
"Recovery is a journey—every small step counts! Celebrate progress, no matter how minor."
Keep up the great work! 💪😊
🔹 General Tips for All Stages
✔ Frequency: 2-3x/day, 5-10 reps per exercise.
✔ Pain Rule: Stop if sharp pain occurs (mild discomfort is normal).
✔ Use Props: Towels, chairs, soft balls, resistance bands.
📝 Stage-Specific Exercises
(Check off completed exercises daily)
🔄 Stage 1: Flaccidity (No Movement)
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Passive Arm/Leg ROM (Caregiver moves joints).
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Sensory Stimulation (Ice/warm pack, textures).
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Weight-Bearing (Hand on table, lean gently).
💪 Stage 2: Spasticity Begins
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Tabletop Reach (Slide hand forward, elbow bent).
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Seated Marching (Lift knee slightly).
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Soft Ball Squeeze (Trigger finger flexion).
⚠️ Stage 3: Peak Spasticity
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Arm Lift (Lying Down) (Elbow bent, gravity-assisted).
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Chair Stands (Push through legs to stand).
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Wrist Stretch (Hold fingers straight 30 sec).
🎯 Stage 4: Breaking Synergies
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Arm Slide (Move hand without bending elbow).
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Finger Taps (Tap each finger to thumb).
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Towel Scrunches (Gather towel with toes).
🚀 Stage 5: Voluntary Control
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Cup Drinking (Control elbow movement).
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Step Over Book (Lift foot deliberately).
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Coin Stacking (Fine motor practice).
✨ Stage 6: Near-Normal Movement
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Button Practice (Dress shirt buttons).
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Single-Leg Stand (10 sec per leg).
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Heel-Toe Walk (Tandem gait).
🏆 Stage 7: Normal Function
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Tai Chi/Yoga (Balance/coordination).
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Swimming/Jogging (Endurance).
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Threading Needle (Precision task).
🔧 Solutions for Common Challenges
✋ Hand Spasticity
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Open-Hand Stretch (Press palm on table).
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Vibration Massage (Electric toothbrush on forearm).
🦶 Foot Drop
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Towel Pull (Loop towel, lift toes).
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Heel Walking (Strengthens dorsiflexors).
⚖️ Poor Balance
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Seated Marching (Knee lifts while sitting).
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Wall Push-Ups (Builds shoulder stability).
📅 Daily Progress Tracker
(Example: Mark ✔ or note improvements)
| Exercise | Mon | Tue | Wed | Thu | Fri | Sat | Sun |
|---|---|---|---|---|---|---|---|
| Passive Arm ROM | ✔ | ✔ | ✔ | ||||
| Seated Marching | ✔ | ✔ | ✔ | ||||
| Finger Taps | ✔ | ✔ | ✔ |
💡 Bonus Tips
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Mirror Therapy: Place a mirror to reflect the unaffected limb while moving the affected one.
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Music Therapy: Move to rhythm (e.g., tapping feet to music).
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Family Participation: Turn exercises into games (e.g., catching a balloon).

