Therapeutic gymnasium
BY ; Dr. Vaishali Jagtap
Shoulder wheel
Parts:
◦ Fulcrum present at centre surrounded by wheel rim.
◦ It consist of spokes.
◦ Rheostat is used for resistance
◦ We can fix the resistance manually depending upon
the tolerance of the patient.
◦ It is either made up of metal or wood.
Principle: First order lever.
Therapeutic Uses:
1. To improve the range of motion of shoulder.
2. For strengthening the upper limb muscles.
3. To improve neuro muscular co-ordination.
4. Free exercises of shoulder
5. Active exercises of shoulder
6. Active assisted exercises of shoulder
7. Resisted exercises of shoulder
Indications:
◦ Disorders of shoulder joint
◦ Post traumatic stiffness
◦ Frozen shoulder
◦ Post operative conditions of shoulder
◦ Supraspinatus tendinitis
◦ Weakness of shoulder musculature.
Forearm or wrist mover
Parts:
◦ Single frame
• Principle:
First order lever.
Therapeutic uses:
◦ Free exercises
◦ Active exercises
◦ Resisted exercises
FINGER LADDER
Gives the objective reinforcement and motivation to
patient for improving shoulder range of motion.
It also feed back to the patient about improvement.
Parts:
◦ It is a wooden device with serrations.
Uses :
1. For improving range of motion.
2. For improving neuromuscular co-
ordination of upper limb.
Indication:
1. Frozen shoulder.
2. Periarthritis shoulder.
3. Post traumatic stiffness of shoulder.
4. Weakness of shoulder muscles.
Quadriceps table
Principle: First order lever.
Parts:
◦ Foot rest at distal end
◦ Other end provided with weight
◦ Table with or without back rest
◦ Patient supported to sit in high sitting position and
perform knee extension.
Therapeutic uses:
Useful for improving power and endurance of
quadriceps muscle.
Indications:
◦ Quadriceps lag
◦ Quadriceps weakness.
Static cycle
Principle: First order lever
Therapeutic uses:
◦ Perform endurance exercises of both lower limb.
Indications:
◦ Post traumatic stiffness of hip, knee and ankle.
Importance:
◦ Static cycle give exercise in closes kinematic chain.
Tilt table
Tilt table tilts about 1800 but postural
drainage table tilts about 3600
Principle: First order lever.
Therapeutic uses:
◦ Used for postural re-education for prolong bed
ridden patients.
Indications:
◦ Spinal cord injury
◦ Major heart surgeries
◦ Defect to neurological function
◦ VBI( Vestibular Basilar Insufficiency)
Postural drainage table
Conditions indicated by chest
physiotherapist.
CPM(Continuous passive Movement)
Principle: Isokinetic device
Isokinetic- In this angular velocity is kept
constant where as resistance applied to part is
changing according to the patients capability.
Uses :
◦ Used for passive movements
• Indications:
post operative orthopedic conditions.
Treadmill
Diagnostic & theraputic modality.
Uses:
◦ For cardio respiratory functioning
◦ Overall fitness body
◦ Improves endurance.
Parallel bars with mirrors
Parts:
◦ Flooring with mat surface.
◦ Horizontal adjustable bars on either side
◦ Mirror in front of bar.
Principle:
◦ It gives sensory feedback to the patient. The horizontal
side bars are adjustable, height is adjustable.
◦ Ideal height is at the level of patients iliac crest.
Therapeutic uses:
◦ Balance training
◦ Co-ordination training
◦ Postural correction
◦ Gait traning.
Activities of daily living device
(ADL device)
Uses:
◦ Re- education of gross and fine motor activities of
upper limb.
Therapeutic uses:
◦ Useful for flexion extension movements of wrist and
MCP joint, interphalengeal joints.
Rowing machine / sliding chair
Principle: 1st order lever
Therapeutic uses:
◦ Free exercises of upper & lower limb
Balance board
Balance training.
Proprioceptive training.
Ankle movements.
Re- education board
Parts:
◦ Four legs distally.
◦ Table top
The powder is placed on board & patient is
supposed to perform all free exercises of
elbow, forearm and wrist joint.
The purpose of powder is to avoid or to
reduce friction between body and surface of
the board.
