Functional re-education

Functional re-education

prepared by: Dr. Krupa Raithathalecturer,school of physiotherapyRK.UniversityRajkot.

Functional re-educationRe-education means educating something, which is already known by an individual.

Here the patient knows the activities or movements that has,to be performed but due to his ailment or diseased pathology he could not perform it properly.

making the man independent is the main motto for the functional re-educational program.

In the functional re-educational training, sequence of progressions of position like the development of milestone of the child from lying to walking.

Depends on the condition and level of his independence the program can be designed.

Depending on the condition,the sequence can be planned and multiple postures may be overlapped.Sequence can be varied from one patient to another.

it helps toImprove coordination and balance.Increase strength and endurance of muscle.Increase pelvic stability.Increase the dynamic and static stability.Enhance the proprioceptive function.Improve postural stability.Improve the ambulatory skills.

RollingSupine to side lyingSide lying to prone lying Prone to side lyingSide lying to supineElbow prone lyingHand prone lyingElbow side lying-quadruped positionFunctional re-educational training consists of the pre ambulatory mat exercises and ambulatory training:Side sittingSittingKneelingKneel sittingHalf kneelingStandingWalking.

Rolling

supine to side lyingSide lying to supineUSES:To assist during nursing procedureGains a measure of independence.For postural drainageTo prevent bedsores.

Side lying to proneProne to side lying

BridgingUSES:To maintain efficacy of extensor musclesTo make bedpan routines easier.To relieve weight from sensitive pressure areasFeeling firm pressure on the sole of the foot.

Elbow prone lying

USES:

Bed makingDressing activitiesTo hold and readTo improve upper limb stability.For rocking and creeping activities.

Creeping

Hand prone lying

To improve upper limb muscle power and strength.For dressing activitiesTo improve bed mobility.

Quadruped position

USES:For floor level activities like playing with kids,seeding,gardening.To ambulate when patient can not walk.

Crawling

Elbow side lyingThis position is enroute for the sitting position.Mat mobility activities.Relaxed position for reading books and watching television.

Side sitting

Side sitting/Sitting

floor level house hold activities.Great stabilityUsually preliminary to standingPrevent from fallingFor dressing and toileting activities.

Hitching and hikingUSES:To take the weight on armsTo move pelvis for transfers for wheelchair.

KneelingKneel sittingKneeling

USES:

To improve static and dynamic stability.

To improve verticle alignment.

Kneel walking can be encouraged

For dressing activity

Useful for mobility

Improve floor level activities

Half kneeling

USES:Most suitable and effective method for getting up from floor.Push ups can be practiced and go for standing.Balancing and weight shifting activities can be practiced.

Standing Walking