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  2. 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 .
  3. 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.
  4. 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
  5. 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.
  6. 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.
  7. 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.
  8. Maintenance of Circulation Passive movements Effleurage massage to lower limbs.
  9. Relief of Pain Transcutaneous electrical nerve stimulation Massage with passive ROM
  10. 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
  11. 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.
  12. 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.