chin still tucked.Sets___ Reps___
2. Isometric neck strengthPlace your hand on your head and resistA. BendingB. Tilting backwardC. Tilting sidewaysD. Turning your headHold for a count of 5 to 10 seconds.Sets___ Reps___
3. Shoulder stretches“Set” your cervical spine, abdominals, and scapulae,A. Clasp your hands behind your back and squeeze your scapulae togetherB. Hold your arms out in front of you and reach forward feeling a stretch between your scapulaeC. Reach your arms overheadHold for 20 seconds.Sets___ Reps___
4. Shoulder stretches“Set” your cervical spine, abdominals, and scapulaeA. With elbows at shoulder level, lean into a corner to feel a stretch in the front of your chestB. With elbows at eye level lean into a corner to feel a stretchHold for 20 seconds.Sets___ Reps___
journal of orthopaedic & sports physical therapy | volume 39 | number 5 | may 2009 | A4
5. Transverse abdominusA. Tense your lower abdomen by imagining drawing your hip bones together (or apart if that works better), hold for 10 secondsB. Then let the 1 leg fall out over a 10-second countSets___ Reps___
6. Wall sit“Set” cervical spine, transverse abdominus, and scapulae, then slide down the wall into a semi-squat position. Hold for as long as you can, working up to 2 minutes.Sets___ Reps___
@ MORE INFORMATIONWWW.JOSPT.ORG
A5 | may 2009 | volume 39 | number 5 | journal of orthopaedic & sports physical therapy
[ CLINICAL COMMENTARY ]
EVIDENCE-BASED HOME NECK CARE EXERCISE PROGRAM, PHASE 3
The therapeutic exercises depicted in phase 3 are of higher intensity and should be tailored to individuals based on a clinical exam.
1. Shoulder strength“Set” cervical spine, abdominals, and scapulae then “hug a tree.”Sets___ Reps___
2. Shoulder strengthen“Set” cervical spine, abdominals, and scapulae, then elevate arms into a “reverse fly.”Sets___ Reps___
3. Resisted neck: craniocervical flexion and oblique flexion“Set” cervical spine, abdominals, and scapulae, thenA. Nod headB. Nod head at a slight oblique angleSets___ Reps___
journal of orthopaedic & sports physical therapy | volume 39 | number 5 | may 2009 | A6
4. Resisted neck extension“Set” cervical spine, abdominals, and scapulae,A. First nod your headB. Then tilt your head backwardThe focus of extension is in the lower neck.Sets___ Reps___
5. Resisted neck side flexion“Set” cervical spine, abdominals, and scapulae, then tilt head to the side.Sets___ Reps___
6. Resisted neck rotation“Set” cervical spine, transverse abdominus, and scapulae, then rotate head.Sets___ Reps___
©2004. The Hygenic Corporation. All Rights Reserved. THERA-BAND and Associated Colors are trademarks of The Hygenic Corporation. Unauthorized use is strictly prohibited.
Exercise Station
Back Rehabilitation Program
Always consult a healthcare professional before attempting these exercises. Some exercises may not be appropriate for your specific condition or ability. These exercises should be
performed as part of a comprehensive program specific to your condition or ability. For more information, visit www.Thera-BandAcademy.com
Supine Stretch
Prone Stretch Supine Stabilization
Sitting Stabilization
Prone Stabilization
Back Extension
Trunk Rotation
Sidebending
Lat Pull Down