Table 2 Circuit class therapy task specific activities for the intervention
Stations/description | Prescribed tasks |
|---|---|
Workstation 1 | |
Tasks for warm-up specific for upper extremity | |
| Â | Active flexion- extension of shoulder, elbow and wrist joints |
| Â | Abduction-adduction of shoulder joint |
| Â | Upper extremity weight bearing on physiotherapy ball |
| Â | Push-ups on physiotherapy ball or using chair arm rest |
Workstation 2 | |
Tasks for warm-up specific for lower extremity | |
| Â | Stretching the lower extremity (flexion/extension of the limb in supine or sitting position) |
| Â | Marching on spot |
| Â | Shuttle walking |
| Â | Jogging on spot |
Workstation 3 | |
Tasks to achieve reaching, gripping and transferring light objects | |
|  | Sitting with arm supported on high plinth at 90° shoulder flexion |
| Â | Active protraction to push small objects (light ball) off edge of plinth to target the wall |
| Â | Sitting same way to push weighted object (a heavier ball) |
| Â | Active horizontal abduction and adduction to reach object (cup) on the wall |
| Â | Use of protracted shoulder to open a door with patient standing three feet away from the door |
| Â | Wrist flexion/extension in gravity counter balance (provide a target to aim for) |
| Â | Radial and ulnar deviation (in gravity counter balance) with a target to push (cup) |
| Â | Picking light objects from table to the wall and back |
Workstation 4 | |
Tasks to achieve lower extremity flexibility and function | |
| Â | Timed shuttle walk/Initiation of minimal Shuttle jogging (50Â % of time allotted for this station) |
| Â | Sit to stand from high chair with arm rest (placing affected leg behind the intact) |
| Â | Stationary bike riding |
| Â | Squatting activity using the wall bars |
Workstation 5 | |
Task to achieve upper extremity strength/control | |
| Â | Active shoulder flexion, extension and abduction with weight of varying sizes (dumbbells) |
| Â | Active shoulder flexion, extension and abduction with resistant band to reach for a target on the wall (cup) |
| Â | Active shoulder abduction with weights of varying sizes (dumbbells), to reach for a target on the wall |
| Â | Active elbow flexion/extension with resistance band. Also substitute with varying weights |
| Â | Active wrist flexion/extension, ulna/radial deviations with resistance band. Can be substituted later with weights of varying sizes |
| Â | Finger to nose movement |
| Â | Rapid hand alternating movements |
Workstation 5 | |
Task to achieve upper extremity strength/control | |
| Â | Active shoulder flexion, extension and abduction with weight of varying sizes (dumbbells) |
| Â | Active shoulder flexion, extension and abduction with resistant band to reach for a target on the wall (cup) |
| Â | Active shoulder abduction with weights of varying sizes (dumbbells), to reach for a target on the wall |
| Â | Active elbow flexion/extension with resistance band. Also substitute with varying weights |
| Â | Active wrist flexion/extension, ulna/radial deviations with resistance band. Can be substituted later with weights of varying sizes |
| Â | Finger to nose movement |
| Â | Rapid hand alternating movements |
Workstation 6 | |
Task to achieve balance/coordination while walking | |
| Â | Sit to stand from lower chair without arm rest (affected leg behind a distant placed intact leg) |
| Â | Standing on foam eye closed (safety is key in this activity) |
| Â | Carrying object while on shuttle walking (a tray with cup of water) |
| Â | Walk up and down stairs (patient walk backward while coming down stairs) |
| Â | Sudden stops and turns while walking |
| Â | Obstacle crossing while walking |
| Â | Figure 8 walking |
Workstation seven | |
Task to achieve improved grip, precision and dexterity with upper extremity | |
| Â | Draw a line on the white board |
| Â | Rolling a dumbbell forwards and backwards on a flat surface (table) |
| Â | Open and close a window |
| Â | Take lids off bottles |
| Â | Bring object from table to mouth, vary size and weight of objects |
| Â | Pour water from jug to cup |
| Â | Mix water with spoon of various sizes |
| Â | Take money in and out of a purse |
| Â | Fold paper and place in an envelop |
| Â | Trace pattern of different figures on white board |
Workstation 8 | |
Task to achieve lower extremity strength/control of gait | |
| Â | Walking different step length of parallel line |
| Â | Obstacle crossing while walking with a tray of cups filled with water |
| Â | Walking backward and side ways |
| Â | Heel lift in standing without and with carrying an object |
| Â | Walk on toes short distance forward and backward |
Workstation 9 | |
Task to achieve advanced motor task with upper extremity | |
| Â | Rolling pin pushing forward and backward |
| Â | Reach, grasp and move objects to and from different heights |
| Â | Wipe over windows |
| Â | Wash, wring and peg clothing on lining rope |
| Â | Paint sketched objects on cardboard paper |
| Â | Use key boards to type |
| Â | Cut customised foams using knifes of varying sizes |
| Â | Put-on common clothing and foot wears |
Workstation 10 | |
Tasks to achieve improved outdoor activities with lower extremity | |
| Â | Walking while picking objects from the floor |
| Â | Walking through closely packed obstacles |
| Â | Walking through tight space |
| Â | Jumping on foam eyes closed |
| Â | Walking on joined foams |
| Â | Reverse walking on straight line |
| Â | Treadmill walking/jogging |
| Â | Speed stair climbing |
| Â | Outdoor walking |
NOTE: | |
1. Tasks within stations are not necessarily convenient and possible for all participants, choice is therefore individualized | |
2. Tasks in stations vary because it is not necessary for participants to undergo all activities and also to allow room for wide range of opportunities and choices | |
3. Progression might be based on activities not initially possible within stations or based on modifications considered necessary by physiotherapist | |
4. Tasks are performed as structured in the model based on durations allotted for each group | |