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    Fundamental Starting and Derived Positions: Haleema Gulzar DPT Rims

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    Ambreena Rasool
    This document discusses fundamental positions and positions derived from them used in physical therapy. Derived positions are obtained by changing the position of the arms, legs, and trunk from fundamental positions. The purposes of derived positions include increasing or decreasing stability, raising or lowering the center of gravity, providing relaxation or control of parts of the body, and positioning the body for specific exercises. Several specific derived positions from lying, sitting, kneeling, and hanging positions are described along with the muscles worked and effects.

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    Fundamental Starting and Derived Positions: Haleema Gulzar DPT Rims

    Uploaded by

    Ambreena Rasool
    238 views35 pages
    This document discusses fundamental positions and positions derived from them used in physical therapy. Derived positions are obtained by changing the position of the arms, legs, and trunk from fundamental positions. The purposes of derived positions include increasing or decreasing stability, raising or lowering the center of gravity, providing relaxation or control of parts of the body, and positioning the body for specific exercises. Several specific derived positions from lying, sitting, kneeling, and hanging positions are described along with the muscles worked and effects.

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    fundamental-derived-position-lecture-13

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    This document discusses fundamental positions and positions derived from them used in physical therapy. Derived positions are obtained by changing the position of the arms, legs, and trunk from fundamental positions. The purposes of derived positions include increasing or decreasing stability, raising or lowering the center of gravity, providing relaxation or control of parts of the body, and positioning the body for specific exercises. Several specific derived positions from lying, sitting, kneeling, and hanging positions are described along with the muscles worked and effects.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    238 views35 pages

    Fundamental Starting and Derived Positions: Haleema Gulzar DPT Rims

    Uploaded by

    Ambreena Rasool
    This document discusses fundamental positions and positions derived from them used in physical therapy. Derived positions are obtained by changing the position of the arms, legs, and trunk from fundamental positions. The purposes of derived positions include increasing or decreasing stability, raising or lowering the center of gravity, providing relaxation or control of parts of the body, and positioning the body for specific exercises. Several specific derived positions from lying, sitting, kneeling, and hanging positions are described along with the muscles worked and effects.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 35

    Fundamental starting and

    derived positions
    Haleema Gulzar
    DPT
    RIMS
    Lecture 13
     obtained from the fundamental positions by
    changing the position of the arms, legs, and
    trunk in each of the fundamental position
     The purposes of derived positions :

    ◦ Increase or decrease the size and stability of BOS.


    ◦ Raise or lower the COG.
    ◦ Ensure general or local relaxation.
    ◦ Alter the position of the body in relation to gravity.
     The purposes of derived positions :
    ◦ Provide control or fixation for a particular part of
    the body, so that movement may be localized to a
    specific area.
    ◦ Increase or decrease the muscle work required to
    maintain the position.
    ◦ Increase or decrease the leverage.
    ◦ Provide a convenient position from which a
    particular exercise is to be performed.
    Positions derived from lying
    position
    Positions of the arms:
     muscle work same as standing but modified
    and reduced due to horizontal position of
    body
     Whole weight is on the forearm and palm of

    the hand
     Head and neck muscles
     Scapular and shoulder muscles
     Elbow flexors extensors
     Wrist and finger flexors
    Positions of the legs
     Prone Lying (Pr. Ly.) or Prone (Pr.)
    ◦ Body is face down with arms by the side and legs
    straight.

    Muscle work:
    Pre and post vertebral neck muscles
    Scapular retractors and depressors
    Lat rotators of hip
    Effects and uses:
    Breathing is restricted
    Elongation and straightening of spine
     Side Lying (S. Ly.)
    ◦ Turning onto the side with the under arm by the
    side and legs straight

     Rarely used

     The base is small and rounded


    Positions of the legs
    Stride sitting
    Ride sitting
    Sitting a strides around the plinth, adductor
    muscles work
    On high plinth thighs should be supported for
    extra fixation to free the muscle work
    crook sitting
     Muscle work:
    Hip flexors
    Knee flexors and ankle planterfication fix the
    legs
    Longitudinal and transverse back muscles
    Effects and uses:
    Best position for treatment of kypho-lordosis
     Kneel Sitting (Kn. Sitt.)
    ◦ From kneeling to sitting back on the heels.
    ◦ A stable position and much used for retraining
    balance and by children at play.
     Half Kneeling (1/2 Kn.)
    ◦ From kneeling, one leg is taken forward to be bent
    at right angles at the hip, knee and ankle.
    ◦ A stage in rising from kneeling to standing or
    transferring from floor to stool.
     Prone Kneeling (Pr. Kn.)
    ◦ Kneeling supported by all four limbs.
    ◦ The arms should be straight and the hands in line
    below the shoulders.
    ◦ Right angles should be maintained at the hip and
    knee and the ankles may be plantarflexed or
    dorsiflexed
     Inclined prone kneeling:
    ◦ the same as prone kneeling, but there is more that
    90 degrees flexion of both elbows, shoulders are
    flexed and abducted, the head rested on the hands
    or on the plinth.
    By alteration of the legs
    High Standing (High St.)
    Standing on a platform or stool of any height.
    Normally used when one leg is to be moved and allows the
    patient to be more accessible to the therapist.
    Positions derived from hanging
     Forehead Support (F. head Supp.)
    ◦ The forehead rests on the hands placed
    either palm down or with loosely grasping
    thumb and forefinger

     Arm Lean (A. Ln.)


    ◦ The forearms and the hands palms down are
    placed on a support in front of the body, the
    head may rest on them or they may rest on
    and be covered by a pillow on which the
    head rests. Used in Forward Lean positions

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