—TECHNIQUE of Frenkel's exercises. —Position & clothing. —Explanation of exercise. —Attention of patient. —Speed of movement. Arm and leg exercises for hemiparesis caused by hemorrhagic stroke. This treatment was part of a two-month inpatient stay at First Teaching Hospital of Tianjin which specializes in stroke recovery.

It is defined as a series of gradual progressive— exercises designed to increase coordination.

Method of treating the ataxia & in coordination.

—Mechanism is based on voluntary control of movement by use of sensory mechanism i.e sight, sound & touch to compensate for the loss of kinesthetic sensation.

—Essentials are

1. Concentration of attention
2. Precision

III. Repetition

—TECHNIQUE of Frenkel’s exercises

—Position & clothing

—Explanation of exercise

—Attention of patient

—Speed of movement

—ROM by marking spots

—Repetition of exercises

—Rest periods

—PROGRESSION of Frenkel’s exercises

—Made alteration in speed, range & complexity

—Quick movements, less control

—Slow movement, high control

—Simple movements build up to form complex movements e.g walking

—According to disability re-education starts from lying to standing.

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—Frankel’s exercises For The Legs In Lying

a)Lying(Head raised); Hip abduction& adduction

b)Lying(Head raised);one Hip & knee flexion & Extension

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c)Lying(Head raised); one Leg raising to place Heel on the specific mark

d)Lying(Head raised); Hip & Knee flexion & extension, abduction & adduction

—Frankel’s exercises For The Legs In Sitting

a)Sitting; one Leg stretching, to side heel to a position indicated by a mark on the floor.

b)Sitting; alternate Leg stretching & lifting to place Heel or Toe on specified mark.

c)Stride sitting; change to standing and then sit down again.

—Exercise For The Legs In Standing

a)Stride standing; transference of weight from Foot to Foot.

b)Stride standing; walking sideways placing Feet on marks on the floor.

c)Standing;walking placing Feet on marks.

d)Standing; turn around.

e)Standing; walking and changing direction to avoid obstacles.

—Exercises For The Arms

a)Sitting (one Arm supported on a table or in slings); Shoulder flexion or extension to place Hand on a specified mark.

b)Sitting; one Arm stretching, to thread it through a small loop or ring.

c)Sitting; picking up objects and putting them down on specified marks. Drake just hold on we going home lyrics.

—EXERCISES TO PROMOTE MOVEMENT AND RHYTHM

—All exercises are repeated to rhythmic count.

a)Sitting; one Hip flexion & adduction.

b)Half lying; one Leg abduction to bring knee to side of plinth, followed by one Knee bending to put Foot on floor, the movement is then reversed & repeated.

c)Sitting; lean forward and take weight on Feet(as if to stand), then sit down again.

d)Standing; Arms swing forwards & backwards(with partner holding two sticks).

e)Standing or walking; bounce & catch, or throw & catch a ball.

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