Presentation about Frenkel exercise.If any quest contact, physio.bipul93bd@gmail.com.

1. Frenkel’s Exercise

2. BIPUL DEBNATH
(PHYSIO.BIPUL93BD@GMAIL.COM)
&
KULSUM AKTER
B.SC IN PHYSIOTHERAPY
BANGLADESH HEALTH PROFESSION INSTITUTE (CRP)

3. CONTENTS:
• Introduction
• Definition
• Indication
• Aim
• Technique
• Factors affecting exercises
• Principles
• Exercise in different postures
• Progression

4. INTRODUCTION
• Heinrich Sebastian Frenkel.
• Swiss physician.
• An early practitioner of neuro-rehabilitation.
• Developed in 1889 to treat patients of tabes dorsalis and
problems of sensory ataxia owing to loss of proprioception.

5. DEFINITION
It is defined as the series of gradual progressive exercises designed
to increase coordination.

6. AIM
1) To establish control of movement,
2) Able to confident in his ability to carry out those activities
which are essential for independent activities of daily living.

7. • Cerebellar ataxia
• Tabes Dorsalis
• Stroke
• Multiple sclerosis
• Wilson’s disease
• Cerebral palsy
• Parkinson’s disease
• Others neurologic disorders
INDICATION

8. • Deformity
• Mal posture
• Pain
• Asymmetry
• Mental and psychological stress
• Overweight
FACTORS AFFECTING THE EXERCISES

9. THE MAIN PRINCIPLES
• Concentration or attention
• Precision
• Repetition

10. TECHNIQUE OF FRENKEL’S EXERCISES
• Position & clothing
• Explanation of exercise
• Attention of patient
• Speed of movement
• ROM by marking spots
• Repetition of exercises
• Rest periods

11. FRENKEL’S EXERCISES FOR LOWER LIMBS
IN LYING
a)Lying(Head raised): Hip abduction & adduction
b)Lying(Head raised): Hip flexion
c)Lying(Head raised): Heel shin coordination
d)Lying(Head raised): Bicycling position

12. STARTING POSITION
Lying on a bed or with a smooth surface along which the feet
maybe moved easily.

13. A)LYING(HEAD RAISED): HIP ABDUCTION
Floor contact abduction 4 inch above from floor

14. CONTINUE….
4 inch above floor with sand bag

15. A)LYING(HEAD RAISED): HIP ADDUCTION
Floor contact adduction 4 inch above from floor

16. CONTINUE …
4 inch above floor with sand bag

17. B)LYING(HEAD RAISED): HIP FLEXION
Bend one leg at the hip and
knee sliding heel along the
bed. Straighten the hip and
knee to return to the starting
position. Repeat with the
other leg.

18. C)LYING(HEAD RAISED):HEEL SHIN COORDINATION
Starting position Ending position

19. D)LYING(HEAD RAISED): BICYCLING POSITION
Bend one leg at the hip and knee while straightening the other in a
bicycling motion.

20. FRENKEL’S EXERCISES FOR LOWER LIMBS
IN SITTING
a)Sitting: Place a position indicated by a mark on the floor.
b)Sitting: Sit to stand.

21. STARTING POSITION:
Sit on a chair with feet flat on the floor.

22. A)SITTING: PLACE A POSITION INDICATED
BY A MARK ON THE FLOOR.
Place the foot print from starting position

23. B) SITTING: SIT TO STAND.

24. EXERCISE FOR THE LOWER LIMBS IN
STANDING
a)Stride standing: transference of weight from Foot to Foot.
b)Standing: walking placing Feet on marks.
c)Stride standing: walking small and wide placing Feet on marks
on the floor.
d)Standing: turn around.

25. EXERCISES WHILE STANDING:
Starting position: Stand erect with feet 4 to 6 inches apart.

26. A)STRIDE STANDING: TRANSFERENCE OF
WEIGHT FROM FOOT TO FOOT.
Right side weight bearing Left side weight bearing

27. B)STANDING: WALKING PLACING FEET ON
MARKS.
Walk forward placing each foot on a footprint traced on the floor.
Footprints should be parallel and 2 inches from a center line.

28. C)STRIDE STANDING: WALKING SMALL AND WIDE
PLACING FEET ON MARKS ON THE FLOOR.
Small base Large base

29. D)STANDING: TURN AROUND.

30. • Eye-hand coordination
• Finger-nose coordination
• Try to reach an object
• Picking up objects
UPPER EXTREMITY EXERCISES

31. EYE-HAND COORDINATION

32. FINGER-NOSE COORDINATION

33. TRY TO REACH AN OBJECT

34. PICKING UP OBJECTS

35. PRACTICAL SESSION

36. BENEFITS OF FRENKEL’S EXCERCISE
• Improve co-ordination.
• Improve balance.
• Improve body awareness.
• Improve postural awareness.
• Improve selective movements.
• In some cases, improve proprioception.

37. PROGRESSION OF FRENKEL’S EXERCISES
• Made alteration in speed, range & complexity
• Quick movements, less control
• Slow movement, high control
• According to disability re-education starts from lying to standing.

38. • Physical rehabilitation assessment
and treatment-susan B.O’
Sullivan, Thomas J. Schimitz.
• http//:en.wikipedia.org
• The principal of exercise therapy
M Dina Gardiner.
• Text book of rehabilitation
• Internet (google scholar.yahoo etc)
• Image from http//:www.google.com,bd
REFERENCES

39. Any Question?

40. THANK YOU
FOR YOUR
PATIENCE!