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Frenkel’s Exercises for Ataxic Conditions (Cervical Spondylotic Myelopathy) - Lower limb

Updated on June 30, 2014

Starting Position-Supine Lying

The patient lies supine on a bedor a couch with a smooth surface along which the feet can be moved smoothly and freely with no resistance.He must be properly positioned with the head sufficiently raised so that he can watch his feet while doing the exercises .While doing the exercises the” Rules for Frenkel’s Exercises” must be followed.

1. Bend one leg at hip and knee with the foot flat on the bed in a smooth and coordinated manner.Now the movement is done in the reverse direction. Do the exercise with the other leg .Repeat the exercise with both the legs simultaneously and then alternatively.

2. Bend one leg at the hip and the knee with the heel raised from the bed. Now reverse the movement .Repeat the exercise with the other leg .Do the exercise using both the legs simultaneously and then alternatively.

3. Bend one leg at the hip and the knee and place the heel of that leg on the knee of the opposite leg which is extended .Now slide the heel down the shin of the extended leg up to the ankle .Reverse the movement. Repeat the movement with the other leg.

4. Abductone leg with the heel sliding along the bed to a mark already made. Bring back the leg to the starting position in the same manner.Repeat the exercise with the other leg .Do the exercise with both the legs simultaneously and then alternatively.

5. Abduct one leg with the heel raised from the bed to a mark already made .Bring back the leg to the starting position in the same manner .Repeat the exercise with the other leg. Do the exercise with both the legs simultaneously and then alternatively.

6. Raise one leg from the bed to an optimal height .Now bring back the leg to the starting position. Repeat the exercise with the other leg. Do the exercise with both the legs simultaneously and then alternatively.

7. The physiotherapist moves his fingers and the patient tries to follow its course with his left leg. Repeat the same with the right leg also.

8. Flex one leg at the hip and knee with the foot flat on the bed and hold. Then abduct it. Now adduct the leg and then extend it along the side of the extended other leg. Reverse the movement. Repeat the exercise with the other leg. Do the exercise with both the legs simultaneously.

9. Flex one leg at the hip and knee with the foot flat on the bed and hold. Then externally rotate it. Now internally rotate the leg and then extend it along the side of the extended other leg. Reverse the movement. Repeat the exercise with the other leg. Do the exercise with both the legs simultaneously.

10. Flex one leg at the hip and the knee and keep its heel on the knee of the other leg which is kept extended. Now bring the heel down and keep it on the bed by the side. Now extend the leg by sliding along the bed till heel reaches the middle of tibia. Now place the heel on the tibia. Now bring the heel down and keep it on the bed by the side. Now extend the leg by sliding along the bed till the heel reaches the level of the ankle. Now place the heel on the ankle. Again bring the heel down and keep it on the bed by the side. Now complete the extension. Reverse the movement. Repeat with the other leg.

11. Bend the right leg at the hip and the knee and place the right heel on the knee of the left leg which is kept in extension. With the right heel in this position, theleft leg is flexed. Reverse the movement. Repeat the exercise with the other leg.

12. The extended legs are held closer so that the heels and the medial aspects (inner borders) of the forefeet are in contact with each other. Now externally rotate both the legs in such a way that the feet get spread while the heels are in contact. Reverse the movement.

Starting Position – Sitting

Starting Position – Sitting on a chair with the feet flat on the floor.

1. Extend one leg at the knee till it comes parallel to the floor and hold. Reverse the movement. Repeat the exercise with the other leg. Do the exercise with both the legs simultaneously and then alternatively.

2. The forefoot of one leg is raised from the floor with the heel still on the floor. Bring back the fore foot down to the floor. Repeat the exercise with the other leg. Do the exercise with both the feet simultaneously and then alternatively.

3. Make a mark on the floor in front of the chair about a foot away. Glide the heel of the right foot to the mark and then reverse the movement. Repeat the exercise with the other leg. Do the exercise with both the legs simultaneously and then alternatively.

4. Make a mark on the floor on the left side about one foot away from the left leg. Glide the heel of the left foot to the mark. Then reverse the movement.Repeat the exercise with the other leg. Do the exercise with both the legs simultaneously and then alternatively.

5. Flex the left leg at the hip and the knee while the right leg is kept extended. Keep the heel of the left leg on the knee of the right leg which is kept extended. Now glide the heel of the left leg down the shin of the right leg till it reaches the ankle. Reverse the movement. Repeat the exercise with the other leg.

6. A small stool is placed in front of the chair. The patient lifts up the left leg and places the left foot on the stool. Now reverse the movement and keep the foot down on the floor. Repeat the exercise with the other leg. Now do the exercise with both the legs simultaneously and then alternatively.

7. Keep the feet of both the legs close to each other so that the medial sides of the heels and the forefeet are in contact with each other. Now externally rotate both the feet outwards while the contacts between the heels are still maintained. Now reverse the movement.

8. Externally rotate the left hip outwards. Now internally rotate and bring back the leg to the starting position. Repeat the exercise with the other leg. Do the exercise with both the legs simultaneously and then alternatively.

9. Flex one leg at the hip and the knee. Now flex the hip further and externally rotate and then place the ankle on the thigh of the other leg. Repeat the exercise with the other leg.

More

Frenkel’s Exercises for the Lower Limbs in the Standing Position will be dealt with in my article ‘Gait Training’.

I hope this article was useful for you all. If you have any questions, feel free to post them below or contact me on

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