Coordination Exercises in Stroke Patients

Coordination Exercises in Stroke Patients

Coordination Exercises in Stroke Patients

Feb 3, 2024

UPPER BODY COORDINATION EXERCISES

Procedure: The patient and the physiotherapist sit opposite each other. The patient touches the finger of one hand first to the nose and then to the finger in the position held by the physiotherapist. If you can't specifically use your finger, you can use your hand. Follow your finger with your eyes as you do the movement.

Benefits: With this move, you can develop hand-eye coordination. It helps you adjust the distance while doing the movement.

Level: Brunnstrom hand level 4 and above, Brunnstrom upper ext. level 5 and above, MAS 1-2

Procedure: The patient sits on the chair and first places one hand on the knee with an open hand. Then he turns his hand over and places it on his knee. It does this repeatedly.

If he can do this move, the second move is taken. In the second movement, the patient is placed with one hand open and one hand closed. Then he opens his closed hand and closes his open hands. He tries to do this movement constantly.

Benefits: The patient tries to use one hand first and then both hands simultaneously and in a controlled manner. Improves hand coordination

Level: Brunnstrom upper ext.= 4c and above, MAS 1-2

Procedure: The patient sits and raises both hands. First he closes one hand and opens the other. Then he opens one hand and closes the other. It keeps doing it over and over.

Benefits: The patient learns to use both hands in coordination.

Levels: Brunnstrom upper ext. = 5b and above MAS= 1-2

Procedure: The patient first crosses his arms over his shoulder, then opens them fully to the sides.

Benefit: The patient learns to use both hands harmoniously.

Level: Brunnstrom upper ext.= 5b and above MAS=1-2

Procedure: The patient throws the ball while standing.

Benefit: The patient learns to react to movement stimuli. The patient's perception of distance develops. Hand eye coordination develops. It can capture moving objects in daily life.

Level: Brunnstrom upper ext.= 6 and above, Brunnstrom el=4 and above MAS 1-2

Procedure: The patient first holds the ball in front of him. Then he flips the ball right and left.

Benefit: The patient learns to move harmoniously with both hands while carrying something. Improves hand eye coordination.

Level: Brunnstrom upper ext.= 4b and above, Brunnstrom el.= 4 and above MAS=1-2

Procedure: The patient first raises both shoulders. Then he lifts his right shoulder first, then his left shoulder.

Benefits: The patient learns to use his shoulders and this movement also affects the proper hand and arm movements. Improves coordination by making movements sequentially and repetitively.

Level: Brunnstrom upper ext.=4 and above MAS=1-2

Procedure: The patient stands. He joins his hands first in front of his body and then behind him.

Benefits: The patient learns to use both hands and arms together. It provides comfort in events that require using both hands in daily life. Improves hand-arm-eye coordination.

Level: Brunnstrom upper ext.= 4a and above MAS=1-2

Procedure: In the sitting position, the patient raises his right leg and hits his right hand with his left hand by raising his left leg. In the future, he can do this movement in a diagonal way (right leg left arm, left leg right foot). He does the movement repetitively.

Benefits: The patient learns to use his leg and hand and arm in a coordinated way.

Level: Brunnstrom upper ext,=4b and above, MAS=1-2

Procedure: The patient paints by holding the pencil without overflowing the lines.

Benefits: The patient learns to hold and use a pencil, which is widely used in daily life. While doing this movement, hand and eye coordination increases. Learns to react to visual stimuli.

Level: Brunnstrom upper ext=4c and above Brunnstrom el=6, MAS=1-2

Procedure: The patient holds the coin using the thumb and forefinger and lifts it.

Benefits: The patient learns to make fine and difficult movements using certain fingers. Improves hand eye coordination. With these exercises, he can do the fine works that exist in daily life more easily.

Level: Brunnstrom upper ext.= 4c and above, Brunnstrom el= 5-6 MAS=1-2

Procedure: The patient fastens and removes the button using both hands.

Benefits: The patient learns to use both hands. In daily life, he can be able to button and unbutton his own clothes.

Level: Brunnstrom upper ext.=4c and above, Brunnstrom el=6, MAS=1-2

Procedure: The patient receives the specified object in the colored objects.

Benefits: The patient's perception develops while trying to pick up the determined object. Hand-eye coordination develops while picking up a certain object. Develops the ability to get the desired object from mixed objects in daily life.

Level: Brunnstrom upper ext=4c and above, Brunnstrom el=5-6, MAS=1-2

Procedure: The patient tightens and loosens the screw by holding both hands.

Benefits: The patient learns to use both hands. It allows him to develop his fine skills. Improves hand eye coordination.

Level: Brunnstrom upper ext.= 4c and above, Brunnstrom upper ext = 5-6, MAS=1-2.

Procedure: The patient lowers the figures by turning them upside down as shown in the figure.

Benefits: While the patient turns the objects sequentially, it enables to turn the forearm in and out. He also learns to hold objects. When done repetitively, it improves hand, arm and eye coordination.

Level: Brunnstrom upper ext.= 4c and above, Brunnstrom el=5-6, MAS=1-2

Procedure: The patient sits on the chair and touches the front, right and left pooches in turn. If there is a hold and release, he will grab and release the skittles.

Benefits: The patient develops hand, arm, eye and body coordination by reaching for objects sequentially and repetitively.

Level: Brunnstrom upper ext.= 4b and above, Brunnstrom el = 4 and above, MAS=1-2

Procedure: The patient sits on the pilates ball and touches the front, right, and left bowls. If there is a holding release, he grabs and releases the skittles. He does the movements repetitively.

Benefits: The patient provides sitting balance by sitting on a pilates ball. At the same time, it develops hand eye and body coordination by reaching for objects in order.

Level: Brunnstrom upper ext.= 4b and above, Brunnstrom el=4 and above, MAS = 1-2

LOWER BODY COORDINATION EXERCISES

Procedure: The patient lies on his back. He opens his leg by dragging it to the side. It then closes back again by dragging the bed.

Benefits: It aims to develop leg coordination before moving on to the walking phase. In the advanced phase, while opening one leg to the side, bending the other knee can be done.

Levels: Brunnstrom sub ext.= Phase 3 and above, MAS = 1-2

Procedure: The patient lies on his back. He pulls the ankle towards himself, then pushes it forward as if pressing the pedal. At the forward level, one foot is pulled while the other foot is pushed forward. In this order, the exercise continues repeatedly.

Benefits: It aims to develop foot coordination before going to the walking phase. Doing this movement without seeing it also increases the sense of joint position.

Levels: Brunnstrom sub ext.= Phase 3 and above, MAS = 1-2

Procedure: The patient lies on his back. He drags his feet on the bed and bends his knee. It then flattens the index again.

Benefits: It gains hip and knee bending before going to the walking phase. At the same time, sensory input is provided from the bottom of the base.

Levels: Brunnstrom sub ext.= Phase 3 and above, MAS = 1-2

Procedure: The patient stands. Step forward with the heel of one foot touching the other toes. Then he takes another step with the other heel touching the toes in the same way and walks like this.

Benefits: It enables to walk in a coordinated manner during walking. With this exercise, it will make the normal walking pattern easier.

Levels: Brunnstrom sub ext.= Phase 6, MAS = 0

Procedure: The patient lies on his back. Heel first touches the knee of the opposite leg. He then touches the middle of his lower leg. The opposite side touches the ankle with the last heel.

Benefits: It aims to improve the patient's lower extremity coordination together with the sense of joint position.

Levels: Brunnstrom sub ext.= Phase 3 and above, MAS = 1-2

Procedure: The patient stands with a step board or step behind him. Putting one foot on the step, he takes a step backward and rises. Then he gets off the step with the other foot and takes a step backwards again.

Benefits: While going up and down stairs, the limbs of the body should work in full coordination. With this exercise, it is aimed to increase lower body coordination.

Levels: Brunnstrom sub ext.= Phase 6, MAS = 0

Procedure: The patient sits in a chair. There is a ring-shaped object on the underside of their feet. The patient rotates the leg by scanning the ring with his heel or toes, first clockwise and then counterclockwise.

Benefits: The whole lower body works in a coordinated way and the right joint position sense is provided. It allows to be coordinated when moving from one angle to another.

Levels: Brunnstrom sub ext.= Phase 4 and above, MAS = 0-1

Procedure: The patient sits in a chair. While the physiotherapist positions his hand in different places, the patient tries to touch the physiotherapist's hand with his heel.

Benefits: The whole lower body works in a coordinated way and the right joint position sense is provided. It will assist in walking forward and standing on one leg.

Levels: Brunnstrom sub ext.= Phase 5 and above, MAS = 0-1