Suspension Therapy

Suspension Therapy

Presented to:

Dr. Nousheen

Presented By:

Momina Shabbir

Mariam Anwar

Shaheera Tahir

Fatima Maqbool

Iqra Shahid

Hafsa Khan

Motion that is uninterrupted for extended periods of time it is usually applied by a mechanical device that moves a desired joint continuously through a controlled range of motion.

Continuous Passive Motion

Assisted exercises come under continuous passive motion…

And Suspension Therapy is the form of Assisted Exercises…

Assisted Exercises

Treatment or therapeutic exercise given to patients to increase ROM,increase muscle power and support body parts by using ropes and slings.

Suspension Therapy

Muscle Strengthening.

Neuro-Muscular Co-ordination

Aim

There are following three types of suspension therapy:

Axial Suspension

Pendular Suspension

Vertical Suspension

Types

It is the most common type.

Joint is taken as point of suspension.

Gravity eliminated.

Limb is supported by the slings above the joint.

Limb will move to both sides parallel to floor.

Axial Suspension

Relaxation.

Maintain muscle property.

Increase blood circulation.

Increase venous and lymphatic drainage.

Uses

Point of suspension should be shifted away from the joint axis.

Movement usually takes place against gravity.

Muscles will be getting resistance while moving if the axis is shifted opposite to that movement.

Pendular Suspension

Increase the muscle strength.

Increase the muscle endurance.

Uses

COG of the body part or the body is taken as point of suspension.

Used to provide support to the body parts of the patient.

Vertical Suspension

Relaxation.

Prevent pressure sore

Uses

Suspension Unit

Late Mrs. Guthrie Smith has invented the suspension apparatus.

Fixed point. Supporting ropes

Slings

Wooden Cleat

Dog clip/ S Hook

Storage trolley

Parts

It is made of stainless steel or plastic coated steel.

In the top and head end side presents the 5cm metal mesh and remaining side kept open.

Fixed Point

There are following three types of supporting ropes:

Single Rope

Double Rope

Pulley Rope

Supporting Ropes

Has a ring fixed at one end by which it is hung up.

The other end of the rope then passes through one end of the wooden cleat through the ring of a dog clip and through the other end of the cleat and then knotted.

Single Rope

Consist of two pulleys at upper and lower attachments.

So here there is a mechanical advantage of 2.

Double Rope

This has a dog clip attached at one end of the rope which then passes over the wheel of the pulley.

The rope then passes through the cleat and a second dog clip.

Pulley Rope

There are following four types of slings:

Single Sling

Double Sling

Three Ring Sling

Head Sling

Slings

Made of canvas bound with soft webbing and with a D-ring at each end.

68cm length and 17cm width.

Used for elbow and knee

Folded to support wrist and ankle.

Single Sling

Broad slings with D-rings at each end.

Used to support pelvis, thorax or thigh together, specially when the knees are kept together.

68cm long and 29cm width.

Double Sling

75cm length 3-4cm width.

Consist of 3 D rings. 2 at the end of the sling and 1 in the middle kept moving.

Used for wrist and ankle region.

Three Ring Sling

This is a short, split sling with its two halves stitched together at an angle to create a central slit.

This allows the head to rest supported at the back under the lower and upper part of the skull.

Head Sling

It is made of wood and is used for altering of the rope.

It has two or three holes for the rope passage. The rope itself hold the cleat by friction resistance.

Wooden Cleat

Used to attach the supporting rope with mesh.

To attach the sling with supporting rope.

Dog Clip / S Hook

Storage of slings and ropes on wall frame is done with S shaped hooks.

Storage Trolley

It reduces the burden of therapist.

Easy to lift the limbs.

Active movement can be performed easily with minimum friction.

Advantages

The whole fixed point is moved away from the muscles which require resistance.

On effort the limb will now rise into abduction brought about by isotonic shortening of the abductors, resistance being offered by gravity

Slow lowering into the resting position is controlled by isotonic lengthening of the abductors

If some resistance to the muscle work is requires:

Difference

Hook is placed above the joint under treatment.

Hook is placed above the COG of the limb under treatment.

Axial Suspension Vertical Suspension

Suspension exercises can be performed on upper limbs and lower limbs.

Suspension Exercises

Shoulder Joint

Elbow Joint

Wrist Joint

Upper Limb

Movement: Shoulder Flexion

Position of Patient: Supine Lying

Range: 0 to 80 degree

Shoulder joint

Shoulder Flexion

Movement: Shoulder Extension

Position of Patient: Prone Lying


Movement: Shoulder Abduction

Position of Patient: Side Lying


Movement: Shoulder Adduction



Movement: Lateral Rotation

Position of Patient: Short Sitting


Movement: Medial Rotation

Position of Patient: Short sitting


Movement: Elbow Flexion



Elbow Joint

Movement: Elbow Extension



Movement: Wrist Flexion



Wrist Joint

Movement: Wrist Extension

Position of Patient: Short sitting


Hip Joint

Knee Joint

Ankle Joint

Lower Limb

Movement: Hip Flexion



Hip Joint

Movement: Hip Extension



Hip Extension

Movement: Hip Abduction

Position of Patient: Side Lying Range: 0 to 45 degree

Movement: Hip Adduction


Range: o to 15-20 degree

Hip Adduction

Movement: Lateral Rotation



Movement: Medial Rotation



Medial Rotation

Movement: Knee Flexion



Knee Joint

Knee Flexion

Movement: Knee Extension



Knee Extension

Movement: Plantar Flexion



Ankle Joint

Movement: Dorsi Flexion



Suspension Therapy

Education

short sitting range

prone lying range

shoulder joint

suspension exercises

suspension therapy

suspension apparatus

pendular suspension

knee joint