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Dear Doctor Letter

Therapy:
Range of Motion Exercises
(Stretches)

In this section I will give you some explanations and drawings of the different exercises that I’ve found on the internet. I am also including pictures of children with Hydranencephaly doing the exercises. These are presented here for information only. You must be taught how to do the specific exercises for your child, by your child’s therapist.

An overview and explanation of Range of Motion Exercises which is included in the book "Caring For Your Child With Hydranencephaly".

Passive Range Of Motion (ROM) Exercises http://www.medformation.com/ac/mm_qdis.nsf/qd/nd2524g.htm

http://www.alsa-or.org/treatment/ROMExercises.htm (this site has drawings of the exercises)

Here are pictures of Noah having stretches/ROM.

Slowly and gently rock hips one way and shoulders in the opposite direction

With Noah lying on his back, gently cup his head and gently stretch the tight muscles at the back of his neck.

Gently stretch Noah’s shoulders up over his head ensuring his palms are facing inwards and his thumb leads the movement

Repeat as above with the other arm

You can do both shoulders together

Gently straighten Noah’s elbows and hold straight for 15 seconds

To open Noah’s hand gently push on the back of his hand until the fingers open

Support the fingers for their full length and….

…..slowly and gently……

Straighten the fingers and take the wrist back

To loosen Noah’s back gently and slowly stretch his hips and pelvis in one direction and shoulders the opposite direction

Stretch each hip by moving one knee up onto his chest while holding the other leg straight. Alternate legs

Gently take Noah’s legs apart

Gently squeeze Noah’s legs together when they are bent…….

……and then straighten

Stretch Noah’s hamstring muscles by bending up one leg so the hip is bent to 90 degrees and then straighten the knew-go very slowly and gently and hold the stretch for 15 seconds. Repeat often

Close up of above stretch

To move Noah’s ankles support the whole foot with one hand and hold the back of the ankle with the other.

Then pull down with the heel hand and push up with the foot hand.

To stretch Noah’s toes. Support the top of his foot and gently straighten his toes as far as possible. Go slowly. Do some (5) at every nappy change

When sitting, arm stretches can be done slowly and gently.

Note: Palms face inwards and thumb go first when arms are moved up.

Lie him on tummy (prone) over a wedge. Gently pull and vibrate down Noah’s spine

 *Most children don't fall asleep during their therapy. Noah is also much older now than he was in these pictures

Other pages in this section:
Cerebral Palsy
Orthopedic Considerations
Medical Treatments for Spasticity

Orthopedic Surgery links and resources
Orthopedic Surgery Personal Experiences

Therapy for children with Hydranencephaly
Other Types of Therapy

Principals of Positioning
Positioning: Orthotics and Splints
Orthotics and Splints Experiences

Equipment
Wheelchairs
Alternate Positioning
Standers

Personal Care: Practical Information
Practical Care: Transportation
Practical Care: Carrying and Lifting
Sleeping Medications

Glossary

 

 

 

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August 16, 2001- January 12, 2005

This website is funded in loving memory of Jason S. by his mother Kammy

The information on this site is provided by families, caregivers, and professionals who are or have been caring for a child with Hydranencephaly.

Please report any broken links or missing photos to angelbearmom@shaw.ca