Assessment My exercise prescription will be for a patient with Spastic diplegia, a form of cerebral palsy where the patient has particular difficulty in walking. In this type of cerebral palsy, muscle stiffness exists in the legs. The patient will take on a treatment plan that will consist of exercises geared towards strengthening and resistance training exercises to give the patient more stability, specifically when it comes to their legs and movements associated with them for activities for daily living like walking. These activities will help improve function and move the patient as close to independent living function as possible given their condition. Changes to the exercises in the treatment plan will be made should the patient need
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The patient should communicate if they feel pain during exercises while the physical therapist should communicate if the patient is doing an exercise wrong. The physical therapist will tell the patient about any changes made to her treatment plan. o Cooperation - patient and physical therapist must work together in order to achieve their goals. Failure to do so slows progression and can lead to injury. o Structure and noise level - noise level at the facility should be low enough that the patient and therapist can still communicate easily. o Degree of interaction - this will be high due to the very hands on approach of the physical therapist towards the patient. The PT will be constantly interacting with them, whether it be through observation, talking, active assistance, or demonstrating the exercises to the patient. As time goes on, the patient's strength gains should lead to a slight decrease in the degree of interaction though it will still remain high for safety concerns. The interaction pattern for the patient will be extra-individual as he will be interacting with objects for …show more content…
This is caused by a brain injury that happens before, during, or right after birth that affects muscle control, muscle coordination, muscle tone, reflex, posture and balance. Every case of CP is unique and there are different forms of brain damage that cause CP. Because of how CP comes about, the majority of patients are children needing help with gaining function for activities for daily living. The Spastic type of Cerebral Palsy is the most common form of CP, affecting 80% of people with CP. Spastic Diplegia, a form of Spastic CP, refers to the body part affected which is the legs in this case. Spastic Diplegia is about 50% of the spastic CP population. Because their legs are affected, most patients find it incredibly difficult to walk. Exercise is a trusted and proven method of dealing with the symptoms and consequences of CP. Through the use of strength exercises, one can increase their stability and make walking easier. Without doing these exercises, the patients will always be at risk for injury when going anywhere without assistance. By working with a PT and doing strength exercises, the patient will get as close to walking as possible. It will require a lot of work but increases in leg flexibility, strength, and stability can be achieved by following the exercise prescription above as well as numerous other ones that will do the same
The patient should communicate if they feel pain during exercises while the physical therapist should communicate if the patient is doing an exercise wrong. The physical therapist will tell the patient about any changes made to her treatment plan. o Cooperation - patient and physical therapist must work together in order to achieve their goals. Failure to do so slows progression and can lead to injury. o Structure and noise level - noise level at the facility should be low enough that the patient and therapist can still communicate easily. o Degree of interaction - this will be high due to the very hands on approach of the physical therapist towards the patient. The PT will be constantly interacting with them, whether it be through observation, talking, active assistance, or demonstrating the exercises to the patient. As time goes on, the patient's strength gains should lead to a slight decrease in the degree of interaction though it will still remain high for safety concerns. The interaction pattern for the patient will be extra-individual as he will be interacting with objects for …show more content…
This is caused by a brain injury that happens before, during, or right after birth that affects muscle control, muscle coordination, muscle tone, reflex, posture and balance. Every case of CP is unique and there are different forms of brain damage that cause CP. Because of how CP comes about, the majority of patients are children needing help with gaining function for activities for daily living. The Spastic type of Cerebral Palsy is the most common form of CP, affecting 80% of people with CP. Spastic Diplegia, a form of Spastic CP, refers to the body part affected which is the legs in this case. Spastic Diplegia is about 50% of the spastic CP population. Because their legs are affected, most patients find it incredibly difficult to walk. Exercise is a trusted and proven method of dealing with the symptoms and consequences of CP. Through the use of strength exercises, one can increase their stability and make walking easier. Without doing these exercises, the patients will always be at risk for injury when going anywhere without assistance. By working with a PT and doing strength exercises, the patient will get as close to walking as possible. It will require a lot of work but increases in leg flexibility, strength, and stability can be achieved by following the exercise prescription above as well as numerous other ones that will do the same