03/26/2025
Here you have a Sample of Weekly Physical Therapy Program for quadriplegics
Duration: 1-2 hours daily, split into morning and afternoon sessions if possible.Setting: Home or rehab facility with therapist supervision.Goals: Maintain joint mobility, reduce spasticity, improve circulation, and stimulate neural pathways.
Monday: Upper Body Focus
• Passive Range of Motion (PROM):
• Shoulder flexion/extension, abduction/adduction (10 reps each, 2 sets).
• Elbow flexion/extension (10 reps, 2 sets).
• Wrist and finger stretching (5-10 seconds per position).
• Active-Assisted Exercise (if applicable):
• Shoulder shrugs or arm raises with therapist assistance (10 reps).
• FES (if available):
• Apply to biceps or deltoids for 20 minutes to stimulate muscle contraction.
• Stretch: Chest and shoulder stretches to prevent contractures (5-10 minutes).
Tuesday: Lower Body Focus
• PROM:
• Hip flexion/extension, abduction/adduction (10 reps each, 2 sets).
• Knee flexion/extension (10 reps, 2 sets).
• Ankle dorsiflexion/plantarflexion (10 reps, 2 sets).
• Positioning:
• Tilt table or standing frame for 15-30 minutes to promote circulation and weight-bearing (if tolerated).
• FES:
• Apply to quadriceps or calves for 20 minutes.
Wednesday: Core and Spasticity Management
• PROM:
• Trunk rotation and lateral bends (10 reps each, assisted).
• Spasticity Reduction:
• Slow, sustained stretches of spastic muscles (e.g., biceps, hamstrings) for 20-30 seconds each.
• Warm compresses or hydrotherapy (if accessible) for 15 minutes.
• Breathing Exercises:
• Deep diaphragmatic breathing (10 reps, 2 sets) to strengthen respiratory muscles.
Thursday: Functional Training
• Task-Specific Practice (if partial arm movement exists):
• Assisted reaching or grasping with adaptive tools (10-15 minutes).
• PROM: Repeat upper and lower body movements from Monday/Tuesday.
• FES or Robotic Therapy:
• Use on arms or legs to simulate functional movements (e.g., cycling motion, 20 minutes).
Friday: Mixed Mobility and Circulation
• PROM: Full-body routine (upper and lower, 10 reps each).
• Standing Frame or Tilt Table: 20-30 minutes.
• Massage Therapy: Light massage to arms and legs (10-15 minutes) to boost circulation.
• FES: Alternate muscle groups from earlier in the week.
Saturday: Neuroplasticity Focus
• Repetitive Movement Training:
• If any voluntary movement exists (e.g., C6-C7 injury), practice repetitive motions like wrist flexion or shoulder rolls (10-15 reps, 3 sets).
• Mirror Therapy (if applicable):
• For upper limbs, use a mirror to trick the brain into perceiving movement (10 minutes).
• PROM: Light full-body routine.
Sunday: Rest and Recovery
• Light PROM: 5 reps of each major joint movement to maintain mobility.
• Positioning: Adjust posture (e.g., side-lying, sitting) to avoid pressure sores.
• Relaxation: Breathing exercises or guided meditation (10 minutes)
