1. Mechanical principals of equipment in the gymnasium

2. Parallel bars Help people regain their strength, balance, range of motion, and independence. For people recovering from injuries, illnesses, and other debilitating conditions Parallel bars are important items of physical therapy, rehabilitation, and exercise equipment.

3. Type of Exercises Co ordination & balance exercises – Pt with coordination problems, typically resulting from strokes or brain trauma Ambulation exercises - improve a patient’s ability to walk independently or with assistance develop or improve the range of motion of their joints as well as develop any lost muscle strength

4. General conditioning exercises - combines range-of-motion, muscle-strengthening, and ambulatory exercises to counteract effects from being in a wheelchair for a sustained period of time or from prolonged bed rest and immobilization Gait training

6. Wall bars Exercises to condition such as scoliosis, balance problems, co- ordination problems Increase stability and confidence of patients and provide support

8. Static Cycle In comparison with other exercises cycling is a relatively ‘knee friendly’ activity Can help to improve knee joint mobility and stability Cycling is frequently used as a rehabilitation exercise modality after knee injury or surgery as well as part of the management of chronic degenerative conditions such as osteoarthritis

9. Bicycle has a number of features that make it a particularly good tool for knee rehabilitation: Non weight-bearing Low impact Uses a range of motion that is needed for most activities of daily living Controlled movement Variable resistance Stable position Cyclic movement nourishes joint cartilage Closed kinetic chain exercise Cardiovascular (aerobic) exercise activity

10. Shoulder Wheel Mobilizing the shoulder complex Improve the abduction & external rotation movements Use in patients with frozen shoulder, after fractures

12. Shoulder Ladder Piece of rehabilitative equipment most often used to help improve the flexibility of shoulder following injury or surgery Mounted on a wall and is used to treat shoulder conditions like a broken shoulder blade, stiffness

13. Shoulder flexion Exercises Stand far enough away from the ladder that have to stretch out your arm to reach it and begin with your fingers at a comfortable level toward the bottom of the ladder Keep your back straight throughout this exercise Shoulder Adduction Exercise affected shoulder to the side of the finger ladder and reach out away from your body to rest your fingers on the bottom of the ladder with your arm at an approximate 30-degree angle from the center of your body

14. Stair case Improve strength. Power, flexibility, cardiovascular conditioning Improve lower limb mobility & strength

15. Suspension apparatus Bed with slings and springs Eliminate gravity and facilitate movements Improve ranges in joints Improve strength in muscle

17. Use in patients with – Muscular dystrophy – Nerve lesions ( peripheral ) – Fractures & limbs with disuse atrophy

18. Pulleys Simple to use for re-building muscles and increasing range of motion. Dual overhead pulley offers extra stability and can be used with weights on one handle to counterbalance the strength Use in stiff shoulder, painful arc syndrome, weakness in upper limbs

19. Tilt Bed Patient who are unable to stand on his lower limbs because of muscular weakness or spinal cord lesion Use to minimize postural hypotension Improve blood circulation towards the heart Minimize osteoporotic changes in immobile patients

20. Use Transfer the patient to the tilting bed Tie straps holding patient to the bed Slowly increase the angle Keep about 5min in a angle and slightly increase If pt feels dizziness /vertigo bring the bed back to supine position

21. THANK YOU