THERAPEUTIC EXERCISE

DERIVED POSITIONS

ALTERTION OF LEGS

P.PONMATHI
Faculty of Physiotherapy
CLOSE STANDING
LEGS INTERNALLY ROTATED
MEDIAL BORDER OF LEGS
ADJACENT POSITION

The inward rotators of the

hip, viz., Tensor Fasciae Latae
and the anterior fibres of
Gluteus Medius and Minimus MUSCLE
work strongly than WORK
fundamental positions

P.PONMATHI
Faculty of Physiotherapy
 USES
As axes of ankle joints are
parallel,body moves anterior Base is diminished,
easily than fundamental balance is
position,so Calf muscle work is compromised
increased

As lateral rotators
Mobility of the hip joints is increased, by of hip is relaxed
relaxing the ligaments in front of the loss of bracing
joint,so exercises for hip joint can be effect of
given longitudinal arch of
foot

P.PONMATHI
Faculty of Physiotherapy
 TOE STANDING

USES
POSITION
Raise heel from
floor, 1.The base is reduced
keeping it together 2.COG is raised
3.Used mostly in balance
exercises

MUSCLEWORK 4.Strong work of foot

Plantarflexors work muscles
strongly in addition to
other muscle work 5.Posture training and
Treatment of flat feet

P.PONMATHI
Faculty of Physiotherapy
EXERCISES

P.PONMATHI
Faculty of Physiotherapy
STRIDE STANDING

LEG MUSCLE WORKS

ESPECIALLY ABUCTORS WORK
TOPREVENT LEGS SLIING
FURTHER

LEGS ARE ABDUCTED

FOOT TWO FOOT LENGT APART
WEIGHT ISTRIBUTION IS EQUAL IN BOTH LEGS

P.PONMATHI
Faculty of Physiotherapy
 USES
1.The base is enlarged in a lateral
direction, so that steadiness of position
is increased in the frontal plane.

2. By stretching the adductors and some

of the ligaments of the hip joint the
pelvis is fixed. It is used on this account
partly in movements which require
steadiness in the frontal plane, partly for
trunk movements,

P.PONMATHI
Faculty of Physiotherapy
EXERCISES

P.PONMATHI
Faculty of Physiotherapy
WALK STANDING

Is taken by moving one heel about two foot-

lengths from other heel forward in the sagittal
plane, maintaining the same angle between the
feet.

Flexors an Extensors of hip

Extensors of knee
Calf muscles

P.PONMATHI
Faculty of Physiotherapy
 EFFECTS

1.The base is lengthened in the sagittal direction, so that equilibrium is

more stable in this plane. It is therefore used where movement takes place
in a forward or backward direction
2.Rotation of the pelvis towards the forward leg is controlled by the
position of the posterior leg which help to localise the rotation to spine.
3.Tension of hamstring in forward leg prevent forward tilting of pelvis in
trunk flexion exercises

P.PONMATHI
Faculty of Physiotherapy
EXERCISES

P.PONMATHI
Faculty of Physiotherapy
 HALF STANDING

1.Flexors of the hip of the raised leg (Ilio-psoas), first

concentrically, then statically.
2. Abdominal muscles, statically to fix the origin of
the above-mentioned muscles on the pelvis.
3.Lumbar side flexors of opposite side work to bring
trunk in alignment.
4.The abductors (maintain center of gravity over
Is taken by flexing one hip so base by lateral tilting pelvis) and extensors of the
that the thigh and trunk form a supporting leg (Glut. Max., Semi-tendinosus, Semi-
right angle,  but the raised foot is membranosus, and Biceps), to prevent the body
placed upon a stool or something falling forward at the hip joint owing to the weight of
the flexed leg.
of the kind.
of the kind.

P.PONMATHI
Faculty of Physiotherapy
EFFECTS&USES

Relaxes the abdominals on the side of flexed

knee

1.Tension in hamstring
2.Straightening of lumbar spine
3.There will be lumbar side flexion and lateral
tilt of pelvis happening

P.PONMATHI
Faculty of Physiotherapy
EXERCISES

P.PONMATHI
Faculty of Physiotherapy
Instep-support-standing

1.Bending one knee and allowing the ankle

to be supported by some apparatus behind
the patient, as a stool. The bent leg is
usually carried slightly back.

2. Pelvis is fixed owing to stretching of

Rectus Femoris of the bent leg and of the
ligaments in front of the hip joint.

P.PONMATHI
Faculty of Physiotherapy
 P.PONMATHI
Faculty of Physiotherapy