PYJ
BY : - K.P SAHU (PHYSIOTHERAPIST)

PHYSIOTHERAPY
MANAGEMENT
Aims of physiotherapy management are:
1. Regain the patient's independence with
everyday tasks.
2. Retrain the normal movement patterns.
3. Improve patient's posture.
4. Improve the balance and coordination
5. Maintain clear airways
.

6. Prevent lung infection
7. Support joint in functional position to
minimize damage or deformity
8. Prevention of pressure sores
9. Maintain peripheral circulation
10.Provide psychological support for the
patient and relatives.

Respiratory Care
Physical therapy measures
(chest percussion, breathing exercises,
resistive inspiratory training)
may be required to clear respiratory
secretions to reduce the
work of breathing.
Pastorally drain areas
of lung tissues,
2-hourly turning into supine
or side-lying positions

Maintain Normal
Range of Movement
Gentle passive movements
through full ROM at least
three times a day
especially at the
hip, shoulder, wrist,
ankle, and feet.

Orthoses
Use of light splints (eg. using PLASTAZOTE) may be required for
the following purpose listed below:
 Support the peripheral joints in
a comfortable and functional position
during flaccid paralysis.
To prevent abnormal
movements.
To stabilize patients using
sandbags, and pillows.

Prevention of
Pressure Sores
 Change in patient's position from supine
to side-lying after every 2 hours. If the sores
have developed then UVR or ice cube massage
to enhance healing.

Maintenance of
Circulation
Passive movements
Effleurage massage
to lower limbs.

Relief of Pain
Transcutaneous electrical nerve stimulation
Massage with passive ROM

Strength and
Endurance training
Strengthening exercises can
involve isometric, isotonic or
isokinetic exercises,
while endurance training
involves progressively
increasing the intensity
and duration of functional
activities such as
walking or stair-climbing

Functional training
Retraining of dressing, washing, bed mobility, transfers, and
ambulation activities comprise a big part of the rehabilitation
process. Balance and proprioception retraining in all these
functional activities should also be included,
while motor control can be achieved
by doing Proprioceptive Neuromuscular
Facilitation (PNF) techniques.

Assistive devices
Assistive devices such as wheelchairs, walking sticks and quadrupeds
should be made available to individuals if required in order to
facilitate safe and effective ambulation.