Day-to-Day Care


General:  Exercise as Part of Care Regime




Exercise and activity are the basis of life for the muscles.  Muscles that do not move soon undergo wasting or atrophy and become replaced by scar tissue which shortens the muscles, twists the joints out of shape and progressively leads to deformities, infirmities and disabilities of later years.

Whether a
person has partial disabilities or fully dependent on your care, exercise is necessary to up keep  his well-being and prevent muscles wasting.  Exercise does not need to be intense in order to improve health and avoid disability.  Every activity, such as walking outdoors,  is exercise and should be engaged in to the fullest.  Among the benefits that can be achieved with exercise are improvement in joint pain and mobility, reversal of muscular atrophy (wasting), and increased bone mineral density that reduces the risk of fractures from osteoporosis. 

Before commencing on any kinds of exercises, consult your healthcare professionals on the types of  regimen that is suitable for the
person.  Any benefit from it comes about only if the program is followed.  With adequate compliance, physical therapy or exercise performed at home is as effective, less expensive, and more convenient than supervised programs.

Tips in Keeping an Exercise Plan

Simplify the regimen.

Set attainable goals.

Understand the importance and benefits of exercise.

Encourage social interaction with exercise groups, physical therapists, or personal trainers.

Regular follow-up to adjust the regimen according to feedback as to its initial efficacy.

Active Range of Joint Motion Exercises
A person on bed rest should have active range of joint motion exercises incorporated into his daily schedule. The person can perform these exercises during activities of daily living.  You should also plan interventions for the gradual return of mobility for person who will be able to resume normal activity.

Below are some active range of joint motion exercises that you can incorporate into the person's activities of daily living.

      Active Range of Joint Motion Exercises

  • Nodding or shaking head exercises neck.

  • Moving right ear to right shoulder or left ear to left shoulder exercises neck.

  • Rotating shoulders towards chest or towards back exercises shoulder.

  • Eating, bathing, shaving, and grooming exercises elbow.

  • All activities requiring fine motor coordination, such as writing and eating, exercise fingers and thumb.

  • Walking exercises hip, knee, ankle, and toes.

  • Rolling toes inward or outward exercises hip.

  • Pointing toe toward head of bed or foot of bed exercises ankle.

  • Wiggling toes exercises toes.


Passive Range of Joint Motion Exercises
If the
person does not have voluntary control of his hands and legs, you may perform passive range of joint motion exercises to prevent excessive muscle wasting and joint contractures.  These exercises can be incorporated into person's activities, such as bathing, and should be done at least two or three times a day. However, if only one extremity is paralyzed, the person can be taught to be independent by using his unaffected hand or leg to assist the affected extremity in the range of motion exercises.
Some orthopedic conditions require more frequent passive range of motion exercises to restore the injured joint's function post-operatively.  A person with such conditions may use automatic equipment for passive range of joint motion exercises.  The equipment extends an extremity to a prescribed angle for a prescribed period.  This is beneficial when the
person must gradually increase the degree and duration of extension.


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