• INTRODUCTION:
• *Assisted exercise is the one of the type of active
movement.
• DEFINITION :
• * If the strength or the coordination of the muscle is
insufficient to perform an activity, the external force is
utilized to compensate the lack.
• * The muscle has the strengthen or endurance but
is not sufficient to perform an activity or control an action.
3.
• INDICATION :
•To assist movement in case of muscle weakness.
• To increase ROM.
• To assist functional activities of ADL.
• After removal of plaster of cast.
• Following tendon or muscle transplantation.
• Muscular re-education.
• CONTRA INDICATION :
• Acute tears
• Redness
• Fracture
• Greater swelling
• Myocardial infarction
4.
• GOALS :
•Improve joint mobility.
• Increase ROM.
• Improve strength and stability.
• Help to reduce pain and prevent future injury
• TYPES OF ASSISTED EXERCISE :
• * Active assisted exercise
• * Passive assisted exercise
• 1.Manual assisted
• 2.Mechanical assisted
5.
• ACTIVE ASSISTEDEXERCISE :
• * The patient himself can assist with his opposite
extremity to perform the assisted exercise.
• * Voluntary contraction of muscle, which is able to
produce little movement but is not sufficient enough to
produce the movement in full range of motion.
• EXAMPLE :
• The opposite leg is used by the patient to
increase the flexion movement of the knee in long sitting
or prone lying.
6.
• PASSIVE ASSISTEDEXERCISE :
• 1. MANUAL ASSISTED EXERCISE :
• The passive assistance may be given by the therapist or
by any of the medical professionals or sometime by the
patient’s relative and friends.
• This type of assisted exercise in maximum passive in
nature.
• The patient has to try to perform the movement up his
ability.
• In passive movement their will not be a muscle work but
in assisted exercise the muscle will be acting through out
the movement.
7.
• 2.MECHANICAL ASSISTEDEXERCISE :
• The assisted exercise is done with the help of the
mechanical devices are called mechanical assisted
exercise.
• EXAMPLE – Suspension therapy, pulley, spring.
• PRINCHIPLES :
• *Range
• *Command
• *Concentration
• *Repetition
• *Speed
8.
• RANGE :
•The assistance given is changeable depends on the
range. Normally, in the beginning and end range.
• The muscles strength will be less while comparative with
the middle range. So, that the assistance provided
should be more in the beginning and end range than the
middle range.
• COMMAND :
• Some command is needed to activate the patient and
perform the effective movement the command gives
perfect guideline to the patient to practice an activity.
9.
• CONCENTRATION :
•Concentration of the patient is the must in the assisted
exercise otherwise the movements will be passive in
character.
• Therapist has to make the patient to concentrate on the
treatment well for effective, performing the assisted exercise.
• SPEED :
• Speed determine the assisted exercise more, if the speed is
increased it shows the passive character and also the patient
cannot cop up the movement.
• REPETITION :
• The movement has to be repeat, so that the joint range and
the muscle power can be improved.
10.
• EFFECT ANDUSES :
• ❖ Increase the ROM of the joint.
• ❖ Increase of the muscles.
• ❖ It breaks the adhesion formation around the joint.
• ❖ It reduces the spasm of the muscles.
• ❖ It stretches the tightened soft tissue.
• ❖ It reminds the coordinated movement of the joint or
a muscle.
• ❖ Increase the blood circulation and venous return to
the joint and muscle.