Paediatric Exercises

Exercises

Spinal cord injury
(D1)
Neuromuscular
(D2)
Poliomyelitis
(D3)
Erbs Palsy
(D4)
Spastic Quadriplegia
(D6)
Spastic Diplegia
(D7)
Low tone CP
(D8)
Inuit Exercises
(useful local treatment)

(not yet done)

Developmental delay
(D5)
Hemiplegia
(D9)
Dyskinetic
(D10)
Ataxia
(D11)
Suspected spinal tumour
(D12)

(from my own observations of my patient)

Patient Name:...
Patient address & phone number:...
My patient needs to be referred to:...
I need to get an assistive aid (tripod, stick, crutches, heel raise etc):...
Next review date:...
I need to clinically review:...
I want to focus on treatment number:...

paediatric

D1: Spinal cord injury

done by parent and child


1	Decreasing tone in wrists, stabilse child’s forearm whilst moving the hand
2	Move feet and knees through the available range
3	Move legs through the available range, if strong resistance felt, wait for leg to relax to gain a little more range. depending on the level of spasticity, hold legs appropriate to where long or short leverage is required

paediatric

Printable Glossary

This version of glossary is really designed for printing, so that non-english speakers can add their own translation once printed. (can add the rest if proved useful)

Posterior: the 'back' planes; supporting posterior to help standing position

Caudad: points close to the'end' (tail and sacrum); checking caudad relaxation

Cephalad: points close to the 'top' (head and neck); stretching cephalad muscles

Distal: furthest points from thebody; encouraging distal movement

Proximal: closest points to the body; encouraging proximal movement

Medial: the 'inside' planes; taking a medial hold on the arm

see alternative glossary

paediatric

D3: Acute poliomyelitis

D3: Acute poliomyelitis
1: When kneeling, help child to place one leg in front and stay still for 10 secs. Then, supporting hips, help child to stand up fully, with knees straight.


		2: Decreasing tone in wrists, stabilse child’s forearm whilst moving the hand

		3: Sitting balance

		4: Move feet and knees through the available range

		5: Move legs through the available range and hold appropriate to where long or short leverage is required... if strong resistance felt, wait for leg to relax to gain a little more range

paediatric

D4: Erbs Palsy

D4: Erbs Palsy

		1: Decreasing tone in wrists, stabilise child’s forearm whilst moving the hand

		2: Increasing tone in elbows

		3: Encouraging arm movement with reaching
4: Sleep positioning

paediatric

D5: Inuit

Inuit

1: Increasing tone in limbs

2: Encouraging arm movement with reaching

3: Reaching positions

paediatric

D6: Spastic quadriplegia


1	Support child's hips whilst in crawling position and with straight elbows, for 10 seconds...Continue to support and ask child to raise one arm forward. Repeat both sides
2	When kneeling, help child to place one leg in front and stay still for 10 secs. Then, supporting hips, help child to stand up fully, with knees straight.

3	Seated on low furniture or parent's lap, ask the child to lean forwards and then stand up. Support the child at the hips. Repeat 5-10 times or as per tolerance.
4	While lying down, encourage the child to sit using weight on forearm, placing your hand behind their opposite shoulder... help the child to sit up slowly, taking weight through their own hand

5	Decreasing tone in wrists, stabilse child’s forearm whilst moving the hand
7	Decreasing tone in wrists, stabilse child’s forearm whilst moving the hand
8	Increasing tone in elbows
9	Sitting balance
10	Sitting balance on ball
11	Standing and reaching
13	Standing frame
14	Standing frame alternatives
15	Stretch the elbow by gently straightening the arm... if resistance occurs, pause before continuing when it has lessened
16	Stretching on the wedge
17	Encourage hip flexion with supported walking
18	Move feet and knees through the available range
19	Move feet and knees through the available range, depending on the level of spasticity, hold legs appropriate to where long or short leverage is required...if strong resistance felt, wait for leg to relax to gain a little more range
22	Improving upper limb movement
23	Positioning to encourage head and neck strength
25	Resting positions

26	Sleeping positions

28	Strengthening upper limbs
29	Strengthening lower limbs

30	Handicap International have seen that the best way to improve a child's quality of life is to include them in the community as much as possible

paediatric

D7: Spastic diplegia


1	Support child's hips whilst in crawling position and with straight elbows, for 10 seconds...Continue to support and ask child to raise one arm forward. Repeat both sides
2	When kneeling, help child to place one leg in front and stay still for 10 secs. Then, supporting hips, help child to stand up fully, with knees straight.

3	Seated on low furniture or parent's lap, ask the child to lean forwards and then stand up. Support the child at the hips. Repeat 5-10 times or as per tolerance.
4	While lying down, encourage the child to sit using weight on forearm, placing your hand behind their opposite shoulder... help the child to sit up slowly, taking weight through their own hand

5	Decreasing tone in wrists, stabilse child’s forearm whilst moving the hand
7	Decreasing tone in wrists, stabilse child’s forearm whilst moving the hand
8	Increasing tone in elbows
9	Sitting balance
10	Sitting balance on ball
11	Standing and reaching
13	Standing frame
14	Standing frame alternatives
15	Stretch the elbow by gently straightening the arm... if resistance occurs, pause before continuing when it has lessened
16	Stretching on the wedge
17	Encourage hip flexion with supported walking
18	Move feet and knees through the available range
19	Move feet and knees through the available range, depending on the level of spasticity, hold legs appropriate to where long or short leverage is required...if strong resistance felt, wait for leg to relax to gain a little more range
22	Improving upper limb movement
23	Positioning to encourage head and neck strength
25	Resting positions

26	Sleeping positions

28	Strengthening upper limbs
29	Strengthening lower limbs

30	Handicap International have seen that the best way to improve a child's quality of life is to include them in the community as much as possible

paediatric

D8: Low tone cerebral palsy


1	Support child's hips whilst in crawling position and with straight elbows, for 10 seconds...Continue to support and ask child to raise one arm forward. Repeat both sides
2	When kneeling, help child to place one leg in front and stay still for 10 secs. Then, supporting hips, help child to stand up fully, with knees straight.

3	Seated on low furniture or parent's lap, ask the child to lean forwards and then stand up. Support the child at the hips. Repeat 5-10 times or as per tolerance.
4	While lying down, encourage the child to sit using weight on forearm, placing your hand behind their opposite shoulder... help the child to sit up slowly, taking weight through their own hand

5	Decreasing tone in wrists, stabilse child’s forearm whilst moving the hand
7	Decreasing tone in wrists, stabilse child’s forearm whilst moving the hand
8	Increasing tone in elbows
9	Sitting balance
10	Sitting balance on ball
11	Standing and reaching
13	Standing frame
14	Standing frame alternatives
15	Stretch the elbow by gently straightening the arm... if resistance occurs, pause before continuing when it has lessened
16	Stretching on the wedge
17	Encourage hip flexion with supported walking
18	Move feet and knees through the available range
19	Move feet and knees through the available range, depending on the level of spasticity, hold legs appropriate to where long or short leverage is required...if strong resistance felt, wait for leg to relax to gain a little more range
22	Improving upper limb movement
23	Positioning to encourage head and neck strength
25	Resting positions

26	Sleeping positions

28	Strengthening upper limbs
29	Strengthening lower limbs

30	Handicap International have seen that the best way to improve a child's quality of life is to include them in the community as much as possible

paediatric

D9: One-sided hemiplegia


6	For children with hemiplegia, this exercise stretches their affected arm with the help of their unaffected one and can be done using a stick shaped toy, standing or sitting
7	Decreasing tone in wrists, stabilse child’s forearm whilst moving the hand
8	Increasing tone in elbows
9	Sitting balance
10	Sitting balance on ball
12	Standing and reaching

13	Standing frame
14	Standing frame alternatives
15	Stretch the elbow by gently straightening the arm... if resistance occurs, pause before continuing when it has lessened
16	Stretching on the wedge
17	Encourage hip flexion with supported walking
18	Move feet and knees through the available range
19	Move feet and knees through the available range, depending on the level of spasticity, hold legs appropriate to where long or short leverage is required...if strong resistance felt, wait for leg to relax to gain a little more range
20	Encouraging arm movement, with reaching
21	For floppy or decreased tone
22	Improving upper limb movement
23	Positioning to encourage head and neck strength
24	Strengthening exercises for upper limbs

25	Resting positions

26	Sleeping positions

28	Strengthening upper limbs
29	Strengthening lower limbs

30	Handicap International have seen that the best way to improve a child's quality of life is to include them in the community as much as possible

paediatric

D10: Dyskinetic cerebral palsy


1	Decreasing tone in wrists, stabilse child’s forearm whilst moving the hand
2	Move feet and knees through the available range
3	Move legs through the available range, if strong resistance felt, wait for leg to relax to gain a little more range. depending on the level of spasticity, hold legs appropriate to where long or short leverage is required
6	For children with hemiplegia, this exercise stretches their affected arm with the help of their unaffected one and can be done using a stick shaped toy, standing or sitting
10	Sitting balance on ball
11	Standing and reaching
12	Standing and reaching
20	Encouraging arm movement, with reaching
23	Positioning to encourage head and neck strength
30	Handicap International have seen that the best way to improve a child's quality of life is to include them in the community as much as possible

paediatric

D11: Ataxia cerebral palsy


1	Decreasing tone in wrists, stabilse child’s forearm whilst moving the hand
3	Move legs through the available range, if strong resistance felt, wait for leg to relax to gain a little more range. depending on the level of spasticity, hold legs appropriate to where long or short leverage is required
6	For children with hemiplegia, this exercise stretches their affected arm with the help of their unaffected one and can be done using a stick shaped toy, standing or sitting
10	Sitting balance on ball
11	Standing and reaching
12	Standing and reaching

23	Positioning to encourage head and neck strength
30	Handicap International have seen that the best way to improve a child's quality of life is to include them in the community as much as possible