View source for Disabled Village Children:Guidelines for Doing Stretching and Range-of-Motion Exercises

{{bctrail|segments=3|chaptitle=Chapter 42: Range-of-Motion and Other Exercises}}
{{DISPLAYTITLE:Guidelines for Doing Stretching and Range-of-Motion Exercises}}
{{SideSupplement|bookabbreviation=dvc|pagealt=is from page 372 of|chapterpdf=http://hesperian.org/wp-content/uploads/pdf/en_dvc_2023/en_dvc_2023_42.pdf|bookurl=Disabled Village Children|booktitle=Disabled Village Children}}
{{chaptertoc|In this chapter:|
 <ul class{{=}}"noprint">
<li>[[Disabled Village Children:Chapter 42: Range-of-Motion and Other Exercises|Chapter 42: Range-of-Motion and Other Exercises]]</li>
    <li>[[Disabled Village Children:Different Exercises for Different Needs|Different Exercises for Different Needs]]</li>
    <li>[[Disabled Village Children:Range-of-Motion (Rom) Exercises|Range-of-Motion (ROM) Exercises]]</li>
    <li>[[Disabled Village Children:Guidelines for Doing Stretching and Range-of-Motion Exercises|Guidelines for Doing Stretching and Range-of-Motion Exercises]]</li>
    <li>[[Disabled Village Children:There Are 3 Main Ways of Doing Range-of-Motion Exercises|There Are 3 Main Ways of Doing Range-of-Motion Exercises]]</li>
    <li>[[Disabled Village Children:Common Sense Precautions When Doing Exercises|Common Sense Precautions When Doing Exercises]]</li>
    <li>[[Disabled Village Children:Ideas for Making Exercises Fun|Ideas for Making Exercises Fun]]</li>
    <li>[[Disabled Village Children:Complete Range-of-Motion Exercises—Upper Limbs|Complete Range-of-Motion Exercises—Upper Limbs]]</li>
    <li>[[Disabled Village Children:Range-of-Motion Exercises —Lower Limbs|Range-of-Motion Exercises —Lower Limbs]]</li>
    <li>[[Disabled Village Children:Range-of-Motion Exercises—Neck and Trunk|Range-of-Motion Exercises—Neck and Trunk]]</li>
    <li>[[Disabled Village Children:Exercise Instruction Sheets—for Giving to Parents|Exercise Instruction Sheets—for Giving to Parents]]</li>
    <li>[[Disabled Village Children:Stretching Exercise to Help Your Child Put Her Foot Down Flat|Stretching Exercise to Help Your Child Put Her Foot Down Flat]]</li>
    <li>[[Disabled Village Children:Stretching Exercise to Straighten a Stiff Knee|Stretching Exercise to Straighten a Stiff Knee]]</li>
    <li>[[Disabled Village Children:Stretching Exercises for a Bent-Hip Contracture|Stretching Exercises for a Bent-Hip Contracture]]</li>
    <li>[[Disabled Village Children:Exercises and Positions to Help Avoid Pressure Sores and Contractures|Exercises and Positions to Help Avoid Pressure Sores and Contractures]]</li>
    <li>[[Disabled Village Children:Exercise for a Straighter Back|Exercise for a Straighter Back]]</li>
   <li>[[Disabled Village Children:Strengthening Exercises to Get Arms Ready to Walk with Crutches|Strengthening Exercises to Get Arms Ready to Walk with Crutches]]</li>
   <li>[[Disabled Village Children:Strengthening Exercises to Help Your Child Have Stronger Thighs|Strengthening Exercises to Help Your Child Have Stronger Thighs]]</li>
  <li>[[Disabled Village Children:Strengthening Exercise for the Muscles on the Side of the Hip|Strengthening Exercise for the Muscles on the Side of the Hip]]</li>
<li>[[Disabled Village Children:Range-of-Motion and Strengthening Exercises for the Hand and Wrist|Range-of-Motion and Strengthening Exercises for the Hand and Wrist]]</li>
 </ul>
}}
<table width=60%>
<tr valign=top>
<td  colspan{{=}}2 style{{=}}"text-indent: -15px; padding-left: 25px;">'''1.''' When doing these exercises, '''consider the position of the whole child''', not just the joint you are moving. For example:</td></tr>

<tr valign{{=}}top>
<td style="width:50%;padding-top:30px;line-height:110%;">''The knee will often straighten more (and you will be stretching different muscles) when the hip is straight</td>
<td style="padding-left:25px;padding-top:30px;line-height:110%;">''than when the hip is bent.</td></tr>

<tr valign{{=}}top>
<td>[[Image:DVC_Ch42_Page_372-1.png|200px|left|alt=a boy lying down while adult is exercising his leg]]</td>
<td style="padding-left:30px;"> <div class{{=}}speechbub style="position:relative;">[[Image:DVC_Ch42_Page_372-2.png|180px|left|alt=Adult extending leg of distressed child, child speaks.]]
<div style="position:absolute; top:14px; left:6px;">OW!</div></div></td></tr>

<tr>
<td colspan=2 style="line-height:110%;line-height:110%;">''This is because some muscles go from the hipbone to below the knee.</td></tr>

<tr>
<td>[[Image:DVC_Ch42_Page_372-3.png|150px|right|alt=A child bending over touching his feet]]</td>
<td valign=top style="line-height:110%;padding-top:80px;">''To prove this, try to touch your toes with your knees straight.<br><br> You will feel the muscles stretch, and the cords tighten here.</td></tr>

<tr>
<td colspan=2 style="padding-top:30px;line-height:110%;">''In a similar way, movement in the ankle is affected by the [[Disabled_Village_Children:Testing_Range_of_Motion_of_Joints_and_Strength_of_Muscles#Ankle|position of the knee]], and movement of the fingers by the [[Disabled_Village_Children:Common_Sense_Precautions_When_Doing_Exercises#fingers|position of the wrist]].''</td></tr>
</table>
<br>
<table width=60%  >
<tr valign=top>
<td  colspan{{=}}3 style{{=}}"text-indent: -15px; padding-left: 25px;">'''2.''' If the joints are stiff or painful, or cords and muscles are tight, often it helps to '''apply heat to the joint and muscles''' before beginning to move or stretch them. Heat reduces pain and relaxes tight muscles. Heat can be applied with hot water soaks, a warm bath, or hot wax. For methods, see [[Disabled_Village_Children:How_to_Care_for_Painful_Joints|How to Care for Painful Joints]].</td></tr>
</table>
<table  width=60% >

<tr valign=top>
<td style="width:33%;line-height:110%;padding-top:25px;">''For a stiff, painful joint</td>
<td style="width:33%;line-height:110%;padding-top:25px;">''apply heat for 10&nbsp;or&nbsp;15 minutes</td>
<td style="width:33%;line-height:110%;padding-top:25px;">''before doing the exercises.</td></tr>

<tr>
<td>[[Image:DVC_Ch42_Page_372-4.png|100px|center|alt=an arm with a stiff hand]]</td>
<td>[[Image:DVC_Ch42_Page_372-5.png|100px|center|alt=a hand wrapped in towel held over steaming water]]</td>
<td>[[Image:DVC_Ch42_Page_372-6.png|100px|center|alt=hand being exericed by somoene else]]</td></tr>
</table>


<table width=100%  >
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<td  colspan{{=}}3 style{{=}}"text-indent: -15px; padding-left: 25px;">'''3. Move the joint SLOWLY through its complete range of motion'''.

If the range is not complete, try to stretch it slowly and gently just a little more each time. Do not use force, and stop stretching when it starts to hurt.</td></tr>

<tr valign=top>
<td style="width:33%;line-height:110%;padding-top:25px;">''Hold the limb in a stretched position while you count to 25.</td>
<td style="width:33%;line-height:110%;padding-top:25px;">''Then slowly stretch the joint a little more and hold it again for a while.</td>
<td style="width:33%;line-height:110%;padding-top:25px;">''Continue this way until you have stretched it as far as you can without forcing it or causing much pain.</td></tr>

<tr>
<td>[[Image:DVC_Ch42_Page_372-7.png|200px|center|alt=A boy lying down while his arm is being held]]</td>
<td>
<div class=speechbub style="position:relative;">[[Image:DVC_Ch42_Page_372-8.png|200px|center|alt=Adult massaging arm of child and speaking.]]
<div style="position:absolute; top:7px; left:18px;">22, 23, 24, 25</div></div></td>

<td>[[Image:DVC_Ch42_Page_372-9.png|200px|center]]</td></tr>

<tr>
<td align=center colspan=3 style="padding-top:20px;padding-bottom:20px;">''The more often you repeat this, the faster the limb will get straighter.</td></tr>
</table>

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<tr valign=top>
<td  colspan{{=}}3 style{{=}}"text-indent: -15px; padding-left: 25px;">'''4. Have the child herself do as much of the exercise as she can'''. Help her only with what she cannot do herself. For example:</td></tr>

<tr valign=top>
<td style="width:33%;line-height:110%;padding-top:25px;padding-right:30px;">''Instead of doing the child’s range-of-motion exercise for&nbsp;her,</td>
<td style="width:33%;line-height:110%;padding-top:25px;padding-right:30px;">''have her do the exercise using her own muscles as much as she can.</td>
<td style="width:33%;line-height:110%;padding-top:25px;">''Then have her help with the other hand (or you help her if necessary).</td></tr>

<tr>
<td>[[Image:DVC_Ch42_Page_372-10.png|100px|center|alt=An adult helping a child who is lifting her hand]]</td>
<td>[[Image:DVC_Ch42_Page_372-11.png|150px|center|alt=A child lifting her hand up wihtout assistance]]</td>
<td>[[Image:DVC_Ch42_Page_372-12.png|100px|center|alt=Child using left arm to lift her right hand up]]</td></tr>
</table>
<div class{{=}}page-break></div>
{{openbox|Whenever possible, exercises that help to '''maintain or increase joint motion''' should also help to '''maintain or increase strength'''. In other words, '''range-of-motion, stretching, and strengthening exercises can often be done together'''.}}



{{Previous and next sections|Range-of-Motion (Rom) Exercises|There Are 3 Main Ways of Doing Range-of-Motion Exercises}}
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[[es:Disabled_Village_Children:Guía_para_hacer_los_ejercicios_de_estiramiento_y_para_mantener_el_movimiento]]

[[en:Disabled_Village_Children:Guidelines_for_Doing_Stretching_and_Range-of-Motion_Exercises]]
[[ru:Disabled_Village_Children:ИНСТРУКЦИИ_ПО_ВЫПОЛНЕНИЮ_УПРАЖНЕНИЙ_НА_РАСТЯЖКУ_И_НА_СПОДС]]