Showing posts with label SHOULDER. Show all posts
Showing posts with label SHOULDER. Show all posts

Sunday, 30 December 2012

IPHREHAB : ISOLATED GYM WORKOUT PLAN FOR WEEK

IPHREHAB

Isolated movement Exercise program for normal population in safe environment in a normal gym set-up. 

Back and Biceps exercise in same day (as both these muscle group work together as agonist and Synergist to each other). These muscles can be trained in different time durations and days, as it depend upon condition and goal required.


Shoulder and Triceps exercise in same day (as both these muscle group work together as agonist and Synergist to each other). These muscles can be trained in different time durations and days, as it depend upon condition and goal required.

15 Reps in One Set.
30-45 sec rest in between sets of same exercise.
2 minutes rest in between two exercise sets.

Day one :
(Shoulder n Triceps)(core training)
1. Treadmill on incline and try to go to maximum (i.e 10) in a gradual manner with increase in inclination of two units after 2.5 mins. (Total 15 min)
REST 2 MINUTES
2. Shoulder dumbbell press three sets standing with increase in weight and abs contracted(stomach squeeze).
REST 2 MINS
3. Rear deltoids on machine three sets (or bent over shoulder fly for rear deltoids and trapezius )
REST 2 MINS
4. Lateral deltoid (lateral shoulder raise ) or side fly for shoulders.
REST 2 MINS
5. Barbell shoulder raise front (with core incorporated and stomach squeeze). 
REST 2 MINS
6. Standing overhead One arm triceps extension three sets with abs contracted.
REST 2 MINS
7. Bent over triceps extension on bench with abs contracted (single arm bent over rowing position for triceps extension )
REST 2 MINS
8. Overhead Double arm triceps extension with dumbbell.
REST 2 MINS
9. Abs - static leg raises or leg raise on bench and hold three sets ( hold more then 25 sec )
10. Bench cycling for 30 rep each set and three sets.


Day 2
Abdominals  and Core training
1. Push up three sets with abs contracted one set 15 each
2. Step up on stairs and 20 from each side.
3. Squats as to sit on chair squat with knees behind the toes while going down..
4. Push up position and mountain walk.
5. Cycling (specifically for abs)
6. Bur-pee i.e.  push up and stand and clap over head.
7. Plank mountain walk .

15 Reps in One Set.
30-45 sec rest in between sets of same exercise.
2 minutes rest in between two exercise sets.

Day 3
(Back and Biceps)
1. Pull ups three sets 10 each.
2. Lateral pull down  three sets.
3. Rowing on machine with abs contracted with breathing pattern.
4. Single arm bent over rowing three sets.
5. Pitcher curl biceps curls.
6. Incline dumbbell biceps curl three sets
7. Barbell biceps curl three sets.
8. Abs leg raises(b/l)
9. Leg press(abs)& cat/camel.

Day 4
Abdominals
1. Treadmill 20 min incline
2. Crunches with knee extended
3. leg raises (both leg together)
4. leg raises 80 degree and hold with knee extended and foot towards your face.
5. cycling clockwise n anticlockwise with knee to elbow touch

15 Reps in One Set.
30-45 sec rest in between sets of same exercise.
2 minutes rest in between two exercise sets.

Day 5
(Cardio crosstrainer+Push up)
1. Barbell incline Chest press + fly 3 sets.
2. Decline dumbbell bench press 3 sets.
3. chest press with dumbbell on flat bench three sets
4. Squats with weight on barbell
5. Lunge+squats with weights and abs contracted 3 sets.
6. Leg curls 3 sets.
7. leg press seated with weights

Day 6
Abdominals and core same as day 2
abdominals and side obliques
single arm dumbbell side bend
side leg raises
abdominals exercise change according to time duration.

For more information comment and contact..CeeKay

Saturday, 29 December 2012

IPHREHAB : Functional Training for Shoulder and Triceps

IPHREHAB 

Functional Training:
There are many definition for functional training but in simple sense functional training involves use of compound movement with body weight and also increment it with poundages. 
Exercises like squats with side kick , push up , mountain walk modified ,squats with shoulder press with or without weight etc. and many more help a person to train and adapt to functional training and this leads to increase in cardiopulmonary efficiency with improvement in strength and endurance.

Notes :
"Compound movement training is better then isolated joint movement training"
Compound movement means movement involving more then one joint movement.
Isolated movement means movement involving one joint .

Isolated movement Exercise program for normal population in safe environment in a normal gym set-up. 
Shoulder and Triceps exercise in same day (as both these muscle group work together as agonist and Synergist to each other). These muscles can be trained in different time durations and days, as it depend upon condition and goal required.

REST 30-60 SECONDS REST IN BETWEEN SETS.


Day one :
(Shoulder n Triceps)(core training)
1. Treadmill on incline and try to go to maximum (i.e 10) in a gradual manner with increase in inclination of two units after 2.5 mins. (Total 15 min)
REST 2 MINUTES
2. Shoulder dumbbell press three sets standing with increase in weight and abs contracted(stomach squeeze).
REST 2 MINS
3. Rear deltoids on machine three sets (or bent over shoulder fly for rear deltoids and trapezius )
REST 2 MINS
4. Lateral deltoid (lateral shoulder raise ) or side fly for shoulders.
REST 2 MINS
5. Barbell shoulder raise front (with core incorporated and stomach squeeze). 
REST 2 MINS
6. Standing overhead One arm triceps extension three sets with abs contracted.
REST 2 MINS
7. Bent over triceps extension on bench with abs contracted (single arm bent over rowing position for triceps extension )
REST 2 MINS
8. Overhead Double arm triceps extension with dumbbell.
REST 2 MINS
9. Abs - static leg raises or leg raise on bench and hold three sets ( hold more then 25 sec )
10. Bench cycling for 30 rep each set and three sets.

Contact and comment for more information in functional training . ck

Saturday, 14 January 2012

IPHREHAB: UPPER LIMB ORTHOTICS AND NERVE INJURY


IPHREHAB


UPPER LIMB ORTHOTICS and NERVE INJURIES


PERIPHERAL NERVE INJURIES


AIM OF ORTHOTICS
—  To keep denervated muscle from remaining in an overstretched position
—  To prevent joint contracture
—  To improve functional use of the hand
—  Imp. issue to consider before prescribing an orthoses- etiology & prognosis for neuropathy
—  If injury- Neuropraxic - prefabricated orthotics & cheap


RADIAL NERVE INJURY: 


Ideal splints allows
—  Tenodesis action
—  Finger extension with wrist flexion
—  Wrist extension with finger flexion
—  Protects against over-lengthening of paralyzed wrist extensors & shortening of flexors.


PROXIMAL RADIAL NERVE INJURY


DEFORMITIES                                                        ORTHOTIC OBJECTIVES


1. WRIST DROP                                                         PREVENT WRIST DROP
                                                                                  ASSIST WRIST EXTENSION


2. MCP AND IP CONTRACTURE                             PREVENT DERFORMITY  


3. THUMB WEB SPACE CONTRACTURE                ASSIST THUMB 
                                                                                      EXTENTION/ABDUCTION
                                                                                 MAINTAIN THUMB WEB SPACE


4. FLATENING OF PALMER ARCH                    MAINTAIN TRANSVERSE ARCH


   —  Forearm-based dorsal or volar static wrist extension splint with dynamic out triggering for the fingers (Directly over the proximal   phalanges)


PROXIMAL MEDIAN NERVE INJURY
—  As the recovery is poor, splinting of this level of deformity to maintain passive ROM is appropriate for tendon transfers


SPLINTS:
—   Thumb spica splint
            Resting hand splint
           Tendon transfers


DEFORMITY                                                ORTHOTIC OBJECTIVES


1.Forarm and Thenar Atrophy                       Prevention   


2. Thumb on Finger plane                               Maintain Thumb in Adduction/Abduction


3.Thumb web space contracture                    Maintain Thumb Web Space


4.Flattening of transverse palmer arch          Maintain transverse Palmer arch


5.Others                                                            Assist MIP / IP  Flexion
                                                                           Reduce pain by limited wrist thumb


 As the recovery is poor, splinting of this level of deformity to maintain passive ROM is appropriate for tendon transfers.


DISTAL MEDIAN NERVE INJURY


DEFORMITY                                          ORTHOTIC OBJECTIVES


1.Thenar Atrophy                                     Prevention   


2. Thumb on Finger plane                       Maintain Thumb in Adduction/Abduction


3.Thumb web space contracture             Maintain Thumb Web Space


4.Others                                                    Assist MIP / IP  Flexion
                                                                   Reduce pain by limiting wrist and thumb.


—  SOFT DYNAMIC THUMB ABDUCTION SPLINT
—  THUMB SPICA SPLINT
—  C-BAR/OPPONENS BAR TO STABILIZE THE THUMB IN OPPOSITION


CARPAL TUNNEL SYNDROME :


—  VOLAR WRIST ORTHOSIS
—  Wrist-between 10º of extension & neutral position


PROXIMAL & DISTAL ULNAR NERVE INJURY


DEFORMITY                                                            ORTHOTIC OBJECTIVES


1.Flattening of Transverse Palmer Arch            Maintain Transverse Palmer arch.


2.During Pinch, 1st IP hyperflex &/ 1st              Stabilize 1st MCP
   MCP hyperextends.


3. Partial Claw hand                                              Improve Grasp
                                                                               Limits 4th and  5th MCP extention
4.Interosseous atrophy
   Hypothenar atrophy
   5th MCP jt. contracture


ULNAR NERVE INJURY


—  LMB Ulnar Nerve Splint. For ulnar nerve injury and boxer’s fracture of 4th and 5th metacarpal.
—  Used to prevent shoulder subluxation in patient with
—  Brachial plexus injury
—  Hemiplegia
—  Central cord syndrome


SHOULDER SLINGS
 This restrict movement of the shoulder by keeping the shoulder by keeping the humerus in abduction & internal rotation & placing the elbow in flexion.


SPASTICITY
PRINCIPLES
—  Prolonged muscle stretch to reduce spasticity
—  Positioning opposite to patterns of spasticity to inhibit or prevent development of increased tone
—  Tactile stimulation to facilitate hypotonic muscles
—  Splint must incorporate both the wrist & fingers in order to stretch the long finger flexor muscles
—  Splints are moulded to provide 30º of wrist extension , 45º of MCP flexion & full IP extension, finger abduction & thumb extension & abduction