It is defined as a series of gradual progressive exercises designed to increase coordination.
Method of treating the ataxia & in coordination.
Mechanism is based on voluntary control of movement by use of sensory mechanism i.e sight, sound & touch to compensate for the loss of kinesthetic sensation.
- Concentration of attention
TECHNIQUE of Frenkel’s exercises
Position & clothing
Explanation of exercise
Attention of patient
Speed of movement
ROM by marking spots
Repetition of exercises
PROGRESSION of Frenkel’s exercises
Made alteration in speed, range & complexity
Quick movements, less control
Slow movement, high control
Simple movements build up to form complex movements e.g walking
According to disability re-education starts from lying to standing.
Frankel’s exercises For The Legs In Lying
a)Lying(Head raised); Hip abduction& adduction
b)Lying(Head raised);one Hip & knee flexion & Extension
c)Lying(Head raised); one Leg raising to place Heel on the specific mark
d)Lying(Head raised); Hip & Knee flexion & extension, abduction & adduction
Frankel’s exercises For The Legs In Sitting
a)Sitting; one Leg stretching, to side heel to a position indicated by a mark on the floor.
b)Sitting; alternate Leg stretching & lifting to place Heel or Toe on specified mark.
c)Stride sitting; change to standing and then sit down again.
Exercise For The Legs In Standing
a)Stride standing; transference of weight from Foot to Foot.
b)Stride standing; walking sideways placing Feet on marks on the floor.
c)Standing;walking placing Feet on marks.
d)Standing; turn around.
e)Standing; walking and changing direction to avoid obstacles.
Exercises For The Arms
a)Sitting (one Arm supported on a table or in slings); Shoulder flexion or extension to place Hand on a specified mark.
b)Sitting; one Arm stretching, to thread it through a small loop or ring.
c)Sitting; picking up objects and putting them down on specified marks.
EXERCISES TO PROMOTE MOVEMENT AND RHYTHM
All exercises are repeated to rhythmic count.
a)Sitting; one Hip flexion & adduction.
b)Half lying; one Leg abduction to bring knee to side of plinth, followed by one Knee bending to put Foot on floor, the movement is then reversed & repeated.
c)Sitting; lean forward and take weight on Feet(as if to stand), then sit down again.
d)Standing; Arms swing forwards & backwards(with partner holding two sticks).
e)Standing or walking; bounce & catch, or throw & catch a ball.