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Maximizing Spasticity Treatment Through Strength Training and Conditioning

Learn how incorporating strength training and conditioning can effectively address spasticity in therapy programs. Discover the benefits, types of exercises, and exercise prescription to maximize results.

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Maximizing Spasticity Treatment Through Strength Training and Conditioning

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  1. STRENGTH TRAINING

  2. STRENGTH TRAINING AND CONDITIONING Strength training had been discarded from many therapy programmes over the past five decades due to certain beliefs. 1.Weakness – due to inhibition from spastic antagonist 2.Strength training increases spasticity , co-contraction and abnormal movement patterns. Clinical research has shown that effort applied in strength training does not increase spasticity.

  3. NO EVIDENCE- SPASTICITY INCREASES DUE TO STRENGTH TRAINING SOME EVIDENCE- SPASTICITY DECREASES DUE TO STRENGTH TRAINING NEURAL ADAPTATION STRUCTURAL ADAPTATION TYPES OF EXERCISES OPEN CHAIN CLOSE CHAIN

  4. CONCENTRIC AND ECCENTRIC Many research findings favour eccentric ex as it produces greater force than concentric contractions,has greater mechanical efficiency,lesser metabolic energy lesser muscular is needed for greater force. ELICITING ACTIVITY OF WEAK MUSCLES MRC-2-3 - partial body weight resistance or resistance through small ranges MRC-0-1 - eccentric muscle activity ES,EMG BIO FEEDBACK

  5. EFFECTS OF STRENGTHENING

  6. EXERXISE PRESCRIPTION 10 REP OF 50-80% OF THE MAXIMUM , 3 SETS , WITHOUT REST BETWEEN EACH REPETITION Body Weight,free weight,elastic bands,tread mill walking Dosage is increased by increasing repetitions number of sets and load. For endurance high repetitions are practiced at low levels of load PHYSICAL CONDITIONING 5-10 min warm up [ stretching and ROM ex] Aerobic ex [ graded walking ,stepping or cycling] Strength training [hip , knee ankle flexors and extensors]

  7. MAXIMIZING SKILL PRESERVING MUSCLE LENGTH AND FLEXIBILITY

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