LEG EXERCISES 2. To be able to safely and effectively teach and supervise a service user undertaking prescribed functional exercise

Transcription

1 LEG EXERCISES 2 BRIDGING Aim To be able to safely and effectively teach and supervise a service user undertaking prescribed functional exercise To be able to recognise signs of fatigue Procedure 1. Check plan for variation, equipment used and number of repetitions 2. Explain the reason for the exercise - e.g. exercise to strengthen the muscles at the side and back of your hip. You need to lie on your back on a bed for this exercise. 3. Position of Service User Lying on their back on the bed with hips and knees bent, feet shoulder distance apart. Head supported by pillows. 4. Position of Rehabilitation Assistant Facing the bed so it is possible to watch the service user s face as well as the service user s leg 5. Explain how to perform the exercise You need to keep your heels close to your buttocks (unless service user is adhering to hip precautions in which case they must not allow hip to flex over 90 degrees). Squeeze the muscle in your bottom, tilt your pelvis backwards and roll your hips up off the bed. Lift your hips as high as you can then bring them back down to the bed You need to do this times, then rest a minute and repeat times, rest then repeat times. I will keep reminding you what to do. 6. Ready... Squeeze the muscle in your bottom and tilt your pelvis backwards and roll your hips up off the bed. Lift your hips as high as you can then slowly lower back down to bed. Through the exercise there should be verbal prompting and encouragement with correction when the exercise is not being done properly

2 Count repetitions for the Service User and tell them when to rest If using resistance band ensure Check position of resistance around knees. The knot is at the top between the service user s legs (so not digging in) The resistance band is not scrunched up (so causing increased pressure) Progressions Prior to beginning the exercise place one foot on a wobble mat or lift it off the bed entirely. 7. Completion Feedback to the service user Check the skin of the service user where the resistance has been Check the service user is all right and not in pain 8. Document in the service user s notes 9. Feedback clearly to the Registered Practitioner who delegated that task regarding how the service user did, how easy the exercises were and any pain or discomfort KNEE ROLLING Aim To be able to safely and effectively teach and supervise service user undertaking prescribed functional exercises. To be able to recognise signs of fatigue Procedure 1. Check plan for variation, equipment used and number of repetitions 2. Explain the reason for the exercise; this exercise is for the muscles and joints around your hips, pelvis and lower back. You need to lie down on your bed/floor for this exercise 3. Position of Service User On the bed/floor Lying, with head supported by pillows, knees bent and feet resting on the surface. The knees and feet should be together and the arms placed out at side.

3 4. Position of Rehabilitation Assistant On the side to be exercised, facing the service user so it is possible to see the service users face and well as their legs. 5. Explain how to perform the exercise; you will need to keep your knees together, feet on the surface, then slowly roll both knees to the left, back to the middle, then slowly to the right and return to the middle. Twist from the waist and keep your shoulders in contact with the bed Breathe in through your nose and out through your mouth during each exercise. DO NOT hold your breath 6. Ready Keep your knees together and take them slowly to the left.now to the middle.. and now slowly to the right. Throughout the exercises there should be verbal prompting and encouragement with correction when the exercise is not being done properly. Watch for tiring and compensatory movements. Count repetitions for the service user and tell them when to rest 7. On completion feedback to the service user. Check the service user is all right and not in pain. 8. Document in the Service User s notes. 9. Feedback clearly to the Registered Practitioner who has delegated that task regarding how the service user did, how easy the exercises were and any pain or discomfort

4 SUPERVISED TASKS/EXERCISES CARRIED OUT BY REHABILITATION ASSISTANT COMPETENCIES NAME: TAUGHT MODELLED COMPETENT LEG EXERCISES 2 - BRIDGING DATE DATE DATE 1 Read plan, identify exercises and any equipment 2 Appropriate explanation of the exercises and where Service User needs to be 3 Start position of Service User 4 Position of Rehab Assistant relative to Service User 5 Verbal explanation of the exercise, including number of repetitions 6 Supervision of exercise/task i ii iii iv v Verbal prompts and encouragement Appropriate correction Correct use of equipment Correct number of timing of repetitions and rest Appropriate use of touch 7 Completion of exercises Feedback to service user and seek feedback from them Check service user is alright and not in any pain or discomfort

5 LEG EXERCISES 2 - BRIDGING DATE DATE DATE 9 Documentation 10 Feedback to delegating Registered Practitioner Sign and date when achieved Signature of Learner Signature of Assessor Date of Review

6 SUPERVISED TASKS/EXERCISES CARRIED OUT BY REHABILITATION ASSISTANT COMPETENCIES NAME: TAUGHT MODELLED COMPETENT LEG EXERCISES 2 KNEE ROLLING DATE DATE DATE 1 Read plan, identify exercises and any equipment 2 Appropriate explanation of the exercises and where Service User needs to be 3 Start position of Service User 4 Position of Rehab Assistant relative to Service User 5 Verbal explanation of the exercise, including number of repetitions 6 Supervision of exercise/task i ii iii iv v Verbal prompts and encouragement Appropriate correction Correct use of equipment Correct number of timing of repetitions and rest Appropriate use of touch 7 Completion of exercises Feedback to service user and seek feedback from them Ensure the service user is alright and not in pain or discomfort

7 LEG EXERCISES 2 KNEE ROLLING DATE DATE DATE 8 Documentation 9 Feedback to delegating Registered Practitioner Sign and date when achieved Signature of Learner Signature of Assessor Date of Review