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MAT

Activities
MUTHUUKARUPPAN M.
INTRODUCTION
Functional re-education techniques are
those techniques which are used in
re-education of lost functions.
Restoration of function is important in
achieving the patient's rehabilitation.
RE-EDUCATION CAN BE DONE:

1. ON MAT
2. ON RE-EDUCATON BOARD
3. USING PARALLEL BAR
4. USING SUSPENSION THERAPY
5. USING HYDROTHERAPY

FUNCTIONAL RE-EDUCAION ON MAT
A normal individual perform activities such as
rolling, getting up from lying position etc,
independently day to day life usually in bed
or floor. But a person with physical impairment
finds difficult to do so.
Therapist teaches methods and techniques
to carry out such activities independently
usually on mat as it provide large BOS and
low COG, hence known as mat activities.
Mat activities
1. Rolling
2. Prone on elbow
3. Prone on hand position
4. Hook lying
5. Bridging
6. Quadruped position
7. Sitting-long sitting, short sitting
8. Kneeling
9. Half kneeling
ROLLING:
Rolling generally progress from log rolling
to segmental rolling
It is roll from supine to side lying\prone
or from prone to side lying\supine.
Log rolling produces movement of the
entire trunk as a unit around the
longitudinal axis of the body.
Segmental rolling is a progression from
log rolling. In segmental rolling either the
upper or lower segment of the trunk
moves independently while the other is
stabilized.
ROLLING:
Techniques to facilitate rolling are:
Flexion of the head and neck with
rotation: It is used to assist movement from
supine to prone position.
Extension of head and neck with rotation:
It is used to assist the movement from
prone to supine position.
Both the hand are clasped, elbow fully
extended and shoulder flexed unto 100-
110
Cross the leg over the other, the upper
leg is towards the side of rolling.
PRONE-ON-ELBOWS:
This position provides weight bearing on
elbows and forearm. The posture provides
stability of gleno-humeral joint co-
contraction of scapular musculature, and
improving head and neck control
The position should progress in the following
manner:
Initially the patient should try to assume and
maintain the position for few to several
minutes with out without assistance and also
during activities like reading books, watching
TV can be incorporated.

Prone-on-elbow:
Patient should try to maintain the
posture independently.
Weight shifting to lateral direction can
be started
Activities like writing, page turning, ball
squeezing etc can be used.
PRONE ON HAND:
It is the intermediate position between
the prone on elbow and quadruped
positions.
From prone on elbow the position,
patient fully extends his elbows. In this
position BOS and COG becomes more
higher. The weight is bared on hands, wrist,
elbow and shoulders.
Progression takes place in
the following manner
Same with prone on elbow
Final step is performed in the form of
push ups in prone position which is also
helpful in increasing strength of triceps
brachii and pectorals major.
HOOK LYING:
The patient is in supine position with hip
and knee flexed and feet flat on the floor
or mat surface.
In this position the BOS is large and COG is
lower.
Patient performs lower trunk rotation by
swinging the lower extremity side to side.
BRIDGING:
The patient is in hook lying position and
elevates his pelvis off the mat surface.
Progression of the activities takes place in
the following sequences
Asume and maintain the position with or without
assistance.
Maintain the position independently.
Elevation of the pelvis off the mat then again
depressing it on the mat, it is performed several
repititions.
Resistance can be given on the ASIS.
Decrease the angle of hip and knee flexion.
CLINICAL IMPLICATIONS OF
BRIDGING
1. Improves pelvic mobility
2. Strengthens low back and hip extensors
3. Helpful for using bed pan
4. Relieves pressure.

QUADRUPED:
In this position the patient bears weight in all
the four limbs.
The patient usually goes in quadruped position
from prone on elbow or prone on hand
position.
Progression of the activities takes place in the
following manner:
Weight shifts in forward, backward and side to side
direction can be incorporated.
Raising of one of the upper limb and bearing weight
on rest of the 3 limbs.
Raising of one upper limb and contralateral lower
limb. Increase the time gradually for 2 and 3.

CLINICAL IMPLICATIONS:
Patient weight bearing on lower extremity joints
(towards weight bearing in erect positions).
Strength and mobility required for many functional
activities of upper extremities.
Functional activities such as cleaning floor etc.
When balance and stability have been achieved
in quadruped, crawling may be started.
This facilitates the co-ordination of the whole body
including reciprocal movement of the arms and
legs as required in walking.
SITTING:
Sitting is the position which requires and
facilitates trunk control and balance. It also
allows some amount of the weight to be
born by upper extremity.
There are 2 forms of sitting need to be
practiced.
1. Long sitting
2. Sitting
Long sitting patient sits with knees fully
extended; hips flexed hands may or may not
support the upper part of the body weight
(hands may be position laterally, posteriorly
or anteriorly with rlation to pelvis).
KNEELING
Patient comes in to kneeling position (hips
extended and knee flexed at 90 degree) from
quadruped position and bears weight on both the
joint. This position also improves trunk pelvis control
and upright balance. The BOS is smaller and COG
is higher as compared to sitting
Progression may take place in following manner.

1. Patient shifts weight from one to other knee.
2. Ball throwing and other activities should be
performed.
3. Kneel walking would be the final progression for
the kneeling position.
HALF KNEELING
The limb which lies posterior bears more
weight.
This position improve pelvic control ,hip
extension, and ankle and knee movement
Progression takes places in the following
manner:
weight shift from one limb to other and even
interiorly and posterior.
Upper limb activities such as ball throwing
light to heavy weight) peg lifting and
clapping etc.
ANY
QUESTIONS
???