Suspension and Pulley

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SUSPENSION

THERAPY

Dr Azliyana Azizan
WHAT IS SUSPENSION?
• Suspension therapy is a special technique of therapeutic exercise in which a part or all of the
body is suspended in the air by ropes and slings attached to a fixed point above. That is given to
patients to increase ROM, increase muscle power, and support body parts by using ropes and
slings.

• Suspension frees the body from the friction of material upon which the body components may
be resting and it permits free movement without resistance. Late Mrs. Guthrie Smith invented
the suspension apparatus.
PRINCIPLES OF SUSPENSION THERAPY

• It is working under the principle of:

Friction

Pendulum

Eliminating gravity movement


FRICTION

• It occurs during a particular surface moves on another. In suspension friction is less,


therefore causing smooth and easy movement.
PENDULUM

• Pendulum is heavy material suspended by a weightless thread. when force is applied to the
pendulum it results in to and fro movement.
• In the human body, pendular motion occurs mainly in the shoulder and hip joints, forward
leg movements arm swings while walking.
• Uses : To maintain the muscle property, increase the range of movement, and strengthen
muscles.
ELIMINATING GRAVITY MOVEMENT

• The patient should at least have muscle power 2 for suspension therapy exercise.
BENEFITS OF SUSPENSION FOR ROM EXS.
THE FIXED POINT
THE SUPPORTING ROPES
PULLEY ROPE
DOUBLE ROPE
SLINGS
HEAD SLING
CLIPS
TYPES OF SUSPENSION

1. Axial suspension

2. Vertical suspension

3. Pendular suspension
Axial Suspension
• Joint axis is taken as the point of the
USES:
suspension
1.Relaxation
• The limb is supported by the slings above the 2.Maintain muscular property
axis of the joint. 3.To Increase the blood circulation
4.Increase the venous drainage
• If the movement is initiated the limb is moved 5.Increase the lymphatic drainage
on both sides.
• The part moves parallel to the floor.
• COG of the body part or the body is taken as
USES:
a point of suspension.
• Used to provide support to the body part of 1.To support the body part
2.To reduce the pressure sore.
the patients.
• The point of suspension should be shifted
away from the joint axis. USES:

• Movement usually takes place against 1.To strengthen the muscle.


gravity. 2.To increase the muscle power
3.Increase endurance.
• Muscle will be getting resistance while
moving if the axis is shifted opposite to that
movement.
ADVANTAGE OF SUSPENSION THERAPY

• It reduces the burden for the therapist.


• Easy to lift the limb.
• Active movement can be performed easily with minimum friction.
• Easier to maintain the position of the limbs with slings and pulleys in the required position
DISADVANTAGE OF SUSPENSION THERAPY

• Quite complex and not always the first choice for beginners to resistance training.
• Required a lot of materials like slings, ropes, and pulleys.
INDICATIONS OF
SUSPENSION
THERAPY

• Spinal cord injuries.


• Hemiplegia.
• Post-operative muscle
weakness.
DID YOU KNOW??
Can Be Used to Improve Form in Athletes
Suspension therapy can be used to improve form, work through injuries, and isolate movements in athletes. In swimmers and runners,
athletes can work with a physical therapist on their form in a way that they couldn’t in a traditional physical therapy gym.
Restores Range of Motion
Suspension is an anti-gravity suspension system that restores joint motion and tissue stretching to improve your range of motion. It is a
pain-free way for your physical therapist to see the entire range of motion for you to complete a specific movement. This can help to reveal
weaknesses in the kinetic chain that can be addressed through physical therapy.
Works Stabilizer Muscles
Suspension therapy can help to strengthen stabilizer muscles which can reduce back pain and improve core muscles. This can help with a
variety of ailments, including chronic pain. The instability of suspension therapy can also strengthen these muscles.

Helps Neuromuscular Control


Suspension therapy specifically works to Improve your neuromuscular system and its control. This is under the NEURAC method of
treatment, which is a reference for Neuromuscular Activation, which happens when your nerves and muscles work together.
CONTRAINDICATIONS OF SUSPENSION THERAPY

• Head injury
• Fracture
• Spinal cord injury
• Circulatory disorder etc.

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