Functional re-education

prepared by: Dr. Krupa Raithatha

lecturer,
school of physiotherapy
RK.University
Rajkot.
Functional re-education

 Re-education means educating something, which is already

known by an individual.

 Here the patient knows the activities or movements that has,to

be performed but due to his ailment or diseased pathology he
could not perform it properly.

 “making the man independent” is the main motto for the

functional re-educational program.
 In the functional re-educational training, sequence of
progressions of position like the development of milestone of
the child from lying to walking.

 Depends on the condition and level of his independence the

program can be designed.

 Depending on the condition,the sequence can be planned

and multiple postures may be overlapped.
 Sequence can be varied from one patient to another.
it helps to…
 Improve coordination and balance.
 Increase strength and endurance of muscle.
 Increase pelvic stability.
 Increase the dynamic and static stability.
 Enhance the proprioceptive function.
 Improve postural stability.
 Improve the ambulatory skills.
Functional re-educational training consists of the pre ambulatory mat exercises and
ambulatory training:

 Rolling
 Supine to side lying
 Side sitting
 Side lying to prone lying
 Sitting
 Prone to side lying
 Kneeling
 Side lying to supine
 Kneel sitting
 Elbow prone lying
 Half kneeling
 Hand prone lying
 Standing
 Elbow side lying-quadruped position
 Walking.
 Rolling
supine to side lying Side lying to prone
Side lying to supine Prone to side lying
USES:
 To assist during nursing
procedure
 Gains a measure of
independence.
 For postural drainage
 To prevent bedsores.
Bridging

USES:
 To maintain efficacy of extensor
muscles
 To make bedpan routines easier.
 To relieve weight from sensitive
pressure areas
 Feeling firm pressure on the sole of
the foot.
Elbow prone lying

USES:

 Bed making
 Dressing activities
 To hold and read
 To improve upper limb stability.
 For rocking and creeping activities.
Creeping
Hand prone lying

 To improve upper limb muscle

power and strength.
 For dressing activities
 To improve bed mobility.
Quadruped position

USES:
 For floor level activities like playing
with kids,seeding,gardening.
 To ambulate when patient can not
walk.
Crawling
Elbow side lying

 This position is enroute for the sitting

position.
 Mat mobility activities.
 Relaxed position for reading books
and watching television.
Side sitting
Side sitting/Sitting

 floor level house hold activities.

 Great stability
 Usually preliminary to standing
 Prevent from falling
 For dressing and toileting activities.
 Hitching and hiking


USES:

To take the weight on
arms

To move pelvis for
transfers for
wheelchair.
 Kneeling


Kneel sitting 
Kneeling USES:


To improve static and dynamic
stability.


To improve verticle alignment.


Kneel walking can be
encouraged


For dressing activity


Useful for mobility


Improve floor level activities
Half kneeling


USES:

Most suitable and effective
method for getting up from floor.

Push ups can be practiced and go
for standing.

Balancing and weight shifting
activities can be practiced.
Standing Walking