Frenkel弗伦克尔训练法原版

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Thisprogramconsistsofaplannedseriesofexercisesdesignedtohelpyoucompensatefortheinabilitytotellwhereyourarmsandlegsare-inspacewithoutlooking.1.Exercisesaredesignedprimarilyforcoordination;theyarenotintendedforstrengthening.2.Commandsshouldbegiveninanevent,slowvoice;theexercisesshouldbedonetocounting.3.Itisimportantthattheareaiswelllitandthatyouarepositionedsothatyoucanwatchthemovementofyourlegs.4.Avoidfatigue.Performeachexercisenotmorethanfourtimes.Restbetweeneachexercise.Theexerciseroutinetakesabout½hourandshouldbedone2timesdaily.5.Exercisesshouldbedonewithinnormalrangeofmotiontoavoidover-stretchingofmuscles.6.Thefirstsimpleexercisesshouldbeadequatelyperformedbeforeprogressingtomoredifficultpatterns.ExercisesWhileLyingDownStartingposition:Lieonabedorcouchwithasmoothsurfacealongwhichthefeetmaybemovedeasily.Yourheadshouldberaisedonapillowsothatyoucanwatcheverymovement.1.Bendonelegatthehipandknee,slidingyourheelalongthebed.Straightenthehipandkneetoreturntothesittingposition.Repeatwiththeotherleg.2.Bendonelegatthehipandkneeasin#1.Thenslideyourlegouttothesideleavingyourheelonthebed.Slideyourlegbacktothecenterandstraightenyourhipandkneetoreturntothestartingposition.Repeatwiththeotherleg.3.Bendonelegatthehipandkneewiththeheelraisedfromthebed.Straightenyourlegtoreturntothestartingposition.Repeatwiththeotherleg.4.Bendandstraightenonelegatthehipandkneeslidingyourheelalongthebedstoppingatanypointofcommand.Repeatwiththeotherleg.5.Bendthehipandkneeofonelegandplacethatheelontheoppositeknee.Thenslideyouheeldowntheshintotheankleandbackuptoheknee.Returntothestartingpositionandrepeatwiththeotherleg.6.Bendbothhipsandkneesslidingheelsonthebedkeepingyouranklestogether.Straightenbothlegstoreturntostartingposition.7.Bendonelegatthehipandkneewhilestraighteningtheotherinabicyclingmotion.FREQUENTLYASKEDQUESTIONSABOUT…FRENKEL’SEXERCISESFORATAXICCONDITIONSNATIONALATAXIAFOUNDATIONExercisesWhileSittingStartingposition:Sitonachairwithfeetflatonthefloor.1.Marktime,raisingjusttheheel.Thenprogresstoalternatelyliftingtheentirefootandplacingthefootfirmlyontheflooruponatracedfootprint.2.Maketwocrossmarksonthefloorwithchalk.Alternatelyglidethefootoverthemarkedcross:forward,backward,leftandright.3.Learntorisefromthechair,attwo,bendtrunkforward;atthree,risebystraighteningthehipsandkneesandthenthetrunk.Reversetheproceduretositdown.ExercisesWhileStandingStartingposition:Standerectwithfeet4to6inchesapart.1.Walksidewaysbeginningwithhalfstepstotheright.Performthisexercisetoacountedcadence:Atone,shifttheweighttotheleftfoot,attwo,placetherightfoot12inchestotheright;atthree,shifttheweighttotherightfoot;atfour,bringtheleftfootovertotheright.Repeatexercisewithhalfstepstotheleft.Thesizeofthesteptakentorightorleftmaybevaried.2.Walkforwardbetweentwoparallelline14inchesapartplacingtherightfootjustinsidetherightline,andtheleftfootjustinsidetheleftline.Emphasizecorrectplacement.Restafter10steps.3.Walkforwardplacingeachfootonafootprinttracedonthefloor.Footprintsshouldbeparalleland2inchesfromacenterline.Practicewithquartersteps,halfsteps,three-quartersteps,andfullsteps.4.Turntotheright.Atone,raisetherighttoeandrotatetherightfootoutward,pivotingontheheel;attwo,raisetheleftheelandpivottheleftleginwardonthetoes;atthree,completingthefullturn,andthenrepeattotheleft.5.Walkupanddownthestairsonestepatatime.Placetherightfootononestepandbringtheleftupbesideit.Laterpracticewalkingupthestairsplacingonefootoneachstep.Atfirstusetherailing,thenasbalanceimproves,dispensewiththerailing.UpperExtremityExercisesWhenthearmsareaffecteduseabackboardandchalk.Changeaminussigntoaplussign,copysimplediagrams(straightlines,circles,zigzaglines,etc.)Variouscoordinationboardsmaybeusedtoimproveeye-handcoordination.TheseexercisespreparedbycurativeServices-CourageCenterNationalAtaxiaFoundation2600FernbrookLaneSuite119Minneapolis,MN55447-4753Phone:(763)553-0020Fax:(763)553-0167E-mail:naf@ataxia.org2NAFFAQSHEET—HEREDITARYOLIVOPONTOCEREBELLARATROPHY(OPCA)—7/99

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