Rehabilitation options
Here are rehabilitation options for a patient who is:
- Able to Sit to Stand without assistance; and
- Unable to Sit to Stand up from 45cm chair
In the bedroom
Sit to Stand with no assistance (Example 1)
Aim:
- Improve weight-bearing on affected leg during Sit to Stand.
Set-up:
- Therapist on affected side for safety.
- Bed rails on intact side for safety.
- Tape on floor indicates:
- Affected foot behind, this will increase weight-bearing on the affected leg.
- Intact foot in front.
"Shoulders forward and stand up"
Ms. A can sit to stand with no assistance with decreased weight-bearing on her left. She has weakness and loss of co-ordination of all left leg muscles.
Therapist standing on affected side and bed rail on intact side for safety.
Variations
- Non-slip mat under affected foot if it is moving.
- Cue to the front or side of the left knee to decrease hip adduction.
Changing the level of difficulty
Decrease difficulty:
- Increase height of chair.
- Increase Base of Support.
Increase difficulty:
- Decrease height of chair.
- Decrease Base of Support.
Sit to Stand with no assistance (Example 2)
Aim:
- Improve weight-bearing on affected leg during Sit to Stand.
Set-up:
- Therapist on affected side for safety.
- Bed rails on intact side for safety.
- Block on the floor for intact leg to increase weight-bearing on the affected leg.
"Shoulders forward and stand up"
Ms. A can Sit to Stand with no assistance with decreased weightbearing on her left. She has weakness and loss of co-ordination of all left leg muscles.
Therapist is standing on affected side and rail on intact side for safety.
Variations
- Non-slip mat under affected foot if it is moving.
- Cue to the front or side of the left knee to decrease hip adduction.
Changing the level of difficulty
Decrease difficulty:
- Increase height of chair.
- Increase Base of Support.
- Decrease height of block under intact foot.
Increase difficulty:
- Decrease height of chair.
- Decrease Base of Support.
- Increase height of block under intact foot.
In the therapy area
Sit to Stand with no assistance
Aim:
- Improve weight-bearing on affected leg during Sit to Stand.
Set-up:
- Wall on the intact side for safety and to increase weight-bearing on affected leg.
- Tape on wall for shoulders to move past to ensure adequate hip flexion.
- Tape on the floor for foot position to ensure adequate ankle dorsiflexion.
"Move your shoulders forward quickly past the tape and stand up"
Ms. A can Sit to Stand with no assistance with decreased weight-bearing on her left. She has weakness and loss of co-ordination of all left leg muscles.
To increase safety, a chair back can be placed on Ms. A's left side.
Variations
- Non-slip mat under affected foot if it is moving.
- Cue to the front or side of the left 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.
- Move intact foot away from the wall to decrease weight-bearing on affected leg.
Increase difficulty:
- Decrease height of chair.
- Decrease Base of Support.
- Place intact foot up against the wall to further increase weight-bearing on the affected leg.
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