making moves with periodic paralysis€¦ · buoyancy: force acting in the opposite direction of...

Making Moves with Periodic Paralysis

Dr. Carly Matichak Stock PT, DPT

Kennedy Krieger Institute

Center for Genetic Muscle Disorders

“Optimizing movement to improve the human experience.”

Physical therapy is a skilled treatment to help improve or restore mobility

Focus on Human Movement System

Individualized approach

Evidence based practice

Physical Therapy

Develop an Exercise Plan

Type

Duration/Frequency

Intensity

Finding the Balance

All exercise should be done with proper form

All exercise should be done with core musculature activated

Understand purpose of exercise and functional implication

Listening to your body

The Common Threads

Animal Assisted Therapy

Equine/Balance Dogs

Aquatics

Electrical Stimulation

Exercise Movement

Neuroreeducation

Manual techiniques

Modalities

Principles

Precautions

Physiological Implications

Techniques

Aquatics

Buoyancy: Force acting in the opposite direction of gravity. Felt as an upward thrust.

Hydrostatic Pressure: Force exerted on immersed body by fluid molecules. Equal pressure everywhere.

Resistance: Viscosity and Turbulence

Thermal

Principles

Compromised Cardiovascular System

Urinary Tract Infections

Open Wounds

Epilepsy

Contagious Infections

Impaired Temperature Regulation

Talk with You Physician and get Medical Clearance!

Precautions

Circulatory System

Pulmonary System

Musculoskeletal System

Renal System

Physiological Effects

Improves:

Balance

Coordination

Weight bearing

Muscular endurance/strength

Cardiovascular/respiratory endurance

Pain management

Range of Motion

Circulatory function

Benefits of Aquatics

Bad Ragaz

Watsu

Halliwick

Proprioceptive Neuromuscular Facilitation (PNF)

Massage

Pilates and Yoga

Aquatics Techniques

Multi-directional Walking

Stretching

Standing Series

Sitting Series

Supine Series

Deep Water Series

Sample Aquatics Session

Sample Aquatics Session

Forward, Backwards, Sideways

Multi- directional Walking

Standing Lunge

Slump/Straighten

Slump Straighten with Rotation

Stretching

3- Way Hips

Windshield Wipers

Rows

Standing Series

Seated on Noodle or Bench

Marching

Hip Hikes

Kick-Outs

Seated Series

Angels

Crunches- Knees to Chest

Crunches- Knees to Opposite Shoulder

Supine Series

Bicycle

Scissors

Cross Country Ski

Deep Water Series

All information shared in this presentation should be discussed with you medical physician and/or physical therapist before engaging in any program.

The information given is strictly as a resource, and not a recommendation or endorsement.

Disclaimer

“You can't stop the waves, but you can learn to surf.” ― Jon Kabat-Zinn