active care: the easy way - kmc university · exercise station neck rehabilitation program always...

Active Care:The Easy Way

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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


Extension 10 10 10 10 10 10


R Lat Flex 10 10 10 10 10 10


L Lat Flex 10 10 10 10 10 10


R Rot 10 10 10 10 10 10R Rot 10 10 10 10 10 10


L Rot 10 10 10 10 10

8 way Day 4 Day 5 Day 6

Flexion 10 15 10 15 10 15


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


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: _____________________________


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: ___________________________________


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

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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.



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.



©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___



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___


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



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___


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

active care: the easy way - kmc university · exercise station neck rehabilitation program always...

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