Training Program for Cerebral Palsy
This training program is for Bob, a male eleven year-old student with cerebral palsy. This requires him to use a wheelchair most of the time although he is able to stand and walk for short distances of approximately 30 feet when there is something to hang on to for stability. With more muscular training, that distance could be increased greatly as the only reason he cannot continue is fatigue and therefore the risk of falling or other injury. It should be noted that an assistant will be needed for this program. Bob also has limited extension at the knees and limited dorsiflexion at the ankle. He is underweight for his height as he is 4'11" and only 77 lbs. but this could be due to the lack of muscular development in the legs and thighs. Lord Roberts/Ellen Douglass School in the Winnipeg School Division has a program running where students with disabilities take a bus to the BoniVital Archibald Swimming Pool every Wednesday afternoon. This is a perfect location for the training sessions as it provides a fun environment to exercise in, he can walk with less than normal body weight and Bob is able to swim. The pool is 25 feet wide and 60 feet long with an increasing depth from 2'6" to 4"; it is
Reverse Leg Lifts - 3 sets of 10 reps./leg (30 second rest in between sets) Stretching - Hamstrings, Calf muscles Stretch until you feel you are well stretched out (approximately 3-4 minutes) Standing behind the wheelchair and using the handles to hold for balance and some support, go from a flat footed stance to being raised up on the toes and balls of the feet. Have Bob lay on his stomach and raise his entire leg to the ceiling then slowly lower back down to the ground Stretch for 5 minutes in the hot tub This can be done at home. Simply take an elastic strap and place it over the toes of Bob's shoes while he is laying on a support with his feet off of the edge. Hold on to the elastic so there is no slack and your ends are going away from Bob. He will then dorsi-flex his ankle to stretch the elastic and slowly ease the tension off by plantar-flexing his ankle.
Some common words found in the essay are:
Program Change, Leg Lifts, Toe Raises, Hamstrings Calf, Swimming Pool, Background Purpose, Quadriceps Gluteus, Swimming Stretch, Pulls Dorsi-flexors, Schedule Home, sets 10, 3 sets, 3 sets 10, rest sets, 30 rest sets, 30 rest, leg lifts, reps/leg 30 rest, 10 reps/leg, 10 reps/leg 30, reps/leg 30, sets 10 reps/leg, 5 minutes, 10 reps, reps 30,
Approximate Word count = 1624
Approximate Pages = 6 (250 words per page double spaced)
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