Coordination Exercise 3

CO-ORDINATION EXCERSISE
TESTS
NON-EQUILIBRIUM TESTS
1. Finger-to-Nose – The shoulder is abducted to 90
degrees with elbow extended. The patient is asked to
bring the tip of the index finger to the tip of his or her nose.
2. Finger-to-Therapist’s finger – The patient and therapist
sit opposite each other. The therapist’s index finger is held
in front of the patient. The patient is asked to touch the tip
of his or her index finger to the therapist’s index finger.
3. Finger-to-Finger – both shoulders are abducted to 90
degrees with the elbows extended. The patient is asked to
bring both hands toward the midline and approximate the
index fingers from opposing hands.
4. Alternate nose-to-finger – the patient alternately
touches the tip of his or her nose and the tip of the
therapist’s finger with the index finger.
5. Finger Opposition – the patient touches the
tip of the thumb to the tip of each finger in
sequence.
6. Mass Grasp – an alteration is made between
opening and closing fist (from finger flexion to
full extension).
7. Pronation/Supination – with elbows flexed to
90 degrees and held close to the body, the
patient alternately turns the palms up and down.
This test is also performed with shoulders
flexed to 90 degrees and elbows extended.
8. Rebound test – the patient is positioned with
the elbow flexed. The therapist applies sufficient
manual resistance to produce and isometric
contraction of the biceps. Resistance is suddenly
released. Normally, the opposite muscle group
(triceps) will contract and “check” movement of
the limb.
9. Tapping (hand) – with the elbow flexed and the
forearm pronated, the patient is asked to “tap” the
hand of the knee.
10. Tapping (foot) – the patient is asked to “tap”
the ball of one foot on the floor without raising
the knee; heel maintains contact with floor.
11. Pointing and past pointing – the patient and the
therapist sit opposite to each other. Both patient and
therapist bring shoulders to a horizontal position of
90 degrees flexion with elbow extended. Index
fingers are touching or the patient’s finger may rest
lightly on the therapist’s. the patient is asked to fully
flex the shoulder and then return to the horizontal
position such that index fingers will again
approximate. A normal response consists of an
accurate return to the starting position. In an
abnormal response, there is typically a “past pointing”
, or movement beyond the target.
12. Alternate heel-to-knee; heel-to-toe – from a
supine position, the patient is asked to touch the
knee and big toe alternately with the heel of the
opposite extremity.
13. Toe to examiner’s finger – from a supine
position, the patient is instructed to touch the
great toe to the examiner’s finger.
14. Heel on shin – from a supine position, the
heel of one foot is slid up and down the shin
of the opposite lower extremity.
15. Drawing a circle – the patient draws an
imaginary circle in the air with either upper or
lower extremity. This also may be done using
a figure-eight pattern.
16. Fixation or position holding – UE: the
patient holds arms horizontally in front
(sitting or standing)…LE: the patient is asked
to hold the knee in an extended position
(sitting).
EQUILIBRIUM TESTS
• Standing, comfortable posture with normal base
of support (BOS).
• Standing, feet together (narrow BOS).
• Standing in tandem position, with one foot
directly in front of the other (toe of one foot
touching heel of opposite foot)
• Standing on one foot.
• Arm position may be altered in each of the
above postures (i.e., arms at side, over head,
hands on waist, and so forth).
• Perturbations: displace balance unexpectedly
• Standing, functional reach: forward trunk flexion
with upper extremity reach.
• Standing, laterally flex trunk to each side
• Standing: eyes open (EO) to eyes closed
(EC); inability to maintain an upright
posture without visual input is referred to
as a positive Romberg sign.
• Standing in tandem position eyes open (EO)
to eyes closed (EC) (Sharpened Romberg).
• Tandem walking, placing the heel of one
foot directly in front of the toe of the
opposite foot.
• Walking along a straight line drawn or taped
to the floor, or place feet on floor markers
while walking.
• Walk sideways, backward, or cross-
stepping.
• March in place.
• Alter speed of ambulatory activities;
observe patient walking at normal speed, as
fast as possible, and as slow as possible.
• Stop and start abruptly on command while
walking.
• Walk and pivot on command (turn 90, 180
or 360 degrees)
• Walk in a circle, alternate directions.
• Walk on heels or toes.
• Walk with horizontal and vertical head
turns on command.
• Step over or around obstacles
• Stairclimbing with and without using
handrail; one step at a time, step over step.
• Jumping jacks.
• Sitting on therapy ball: alternate flexing
and extending the knees (coordinated
movement with upright balance).
PHYSIOTHERAPY TREATMENT
• Therapeutic exercises used to improve co-ordination:
• There are many interventions that can be utilized to
improve coordination, such as:
 Tai Chi
 Pilates
 Yoga
 Otago Exercise Program and use of Balance Boards
•Neuromuscular coordination exercises:

 Proprioceptive Neuromuscular Facilitation
 Neurophysiological Basis of Developmental
Techniques
 Sensory Integrative Therapy
 Frenkel’s Exercises.
FRENKEL’S EXERCISE
• Definition :
A series of gradual progressive
exercises designed to increase coordination.
• Aim :
Establishing control of movement by
use of any part of sensory mechanism which
remain intact as sight & hearing to
compensate for the loss of kinesthetic
sensation
 I-lying --------
• flexion-extension
• Abduction – adduction
• Each movement will be performed
unilaterally fast then slow then
interrupted by hold
• Bilateral performance simultaneously
then alternatively
 Sitting :
1-Slide heel to reach a mark on the floor
2-change standing and sit again
 Standing :
1-transfer weight from foot to foot
2- walking side ways
3-placing foot on specific marks
For arms :
• Sitting with arm supported on a
table and placing hand at specific
mark
• Try to reach an object
• Picking up objects
• Put the hand in a ring or hole
PROGRESSION
• Progression is made by altering the speed, breadth and
complexity of the exercise.
• The progression of exercises must be in difficulty, not in power.
• Under no circumstances must strenuous work or that involving
a large muscle load be done. To progress in its implementation,
the patient must execute the exercise to perfection. If they do
not, they should not start another exercise.
• The progression must respect the difficulty of precision of the
exercises, so that initially, fundamental movements of large
amplitude used in the major joints will be carried out, and later
substituted by more subtle and precise movements (gripping).
Moreover, at first they must be done quickly and then slowly.
• The progression is characterized by the degree of disability.
The re-education exercises begin in the supine position, with
the head erect and the limbs firmly supported, later progressing
to sitting exercises and finally in the standing position.
• The exercises are to be carried out at first with the help of the
eyes, until they are mastered, and done with the eyes closed.

Coordination Exercise 3

Uploaded by

Copyright:

Available Formats

Coordination Exercise 3

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Coordination Exercise 3

Uploaded by

Copyright:

Available Formats

CO-ORDINATION EXCERSISE

•Neuromuscular coordination exercises:

You might also like