DO NOT WORK ON MOBILIZATION & INCREASING THE RANGE OF MOTION IF MUSCLES DON’T GOOD STRENGTH THROUGHOUT THE RANGE.


Patients with Chronic hemiplega have shoulder stiffness and pain. To reduce the stiffness and to improve the range of motion we perform mobilization of shoulder and try to get the full range of motion. We can get the full range of motion of shoulder but they typically don’t have strength throughout the range. Higher degree of mobility without good stability leads to multidirectional instability of shoulder. This instability will further increase complications of shoulder pain which leads to shoulder hand syndrome.

Published by GajananBhalerao

DR. GAJANAN BHALERAO (PT) MPTh Neuro, NDT Adult (USA), Motor relearning (Australia), Aquatic therapist (Switzerland). Associate professor at Sancheti Institute College of physiotherapy, Shivajinagar, Pune. Founder Director of "School of neuro rehab and aquatic therapy" , speciality centre for neuro rehabilitation of stroke, brain and spinal cord injury. Mobile : 9822623701 Email:Gajanan_bhalerao@yahoo.com, gajanan.neurophysio@gmail.com

5 thoughts on “DO NOT WORK ON MOBILIZATION & INCREASING THE RANGE OF MOTION IF MUSCLES DON’T GOOD STRENGTH THROUGHOUT THE RANGE.

  1. But sir, if we don’t increase the range how will we improve the control then as the ROM will be less.
    So in such case how should we progress with respect to shoulder.

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  2. Yes sir.. There’s no point in improving the range if the patient lacks the ability to use the range.. Cause the range will be eventually lost after a short time if the patient doesn’t use the range in his daily activities.. Thus we should improve the range and simultaneously strengthen the muscles..

    Sir this can be done by repetitive activity and mild stretching at end rage?

    Thankyou,

    Rohan Sawant 🙂

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