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Fisioterapia em Condições Neuro-Musculo esqueléticas1

Exercício terapêutico 201- 1!

"# $ e %Objectivos: Introdução ao treino de fexibilidade aplicada ao membro superior.

"lano da sess&o'1- Rever os conceitos relativos à classicação dos tipos de alonamento !"m#$- Rever os pressupostos te%ricos neurosiol%icos &ue suportam as t'cnicas de (ontrair

relaxar) suster relaxar) contrair relaxar com contracção do aonista. !"m#

(are)as'(ada rupo deve: conceber exerc*cios para cada uma das situaç+es abaixo indicadas)elaborar um plano a entrear no nal da aula onde conste a descrição !pre,erencialmentecom um es&uemadeseno# denindo a posição do utente !dec/bito# os alinamentos aestabili0ação a posição inicial e nal a intensidade) a duração ) a velocidade ! &uandoaplic2vel# a ,re&u3ncia o modo de alonamento)4ever2 ainda aver indicaç+es acerca do materiale&uipamento utili0ado.5m relação ao 6ovimento6/sculos) 7lexores extensors adutores abdutorse rotadoresmediaislaterais da 89 7lexores5xtensores do cotovelo ronadoressupinadores)7lexores5xtensores do puno) 4esvio radialcubital do puno reali0ar:

1- ;reino de est2tico)a. <uto administradob. eteroadministrado

$- 4in=mico) (*clico bal*sticoa. <uto administrado

b. eteroadministrado

>- ;'cnicas de ?7a. <uto administradob. eteroadministrado

i. contrair e suster relaxarii. idem com contracção do aonista

@- <lonar musculos poliarticulares:a. 8rande peitoralb. 8rande dorsal

c. Aicipeted. 5xtensor comum dos dedose. 7lexor comum supercial e pro,undo dos dedos

Material*equipamento

6ar&uesa) imnastiB balls

+i,liora.a recomendada'

(arolCn Disner ECnn <llen (olbC ;erapeutic exercises : ,oundations and tecni&ues "ted.. iladelpia : 7. <. 4avis. $FFG. IHA? GJ-F-JF>K-1"J@-G. (ap*tulo @

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Fisioterapia em Condições Neuro-Musculo esqueléticas1

Exercício terapêutico 201- 1!

"# $ e %

/eterminants o) tretcin nter3entions

 Alignment: positionin a limb or te bodC suctat te

stretc ,orce is directed to te appropriatemuscle roup

L Stabilization: xation o, one site o, attacmento, te

muscle as te stretc ,orce is applied to teoter bonC

attacment

L Intensity of stretch: manitude o, te stretc,orceappliedL Duration of stretch: lent o, time te stretc

,orce is

applied durin a stretc cCcleL Speed of stretch: speed o, initial application o,

testretc ,orceL Frequency of stretch: number o, stretcin

sessions perdaC or per MeeBL Mode of stretch: ,orm or manner in Mic te

stretc

,orce is applied !static ballistic cCclic#) deree o, patientparticipation !passive assisted active#) or te

source o, te stretc ,orce !manual mecanical sel,#

ntensit45 /uration5 Frequenc45 and Mode o) tretc6nterrelationsips andmpact

on tretcin 7utcomesL ;ere is an inverse relationsip betMeen

intensitC andduration as Mell as betMeen intensitC and

,re&uencC o, stretc.

L ;e loMer te intensitC o, stretc te lonerte time te patient Mill tolerate stretcin andte so,t tissues can be eld in a lentenedposition.L ;e ier te intensitC te less ,re&uentlCte stretcin intervention can be applied toalloM time ,or tissue ealin and resolution o,residual muscle soreness.L < loM-load !loM-intensitC# lon-duration stretcis considered te sa,est ,orm o, stretc andCields te most sinicant elastic de,ormationand lon-term plastic canes in so,t tissues.J

L 6anual stretcin and sel,-stretcin inCpomobile

but ealtC subjects@NK1>$""F and prolonedmecanicalstretcin in patients Mit cronicontractures1"GKGK1FG

Cield sinicant stretc-induced ains in RO6.L In te Mell elderlC stretc cCcles o, 1" >F andKF seconds applied to te amstrins ,or ,ourrepetitions ave all been soMn to producesinicant ains in RO6 Mit te reatest andlonest-lastin improvements occurrin Mit teuse o, KF-second stretc cCcles."F

L In ealtC Coun andor middle-ae adultsL Htretc durations o, 1" >F @" or KF secondsor $ minutes to loMer extremitC musculature

produced sinicant ains in RO6.@"$"@F1F11"K

L Htretc cCcles o, >F- and KF-second durationapplied to

te amstrins ,or one repetition dailC are botmore

eective tan one repetition dailC o, a 1"-secondstretccCcle but are e&uallC eective Men compared to

eacoter.@

L ;Mo repetitions dailC o, a >F-second staticstretc o, teamstrins Cield sinicant ains in amstrinfexibilitCsimilar to tose seen Mit six repetitions o, 1F-secondstatic stretces dailC.$"

L Htatic stretces o, te ip adductors ,or 1"seconds or $minutes produce e&ual improvements in RO6.1F1

L ;ere seems to be no additional benet tooldin eac

stretc cCcle beCond KF seconds."JG

L ;ree cCcles o, >F-second and 1-minutestretces are nomore eective ,or improvin RO6 tan one cCcleo, eac duration o, stretc."L Pen te total duration o, stretc is e&ualcCclic stretcin is e&uallC eective and possiblCmore com,ortable tan static stretcin.1>$

L In patients Mit cronic brotic contractures:L (ommon durations o, manual stretcin orsel,stretcin maC not be eective.K11$

L 9se o, proloned static stretc Mit splints orcasts is

more eective.1"GK1FG

L 7re&uencC o, stretcin needs to occur aminimum o, 

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Fisioterapia em Condições Neuro-Musculo esqueléticas1

Exercício terapêutico 201- 1!

"# $ e %tMo times per MeeB"J ,or ealtC Cpomobile

individualsbut more ,re&uent stretcin is necessarC ,orpatients Mit so,t tissue patoloC to acieveainsin RO6.L <ltou stretc-induced ains in RO6 o,tenpersist ,orseveral MeeBs to a mont in ealtC adults a,ter

cessation

o, a stretcin proram permanentimprovement inmobilitC can be acieved onlC bC use o, teneMlC ainedRO6 in ,unctional activities andor Mit amaintenancestretcin proram.1"K

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