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STRINGTH
EXERCISEs
PROGAME
FOR
CALF
MUSCLE
2
: DONE BY
Zahra A. Al-Abd alhai–
ID : 208012493
Ftimah A. Al-Khamis –
ID : 208008394
,, SOAP Note
Subjective : a20 year old Saudi female ,she has right tibia shaft
fracture due to an accident , she had long leg plaster for six weeks ,
. now she has pain at the back of her Rt leg and difficult in walk
: Objective
.Mesomorph pt–
. Pt. came walk assisted by crutches with PWB on her Rt leg–
. There is calf muscle weak in affected leg–
. There is grade 1 tenderness in Rt calf muscle bulk–
ROM : ● knee flexion : 130 / 140 ● ROM of all other–
joints in
dorsiflexion : 15 / 20 both legs in all plane of•
plantar flexion : 40 / 60 motion are within•
normal
. eversion : 15 / 20 ROM•
inversion : 35 / 40•
MT : ● Knee flexors are grade 3 / 5–
Plantar flexors are grade 2+ /5•
Grossly MP of Rt leg muscles are graded 3+ / 5 to 4+ / 5 ,•
. proximal stronger than distal
: assessment
: problem list
pain at Rt calf muscle ;1
. limitation in ROM in Rt ankle joint especially in planter flexion ;2
3
: Plane
: TREATMENT SCEDUAL–
. PT will see the px. 3 sessions per week , for next 5 weeks
. ttt : ● TENS ( 100 mA ) at Rt calf M , at 15 min for 4 sessions–
Exercises program include : circulatory ex , ROM ex , •
. strength ex , endurance ex , stretch ex and balance ex
EXERCISES PROGRAM
; NOTE
: 1st session
sec , then relax and repeat the contraction and holding for 5
. times , do it for 2 sets
: 2nd session
5
While prone position with your knees straight, slowly bend your
knee , while the bending move your sole of the foot toward
your head , then straighten to the starting position .. Repeat at
. 10 times for 2 sets
: 3rd session
: Re-assessment
: ROM–
knee flexion : 135 / 140•
dorsiflexion : 18 / 20•
plantar flexion : 45 / 60•
eversion : 18 / 20•
inversion : 37 / 40 :•
MP–
Knee flexors are grade 3+ / 5•
Plantar flexors are grade 3 / 5•
: 1st session
foot actively lifted up about 40° ( then about 60° ) , for 6 Rep
. . Do the ex for 1 set
: 2nd session
: 3rd session
: Re-assessment
: ROM–
. Full ROM for all Rt leg joints in all plans of motion
: 1st session
: 2nd session
, Ex 13 : active resisted ex ҉
From supine position , therapist stabilize the lower leg by–
one hand and by other apply resistance to
the plantar surface of the foot at the
metatarsals to resist plantar flexion , ask
the pt. to move her foot against therapist's
. hand , repeat at 6 Rep for 2 sets
Therapist apply resistance to the dorsum–
of the foot just above the toes to resist
dorsiflexion , ask the pt. to move her foot
against therapist's hand , repeat at 6 Rep
. for 2 sets
Therapist apply resistance to the medial–
aspect of the first metatarsal to resist
inversion and to the lateral aspect of the
fifth metatarsal to resist eversion , ask the
pt. to move her foot against therapist's
. hand , repeat at 6 Rep for 2 sets
: 3rd session
: Re-assessment
Knee flexors 4+ / 5
Plantar flexors 4 / 5
: 1st session
: 2nd session
possible and maintain this position for 6 sec . Then slowly lower
. back down. Perform 10 Rep for 2 sets
: 3rd session