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MOBILIZATIONS AND STRETCHING EXERCISES

Physiotherapy is key in the treatment of Collagen VI Congenital Muscular Dystrophy

Physiotherapy is a fundamental therapeutic resource to maximize the patient’s functional capacity and minimize complications. It helps to prevent and/or reducing muscle contractures, preventing and/or reducing joint and spinal stiffness as well as delaying the appearance of retractions.

In this document, you can find a set of mobilizations and stretching exercises that can be conducted on a daily basis at home by either the physiotherapist or the caregiver.

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(Document prepared by the team of physiotherapists at the Sant Joan de Déu Hospital in Barcelona, with the collaboration of the Noelia Foundation)

 

Below you will find some videos put prepared by the Rehab Team of the Sant Joan de Déu University Children’s Hospital to learn how to carry out rehab exercises at home or when away from the daily routine

Lower limb mobilization for patients with low mobility

Exercises for patients with neuromuscular diseases

Upper limb mobilization for patients with low mobility

1. COUGH-ASSISTING EXERCISES WHEN THERE IS ACCUMULATION OF MUCUS

Assisted-cough exercises

2. EXERCISES TO CONTROL VENTILATION

Abdominal-diaphragmatic breathing for teens

Abdominal-diaphragmatic breathing for kids

3. EXERCISE TECHNIQUES WITH VOLUMETRIC INCENTIVE

Volumetric incentive for teens

Volumetric incentive for kids

4. TECHNIQUES TO DECREASE HYPERINSUFFLATION

Pressure exercises for teens

Frowning lip exercises for children

Pressure exercises for kids

Breathing exercises through playing

5. TECHNIQUES TO EXPAND THE RIB CAGE

Rib cage expansion exercises for teens

Rib cage expansion exercises for kids

WHAT ARE THE CONSEQUENCES OF NOT KEEPING AN EXERCISE ROUTINE?

Loss of physical condition, loss of flexibility and joint retraction. In short, a general worsening of physical condition, so much more if we take into account that these are patients already with some kind of disability or functional limitation

IF THE CHILD HAS A MOBILITY IMPAIRMENT ¿HOW CAN I DO IT?

Some exercises are designed for the child to collaborate while others are aimed at children with greater disabilities, in which case the caregiver must perform them on the child, using the videos as tutorials.

CAN THE CHILD DO THE EXRCISES BY HIMSELF/HERSELF? SHOULD HE/SHE BE ASSISTED OR SUPERVISED?

It is always better for an adult to supervise and motivate the child during the exercise routine. Otherwise, if alone, they tend to lose adherence.

CAN I MOTIVATE HIM/HER IN ANY WAY TO KEEP ON WITH THE ACTIVITIES?

Exercises can be presented as a game for the younger ones. Also, music is a great element to go along the activity or, in the case of teenagers, exercising can be presented as a challenge.

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