Active Assisted and Passive Movement in Treatment
Active Assisted and Passive Movement in Treatment
Strength Resistance Training - Lifting weights to break down bonds in muscles and allow
the muscle to grow back stronger and increase sarcomeres.
- Need free active movement to enable you to do this
- Need good active range of movement/flexibility.
Contraindications
- Incomplete muscle / ligament tear - minimal movement within pain range
- Compromised circulation
- Subluxed shoulder
- Immediate post injury
Points of technique
1. Informed consent
4. Stable, comfortable, fixed
5. Best starting position to allow best range of movement and force required
6. Movement quality
7. Speed and duration
8. Planar or functional movement?
ADVANTAGES
- Reduce risks of pressure sores
DISADVANTAGE
- Major jump to get out from passive movement to active assisted movement
- Therapist can change level of assistance given during the movement, compensating for
angle of pull length of limb and other biomechanics issues
- How much you do or don't assist
9. Auto Assisted Exercise - Patient assists themselves (their own hand helps the move-
ment)
- Patient assists their own muscular effort
10. Mechanical Assisted Exercise - A piece of apparatus assists a movement. Free a body
part from the resistance of friction while it is moving. Can reduce/increase the effect of
gravity working on the body part.
- Sliding board - weight of leg taken by board
- Pulley
- Towel / Walking Stick / Pedals / Wall
- Sling suspension
Contraindications
- Immediately post injury - avoid any further damage
- Early unstable fracture - immobilise if healing is not complete
- Intolerable pain
- Incomplete muscle / ligament tear (acute stages)
- Compromised circulation eg..DVT - don’t want to fire off an embolism
- Unable to co-operate with techniques
- Auto - Patient could be doing the movement completely wrong or not even doing it at all
- Mechanical - Difficult to adapt for home exercise and may not have access to equipment