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  • Basic rules of performance and types of gymnastics in ataxia

    An important role in the complex treatment of neurological diseases is played by gymnastics in ataxia.

    The main goal of the exercises in this pathology is to gain patient confidence in the practice of daily self-care.

    Rules for the implementation of

    In order to achieve the necessary results, you must adhere to certain rules in the implementation of the exercises:

    1. You can not do exercises too heavily overloading yourself, they should be done easily.
    2. For ataxia, do not pay much attention to muscle pumping.
    3. Gradual increase in load is due to speed and complexity of the job.
    4. In order to get positive dynamics, any exercise should be brought to a perfect execution.
    5. Initially, large-scale movements are performed that require the work of large joints, and then they are connected to smaller ones, which require more accuracy.
    6. At first, the movement is done quickly, and then it must be repeated at a slow pace.
    7. For restoration in the beginning the complex consists of exercises from a prone position, after a certain time - sitting, and only then - standing up.
    8. At the initial stage, every movement should be controlled with the help of vision, and later it should be performed with eyes closed.
    9. The degree of load increase can be determined only by the doctor, and his decision depends on the diagnosis and the initial condition of the patient.

    Type of exercises used in ataxia

    Any scheme of curative gymnastics includes a set of necessary movements to improve the patient's condition and improve adaptive mechanisms. Consider the general principles of such movements in ataxia.

    Commonly restorative

    Included in corners and inclinations of the trunk. Sweet extremities are produced with the involvement of large joints.

    To develop the accuracy of the

    , the task is given to hit a specific target with a hand or foot. Each exercise is done slowly and smoothly, with stops that are assigned by the coach. The load increases with the disappearance of the symptoms of the disease. To do this, various weighting loads are used, repeat movement in low light, jerks from the side.

    For complication, the execution speed is accelerated and slowed down, then the movement changes direction. The fixed target is replaced by a mobile one. It is practiced to change the starting positions and the degree of illumination.

    Working out of coordination in joints

    With the help of longi-one, one or two joints are turned off from the motion. Perform any targeted movements for the hands or feet, for example, lift the object lying at the feet and transfer it to the surface that is above the head. In this case, the elbow joint is fixed, lifting is performed with the help of a brush, and the transfer is carried out by the shoulder joint.

    Gradually fixing should be made less rigid, for this purpose an elastic bandage is already used. This will allow the elbow joint to be gradually incorporated into the movement process. As the symptoms of ataxia subsided, repetition of the exercise is recommended with different loads.

    Ballistics

    Shoots, jerks of a particular object with a target selection, or an imitation of this kind of movement are used. Gradual complication consists in removing the target for a longer distance, reducing its area, increasing the mass and changing the shape of the object being thrown, as well as throwing from different positions.

    Balance improvement

    Maintain body balance in sitting position and then standing up. Complication due to the reduction of the reference area, the addition of additional movements in the hands, external points. Then there is a transition to walking. Equilibrium is maintained first for normal walking, then for an uneven surface, moving sideways or backwards.

    Next - the task becomes more complicated by applying heavy loads. Movement for the first time pass within parallel bars, and then without them, the reference area decreases, and its additional varieties are used.

    Development of the muscular-articular feeling

    Items are taken in hands, and their shape and approximate weight are guessed.

    Eye Exercise

    The fixed fixed point is fixed by eyes, while slow turns and inclinations of the head are performed, and the point should not be lost from the field of view. The exercise is repeated at all the starting positions( lying, sitting and standing).Then, if the previous tasks are successfully completed, the same is repeated while walking.

    Another type of training is the movement of the eyes in a given direction. The head remains stationary. Such actions are recommended for self-implementation. They do not need to be done for long, but often. Especially help with dizziness accompanying vestibular ataxia. The number of repetitions and the amplitude of the eyes increases as the patient's condition improves.

    For different types of ataxia, emphasis is placed on various types of training complex. With the static form of cerebellar lesions, exercises that improve balance are prevalent, and the dynamic variant requires more attention to develop coherence in movement. With a sensitive variant of ataxia, most of the time they are engaged in training to enhance proprioceptive impulses.

    LFK in ataxia help in restoring the functions of the central nervous system, and is carried out whenever possible with the active and conscious participation of the patient. Exercises help to increase overall tone, which greatly helps in compensating for lost functional skills.

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