This book is an informative guide for both the patient and therapist, and provides a series of exercises that target the most important muscles for those with spastic paresis. Actively practicing the exercises prescribed in this self-rehabilitation manual will allow the patient to see continued improvement in their muscle functioning. Spastic paresis is the consequence of a central nervous system disorder such as a stroke, traumatic brain or spinal cord injury, multiple sclerosis, or a tumor of the nervous system, conditions that may have occurred in childhood or adulthood. In spastic paresis two problems coexist: the word 'paresis' means that when the brain sends a command to a muscle to contract, this order is incompletely received by the muscle; the word 'spastic' indicates that at the same time muscles cannot relax normally and have a tendency to be spontaneously overactive. A daily program of prolonged stretching and an intensive motor training program using unassisted large amplitude rapid alternating movements is recommended to gradually increase brain command effectiveness.
Author(s): Jean-Michel Gracies
Publisher: Springer
Year: 2022
Language: English
Pages: 133
City: Cham
Contents
Author biography
Foreword
Understanding spastic paresis...
Introduction
Getting started with the guided self-rehabilitation
contract
Neuroloco
PART ONE Lower limb anatomical review
Gluteus maximus – Passive stretch
Gluteus maximus – Active hip
flexion, knee flexed
Hamstrings – Passive stretch
Hamstrings – Active hip flexion,
knee extended
Hip flexor-adductors –
Passive stretch
Hip extensor-adductors –
Passive stretch
Hip adductors – Active hip
abduction
Hip internal rotators –
Passive stretch
Hip internal rotators – Active hip
external rotation
Rectus femoris – Passive stretch
Rectus femoris – Active knee
flexion, hip extended
Vastus muscles – Passive stretch
Vastus muscles – Active knee
flexion, hip flexed
Soleus – Passive stretch
Soleus – Active ankle dorsiflexion,
seated
Gastrocnemius (medial and lateral) –
Passive stretch
Gastrocnemius – Active ankle
dorsiflexion, standing
Sit-to-stand
Long stride walking
Fast walking
PART TWO
Upper limb anatomical review
Anatomical review
Pectoralis major – Passive stretch
Pectoralis major – Active shoulder
abduction
Latissimus dorsi and long head
of triceps – Passive stretch
Latissimus dorsi – Active shoulder
flexion, elbow extended
Long head of triceps – Active
shoulder flexion, elbow flexed
Sub-scapularis – Passive stretch
Sub-scapularis – Active shoulder
external rotation
Elbow flexors – Passive stretch
Elbow flexors – Active elbow
extension
Pronator quadratus – Passive stretch
Pronator quadratus – Active
supination, elbow flexed
Pronator teres – Passive stretch
Pronator teres – Active supination,
elbow extended
Wrist flexors – Passive stretch
Wrist flexors – Active wrist extension
Flexors of digits II and III –
Passive stretch
Flexors of digits IV and V –
Passive stretch
Flexors of digits II–V – Active whole
hand opening
Flexors of digits II–V – Active
extension of each digit
Interosseus muscles – Passive stretch
Interosseus muscles – Active
extension of the first phalanx
Long thumb flexor – Passive stretch
Long thumb flexor – Active long
thumb extension
Short thumb flexor – Passive stretch
Short thumb flexor – Active short
thumb extension
Opponens pollicis – Passive stretch
Long abductor of the thumb –
Passive stretch
Opponens pollicis/Long abductor of the thumb – Active thumb
deopposition/opposition
Adductor pollicis – Passive stretch
Adductor pollicis – Active short
thumb abduction
Appendix
Personal log sheet – Lower limb
Personal log sheet – Upper limb
Neuroloco
