Neurology Seminars in Clinical Neurology - part 6

Trải dài cho Ban Chỉ đạo phải sẽ được mô tả. Toàn bộ các thủ tục có thể được đảo ngược nếu bệnh nhân yêu cầu kéo dài của Ban Chỉ đạo trái. Để kéo dài SC phải, bệnh nhân bắt đầu ở vị trí ngồi hoặc đứng, tiếp theo quay đi về hướng bên trái, sau đó nghiêng nó xuống, | Rehabilitation Exercises Exercise 5 Splenius Capitis This exercise is intended to provide stretch to several muscles in the back of the neck mainly the splenius capitis SC which starts at the neck bones and runs diagonally upward and outward to the base of the skull. The normal action of the right SC is to pull the head backward and rotate it slightly to the right side. This exercise is similar to exercise 1 but is more specific for the SC. Stretching for the right SC will be described. The entire procedure may be reversed if the patient requires stretching of the left SC. To stretch the right SC the patient starts in the seated or standing position next rotating the head toward the left then tilting it downward tucking in the chin toward the chest Figure . The patient may begin feeling a stretching sensation in the back of the neck on one or both sides. This position should be held for 30 seconds. The stretching sensation may begin to subside at which point the patient may increase the stretch a little further by placing the fingers against the side of the chin and gently pushing to rotate the chin toward the left shoulder Figure . This position should be held for another 10 seconds then slowly released followed by relaxation. FIGURE FIGURE STRENGTHENING EXERCISES The next set of exercises is designed to strengthen the antagonist muscles. Strengthening these muscles can help to bring the head back to the neutral position. To strengthen any muscle it is necessary to use it to exert a force against resistance. Thus to perform these exercises a suitable object against which to push is needed. A pillow-sized block of soft foam rubber works best and may be obtained from a medical supply store or pharmacy. A larger thick block of foam is best. Suitably thicker foam pillows may also be found in department and bedding stores. Most of the following exercises can be modified for performance in the sitting standing or lying position. In most cases .

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