PANat Urias Johnstone User Manual page 22

Theoretical framework, clinical management and application of the urias johnstone air splints
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Sample exercises
Use these to develop your own exercise programmes.
Side-lying
Floor exercises with the half arm
air
splint
in
combination
various external foci: e.g. in side
lying using markers to encourage
different positions.
Removal of the air splint
Open the valve to release the air. Encourage the client to help squeeze the air out of the air splint.
Undo the zip. Ask the client to close his eyes and feel the change in pressure in the air splint on the
arm.
Take off the air splint.
If active movement is present encourage the client to move his limb.
Passively mobilise all joints (see preparation for application).
Ask the client if he is aware of changes in feeling or in movement of the limb.
Sample exercises
Use these to develop your own exercise programmes.
Following the removal of the air splint
use a variety of objects to stimulate
sensation and selective movements.
© Rights reserved PANat 2009, revised 02/2015, version 2017
Prone-lying
Prior to rolling into prone lying
with
always check range of movement,
pain and the active stability of the
shoulder. Roll into prone through
the non plegic side.
Place
your
hands
underneath
shoulder to support it as the client
rolls into prone and accepts weight
through the forearm.
The yellow band is used as an
external focus so that the client
knows where to place the elbow.
The client drops his head to look
at the yellow band then lifts his
head to focus on various markers
in front of him.
Use a brush to stimulate sensation.
The forearm is positioned with the
thumb uppermost in the air splint.
Insert a spoon into the air splint
and place a marble or small ball
on it. Turn the forearm outwards
(supinate) to drop the ball into
the bowl.
Use different colours, sizes and
number of balls to progress the
exercise.
around
and
the
hemiplegic
Sitting
The
finger
tips
are
stimulated by drawing a
rough
towel
under
the
forearm and palm of the
hand.
22

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