USE OF
APPARATUS
Dr. Jigisha vaniya
    OUTLINE
▪   Introduction
▪   Name and uses of common equipment
▪   Types of apparatus
▪   Conclusion
▪   Quiz
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    TYPES OF APPARATUS
▪ Broadly classified as :
▪ Soft
▪ Small
▪ Large
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    SMALL APPARATUS
▪ Balls
▪ Ropes
▪ Bands
▪ Bean bags
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      SMALL APPARATUS
▪ may be used in as infinite a variety of ways as exist and
  may be contained within a Physiotherapy Department.
▪ Basically three things may be done with any piece of
  small apparatus.
▪ One can 'get rid' of it, 'receive' it or 'hang on' to it.
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▪   It is the permutations of these three
    factors with weight and size and material,
    their relationship to other people or
    objects, obstructions, distance and
    direction, that produces the variety of
    exercise.
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  SOFT APPARATUS
1. Soft balls
2. Rolls
3. Wedges
4. Silicone putty
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    LARGE APPARATUS
▪ Space consuming
▪ Good organization is necessary for it’s use
▪ Patients should be constantly aware of it’s dangers.
 1. Wall bars
 2. Bouncers
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    BOLSTER
▪   A bolster is a long narrow pillow or cushion filled with cotton, down
    or fibre. Bolsters are usually firm for back or arm support.
▪   Uses :
▪   For strengthening of last degree knee extensors
▪   For back support
▪   For yoga
▪   To make a child with knees apart
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▪   Patients can lie across them or sit astride them, both these positions being useful
    for controlling spasticity in the areas which initiate rocking movements,
▪   thus helping to re-educate
▪   balance,
▪   co-ordination and
▪   body awareness
▪   as the roll moves backwards and forwards.
▪   Patients can also use their legs and feet to propel themselves forward or backward
    along the roll as they sit astride it
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    MEDICINE BALLS
▪ Weighted balls which are used for strengthening of
  upper limb muscles
▪ The medicine ball also serves an important role in
  the field of sports medicine to improve strength
  and neuromuscular coordination. It is distinct from
  the inflated exercise ball, which is larger (up to 36"
  diameter).
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    THERABAND
▪ A theraband or resistance bands are latex bands
  or tubes that are used for physical therapy and
  light strength training exercises.
▪ They are also commonly used by athletes, but also
  people who are looking for a low-impact strength
  training workout.
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SWISS BALLS
An exercise ball can be used in a number of
applications with a range of difficulty levels, and the
benefits for back pain patients can be felt at each
level.
Just sitting on a swiss ball alone engages the key
stabilisers, the abdominal and back muscles.
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▪   Balance
▪   co-ordination and body awareness may also be re-educated using
    the larger balls as a support.
▪   The therapist may rock the balls in various directions as the patient
    tries to maintain his position, or movement of the ball may be
    initiated by the patient himself making slight shifts in body weight.
▪   More advanced patients who are younger may enjoy trying to jump
    along the floor whilst maintaining their balance sitting astride the
    ball, but the therapist must ensure that the feet can comfortably
    reach the floor in case the patient loses his balance.
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    DUMBBELLS AND BARBELLS
▪   Used for resistance training of upper limb and chest
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SAND-BAGS
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PARALLEL BAR WITH MIRROR
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ANKLE EXERCISER
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MULTI-GYM
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TILT TABLE
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▪   Facilitate weight bearing
▪   Prevent muscle contracture
▪   Increase arousal
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    QUADRICEPS CHAIR
  Quadriceps exercise chair is very effective and
  used as a tool in the field of physiotherapy &
▪
  rehabilitation.
▪ Features: It enables exercise in sitting position
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    TREADMILL
▪   Walking or running on a treadmill is an
    excellent source of exercise that puts less
    stress on the body than walking or running
    on a flat surface outdoors.
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    SHOULDER WHEEL
▪   Shoulder Wheel provides a reliable, easy to use tool for
    improving shoulder function and range of motion.
▪   To use, simply hold the handle and rotate the wheel either
    forward or backwards for easy, effective therapy.
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        FINGER LADDER
▪   The
    the Shoulder
        patient to Finger
                   use the Ladder can
                           equipment  be
                                     in  wall-mounted,
                                        either a sitting  which
                                                         or a     allows
                                                              standing
    position.
▪   The
    ofside.ladder
         theGently  is typically
             wall facing  the     used
                               finger  for flexion
                                       ladder  withexercises
                                                    both  arms as  follows:
                                                                 extended   Stand
                                                                             down  in
                                                                                    atfront
                                                                                       your
    you.             bring  up  the compromised     arm  against   the  ladder in front  of
▪   Slowly
    another.  use  your  fingers   to walk up  each  step of the  ladder   one after
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    PEG BOARD
▪   They can offer different patterns and allow for the use of
    an open imagination.
▪   This combination improves fine motor functions, early
    math skills, as well as concentration among toddlers.
▪   One main use of a pegboard is to improve fine motor
    skills.
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    WEDGES
▪ Can be used to offer lying in prone or supine
  and
▪ have accessories to enhance postural control
  and stability
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▪   Wedges are useful in the re-education of walking.
▪   The plantar flexors and dorsi-flexors of the ankle may be
    strengthened by walking either up or down the incline, and the
    pliability of the foam promotes interplay between the invertors and
    evertors of the foot.
▪   Wedges also provide a soft surface for the stimulation of
    proprioception in the soles of the feet.
▪   Wedges and rolls can be used in the same treatment area to provide
    a continuous uneven surface along which patients may crawl or walk,
    so providing a means of balance training in preparation for the
    uneven surfaces muscle groups can be strengthened by walking
    side.                                                           5/1/2022   44
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    BALANCE BOARD
▪   It is used to develop balance, motor coordination skills,
    weight distribution and core strength
▪   To prepare people, before and after they reach old age,
▪   To avoid injurious falls
▪    To prevent sports injuries, especially to the ankle and
    knee
▪   For rehabilitation after injuries to several parts of the body.
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VMO OR LDE BOARD
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▪
       BALL      POOLS
    Free standing container for small balls
▪ Balls are bright and multi coloured ,diameter 50 mm and 70
  mm.
▪ Container filled to four-fifth of it’s capacity.
▪ Feeling is of floating and surface movements
▪ Use :
 1. Treatment of children with fun and enjoyment
 2. Resistance offered is slight
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    WALL BARS
▪ Permanently fixed to walls or on hinges which allow them to be
  turned at an angle to the wall.
▪ In this position both sides can be used and they provide a
  climbing frame for suitable group.
▪ Uses :
 1. Support for patient’s back
 2. For grasping activities
 3. Support for other apparatus
 4. As an attachment for pulley system
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    BOUNCERS
▪   Bouncers have a more limited rebound capacity,
    are simple to use, fun for all age groups and small
    enough to be stored easily in the smallest
    gymnasium or even in the home.
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▪   Patients may safely walk , jog, run or jump on them and the more athletic may skip,
    or bounce and throw balls as they are exercising.
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EXERCISE MAT
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PLINTH
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QUIZ :
1. WHICH TWO EQUIPMENTS YOU WILL USE FOR KNEE EXERCISE ?
A.   SHOULDER WHEEL AND Q TABLE
B.   Q TABLE AND VMO BOARD
C.   WEDGE AND FINGER LADDER
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This Photo by Unknown Author is licensed under CC BY-SA-NC
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