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Individual & Group Exercises

Physiotherapy exercies - Individual and group therapy sessions. Methods, Advantages and Disadvantages. ( Principles of Exercise Therapy, Dena Gardiner)

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Lakshmi Pavani
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13K views

Individual & Group Exercises

Physiotherapy exercies - Individual and group therapy sessions. Methods, Advantages and Disadvantages. ( Principles of Exercise Therapy, Dena Gardiner)

Uploaded by

Lakshmi Pavani
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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INDIVIDUAL &

GROUP
EXERCISES
Lakshmi Pavani (PT)
INDIVIDUAL EXERCISES
• One to one basis.

• Therapist gives special attention .

• Done in hospital setting , in ICU , in in- patient


setting

• When the patient is in acute phase of disease /


condition
Advantages:
• Special care
• Proper attention
• Good rapport with the patient
• Patient comfortable to open up ( if introvert)
• Improvement is well documented
• Progress notes are maintained
• Easy to teach exercises
• Proper psychological counseling done for the
patients individually
Disadvantages:
• Time consuming
• Costly for patients to avail
• Tiring for the therapist
• More man-power ( therapists) required
• Too much individual attention makes the patient
rely on presence of therapist as a stimulus toactivity
Group Exercise

• Group therapy is a form of therapy in which one or


more therapists treat a small group of clients together
as a group.

• Provides the opportunity for the patients to build up


their endurance and increase the speed of their
performance.

• Gives the patient confidence in his own abilities


• The group comprises of 6-8 people having a common
disease/disability.

• Because of the common group ,exercise should be taught


simultaneously.

• Patients perform exercise according to his own capacity,


being helped, resisted,encouraged and corrected by the
therapists according to individual needs.
• Group treatment cannot replace individual treatment.

• Number of people treated in a group depends to some


extent on :
✓ The nature of disability
✓ How much help or resistance each willrequire and
✓ On the ability of of physiotherapist to see and give
adequate attention.
How to form a group:
• Properly check the patient record.

• Segregate the patients broadly into larger groups based


on disease/disability.

• Next make further groups based on age , gender and any


other category relevant to the therapist’s protocol.

• Call the patients individually and describe the goals and


purpose of group exercises.

• Ask the patients their flexible time frames when they


can make up for the exercise sessions.
• In the first session introduce each patient to the other in the
team.

• Room should be spacious , well ventilated and have comfortable


climate control options.

• Proper equipments and safety measures should be provided.

• Proper training in much smaller groups initially.

• Attendants near by to help the therapistinitially.

• Time is given to them for practice for whole or a part of the


exercise.

• Regrading of groups is done at frequent intervals.


Advantages:
• Same type people cometogether.

• Good motivation for participants- stimulates


their effort.

• Group feeling and team spirit is developed.

• An ability to do & to perform , to move ahead in life


develops among the patients.

• A society feeling develops among them.

• Less man-power required.


• Eg- spastic society , ataxic group , hemiplegic group , SCI
group.

• Patients can learn exercises faster- as agroup motivation


occurs.

• Exercises can be timed and finished rather than waiting and


doing it individually for patient one by one.

• Patient learns to take responsibility of his own exercise.

• Patient learns to work with others and nolonger feels apart from
his fellow-men because of his disability.

• Effort is stimulated by some activities which call for mild form of


competition.
• Patients are helped to forget their disability
temporarily by objective and game like activities.

• These promote natural movement , general


activity and a cheerful outlook.
Disadvantages:
• More space is required.

• Same type of patients are required.

• Mirrors and mats required.

• Same type patients can only form a group.

• Less attention and time given individually to the


patients.
Organisation of group exercise
• Selection of patients

• Grading of groups

Grp A- traumatic, non wt bearing exs


Grp B-traumatic, Partial wt bearing exs
Grp C-traumatic, wt bearing exs
Grp D- non-traumatic, non wt bearing exs
Grp E- weight lifting and pulleys

• Explanation to the patient

• No. of pt

• Technique of instruction
Mass exercise
• Very large number of participants.

• Only general encouragement and correction during


prescription of exercises is possible.

• Exercises are done on formal command and in uniform


manner or in a rhythm dictated by the therapist to
produce a uniform motion.
References

❑Principles of Exercise Therapy by M. Dena Gardiner, Fourth


Edition.

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