Derived Positions of Standing, Kneeling, Sitting, and Lying Down

Pages: 14 (2141 words) Published: August 27, 2013
Derived Positions

Aftab Ahmad

Lecturer of Physical Therapy

Derived position from standing

B) By alteration of the legs

Achieved by change in the shaper size of the base. 1- Toe standing.

2- Stride standing.

3- Walk standing.

4- Half standing.

1- Toe standing

* The heels are pressed together and raised from the floor.

* Effect:

* The base is reduced and the center of gravity is raised.

Toe Standing

* Uses:

* It is used as a balance position.

* There is a tendency for the whole body to stretch so it is used as treatment for postural flat feet and posture training generally.

2- Stride standing

* The legs are abducted and the heels are apart and remain in 45°.

* Effect:

* Large base lead to easy and stable position.

* Uses:

* Used as starting easy position for many exercises.

3- Walk standing

* One leg is placed forward to the same line of the other leg.

* Effect:

* The base is much enlarged in the antro-posterior direction stabilizing the body for exercises in a sagittal plane. Rotation of the pelvis towards the side of the forward leg is prevented by the position of the back leg.

* Uses:

1- Localize rotation of the spine.

2- Tension on the hamstrings of the forward leg prevents forward tilting of the pelvis in trunk flexion exercises.

4- Half standing

The whole weight of the body is supported on one leg, the other may be free or supported in a variety of the positions.

* Effects:

Balance is very difficult with one leg. The free leg can rest in many positions like stool with flexed hip and knee (step st.). This position reflexes the tension of the abdominal operations.

4- Half standing

• Uses:

Increase tension of the hamstring of the lower leg and straightening of the lumbar spine.

Standing with trunk alteration

* 1- Stoop standing.

* 2- Lax stoop standing.

1- Stoop Standing

* The hip joints are flexed while the trunk, head and arms remain in alignment and are inclined forwards. The angles to which the trunk is inclined is usually about a right angle but depends on the tension of the hamstring which controls the forward tilting of the pelvis when the knees are straight.

1- Stoop Standing

* Effects and Uses:

* Can be used as strength position for neck and back muscles.

* Training for good posture of upper back muscles.

* Very difficult but gives good results.

2- Lax Stoop Standing

* The hips are flexed and the trunk, head and arms are relaxed so that they hang forwards and downwards.

Balance is maintained by a slight plantar flexion at the ankle joints, causing a backward inclination of the leg.

2- Lax Stoop Standing

• Effect:

The amount of forward flexion is dictated by tension which develops in the hamstring and lumbar muscles.

2- Lax Stoop Standing

* Uses:

* 1- As a position for test hamstring muscle tension.

* 2- To train local relaxation of the upper body.

* 3- To assist expiration.

* 4- It is used prior to extension exercises of hips and spine, particularly those which occur progressively, as in uncurling to the upright position.

2- Lax Stoop Standing

* 5- The position is unsuitable for weak or elderly patients as the dependent position of the body causes an increased blood flow to the head which may be followed by depletion on rising to the upright position and consequent feeling of giddiness.

* 6- When the knees are allowed to bend in the position (, tension on the hamstring and lumbar muscles is reduced, giving a feeling of relaxation right through the body.

B- position Derived from Kneeling

* The positions of the arms are the same as in the standing and may be added to the kneeling position as required.

1- Half Kneeling...
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