Rehabilitation options

Here are rehabilitation options for a patient who is:

• Able to Sit to Stand without assistance; and
• Able to Sit to Stand up from 45cm chair

In the bedroom

Sit to Stand independently​

Aim:​

• Improve weight-bearing on affected leg during Sit to Stand.​
  
  

Set-up:​

• Intact foot on block to increase weight-bearing on affected leg. ​
• Arms crossed to reduce use of arms during Sit to Stand.​
• Wall on affected side, bed rails on intact side to increase safety. ​

"Move your shoulders forward quickly and stand up, push through your right leg"

Mr D can sit to stand independently with decreased weightbearing on his right leg. He has some weakness and loss of co-ordination of all right leg muscles.​

Variations

• Non-slip mat under affected foot if it is moving.​
• Cue to the front or side of right knee to decrease hip adduction (e.g block or stool).​

Changing the level of difficulty

Decrease difficulty:

• Increase height of chair.​
• Increase base of Support.​
• Place hands on knees. ​

Increase difficulty:

• Decrease height of chair.​
• Decrease base of Support.​
• Add a dual task.​
• Use chair with a soft surface. ​

In the therapy area

Sit to Stand independently​

Aim:​

• Improve weight-bearing on affected leg during Sit to Stand.​
  
  

Set-up:​

• Intact foot forward and on block to increase weight-bearing on affected leg. ​
• Arms crossed to reduce use of arms during Sit to Stand.​
• Wall on affected side, chair on intact side to increase safety. ​

​

Move your shoulders forward quickly and stand up, push through your right leg"​

Mr D can Sit to Stand independently with decreased weight-bearing on his right leg. He has some weakness and loss of co-ordination of all right leg muscles.​

Variations

• Non-slip mat under affected foot if it is moving.​
• Cue to the front or side of right knee to decrease hip adduction (e.g block or stool).​

Changing the level of difficulty

Decrease difficulty:

• Increase height of chair.​
• Increase base of Support.​
• Place hands on knees. ​

Increase difficulty:

• Decrease height of chair.​
• Decrease base of Support.​
• Add a dual task.​
• Use chair with a soft surface. ​