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Frenkels exercise
1. FRENKEL EXERCISES
• Frenkel Exercises are a series of motions of
increasing difficulty performed by ataxic
patients to facilitate the restoration of
rhythmic, smooth and coordinated
movements.
2. INTRODUCTION
• H.S.FRENKEL was a physician from Switzerland
who aimed at establishing voluntary control of
movement by the use of any part of the sensory
mechanism which remained intact, notably sight,
sound and touch, to compensate for the loss of
kinaesthetic sensation.
• Frenkel Exercises were originally developed in
1889 to treat patients of tabes dorsalis and
problems of sensory ataxia owing to loss of
proprioception.
3. TECHNIQUE
• TECHNIQUE
• The patient is positioned & suitably clothed so that he
can see the the limbs throughout the exercise
• Concise explanation & demonstration of exercise
• Patient must give attention to perform exercise
• Speed of exercise is dictated by therapist by means of
rhythmic counting
• ROM indicated by marking spot on which foot (or)
hand placed
• Exercise is repeated till its perfect & easy
• Frequent rest periods must be allowed
4. The main principles of Frenkel
exercises are the following
• Concentration or attention
• Precision
• Repetition
5. TECHNIQUE of Frenkel’s exercises
• TECHNIQUE
• The patient is positioned & suitably clothed so that he
can see the the limbs throughout the exercise
• Concise explanation & demonstration of exercise
• Patient must give attention to perform exercise
• Speed of exercise is dictated by therapist by means of
rhythmic counting
• ROM indicated by marking spot on which foot (or) hand
placed
• Exercise is repeated till its perfect & easy
• Frequent rest periods must be allowed
6. —Frankel’s exercises For The Legs
In Lying
• a)Lying(Head raised); Hip abduction&
adduction
• b)Lying(Head raised);one Hip & knee flexion &
Extension
• c)Lying(Head raised); one Leg raising to place
Heel on the specific mark
• d)Lying(Head raised); Hip & Knee flexion &
extension, abduction & adduction
12. Frankel’s exercises For The Legs In
Sitting
—
• a)Sitting; one Leg stretching, to side heel to a
position indicated by a mark on the floor.
• b)Sitting; alternate Leg stretching & lifting to
place Heel or Toe on specified mark.
• c)Stride sitting; change to standing and then
sit down again.
13.
14.
15. —Exercise For The Legs In Standing
• a)Stride standing; transference of weight from
Foot to Foot.
• b)Stride standing; walking sideways placing
Feet on marks on the floor.
• c)Standing;walking placing Feet on marks.
• d)Standing; turn around.
• e)Standing; walking and changing direction to
avoid obstacles.
20. —Exercises For The Arms
• a)Sitting (one Arm supported on a table or in
slings); Shoulder flexion or extension to place
Hand on a specified mark.
• b)Sitting; one Arm stretching, to thread it
through a small loop or ring.
• c)Sitting; picking up objects and putting them
down on specified marks
21.
22. —EXERCISES TO PROMOTE MOVEMENT
AND RHYTHM
• —All exercises are repeated to rhythmic count.
• a)Sitting; one Hip flexion & adduction.
• b)Half lying; one Leg abduction to bring knee to side of
plinth, followed by one Knee bending to put Foot on
floor, the movement is then reversed & repeated.
• c)Sitting; lean forward and take weight on Feet(as if to
stand), then sit down again.
• d)Standing; Arms swing forwards & backwards(with
partner holding two sticks).
• e)Standing or walking; bounce & catch, or throw &
catch a ball.
23. PROGRESSION of Frenkel’s exercises
• —Made alteration in speed, range & complexity
• —Quick movements, less control
• —Slow movement, high control
• —Simple movements build up to form complex
movements e.g walking
• —According to disability re-education starts
from lying to standing.