FUNCTIONAL RE-

EDUCATION

Submitted to:Dr.KRITI SACHAN (PT)

Dr.ASMA AZAM (PT)

Submitted by:KUSUM DEEP

BPT 3rd YEAR
TPT1603036
FUNCTIONAL RE-EDUCATION
• Re-education means educating
something,which is already known by an
individual.

• Functional re-education is training for an

activity or function ,which is known by the
patient earlier but due to his/her ailment or
diseased pathology he couldn't perform it
properly.

• The main motto of functional re-education

program is "making the man independent "
• Normally,the functional re-education
program can be helpful mostly for
the entire
orthopedics,neurological,cardiac
conditions.
• =>It helps to:
 Improve the coordination and
balance.
 Increase the strength endurance
of the muscle.
 Increase the pelvic stability.
 Increase the dynamic and static stability.
 Enhance the proprioception function.
 Improve the postural instability.
Improve the ambulatory skill.

 The functional re-education

training consists of perambulatory mat
exercise and ambulatory training.
 Rolling
 Supine to side lying
 Side lying to prone lying
 Prone to side lying
 Side lying to supine lying
 Elbow prone lying
 Hand prone lying
 Elbow side lying_ quadruped position
 Side sitting
 Sitting
 Kneeling
 Kneel sitting
 Half kneeling
 Standing
 Walking
Uses:-
i. Useful in bed
making activities.
ROLLING
ii. Useful in
preventing the
bedsores.
iii. Easy to progress
to next posture.
iv. Useful for
postural
drainage
techniques.
In supine lying both the
knees are flexed and
the feet are placed on BRIDGING
the couch.patient is
asked to raise his trunk
from the floor or couch.
Uses:-
I. To improve the trunk
stability.
II. It facilitates the hip
abductor and adductor.
III. Modification can made
to improve the stability
and endurance.
Position:
Shoulder- flexion,elevation
Elbow- flexion
Forearm-pronated ELBOW PRONE LYING
Wrist- extension
Palm is flat supported by the
surface.
Uses:
i. Bed making.
ii. Dressing activity.
iii. Patient can can hold the
magazine and read in this position
iv. It is helpful for the paraplegic
patients to improve their upper
limb stability.
Position- HAND PRONE
Shoulder- elevation,flexion and
abduction
LYING
Elbow- extension
Wrist- hyperextension
Fingers- extension
Forearm-pronation.

Uses:
i. This is helpful for the
paraplegic patient to improve
the upper limb muscle power
and strength.
ii. It is used to dressing
activities.
iii. Bed mobility cal be improve.
Position:
Trunk- forward flexion
Hip-flexed 90° QUADRUPED
Knee- flexed 90°
Elbow-extension
POSITION
Wrist-extension
Shoulder-flexion and extension
Forearm-pronation
Palm-flat and placed on the floor.
Uses:
i. Floor level
activities,eg.playing with
kids,seeding,weeding
etc.
ii. Useful for the patient
who can not walk to
ambulate in and out of
the house
Position- ELBOW SIDE
Elbow-flexion LYING
Shoulder-
extension,elevation and
internal rotation.

Uses:
i. Mat mobility activities.
ii. Relaxed position for
reading books and
watching television.
iii. This is enroute for the
sitting position
Position:
.Hip and knee areflexed and SIDE
kept in the side.
.Weight is transmitted through
one upper limb and the pelvis of
SITTING
the one side.
.Shoulder is abducted and
elevated.
.lower hip is flexed,abducted
and laterally rotated.
.Upper hip is medially rotated
and flexed.
Uses:
i. Floor level household
activities like cutting
vegetables,eating etc.
Position:
Spine-erect LONG SITTING
Shoulder-abduction and
elevation
Elbow-extension
Wrist-extension
Hip-flexion and lateral
rotation
Knee-flexion 90°
Uses:
i. To take the weight on arm.
ii. To move pelvis for transfer
for wheelchair.
iii. To perform stretching
exercises.
 Standing on both the KNEELING
knees are called as
kneeling.
Stability in this posture is
very less.

Uses:
i. For dressing activities.
ii. Useful for mobility.
iii.Useful to play with the kids.
iv. Improves the floor level
activities
Position:
HALF
Weight bearing over KNEELING
one side knee another
side hip and knees are
flexed and the foot is
kept on the floor.
Uses:
i. To perform weight
shifting activities.
ii. Push-ups can be
practiced
 STANDING
Here the base of support
is less and the center of
gravity increases
more.so,this is the
unstable posture to
maintain for prolonged
time.
 PARALLEL BAR
As soon as the motor WALKING
control is achieved in the
standing posturethe
parallel bar activities can
be introduced.
=>Proper instruction in
parallel bar activities
should be given
throughout the walking
training. It includes
walking pattern
progressive
activities,turning
techniques,stability,balanc
e and coordination.
Reference:- Textbook of Therapeutic
Exercises (S Lakshmi Narayan)