Hi, welcome to all of physio's helping hand (physiogk) family in my new blog post that is about Pendulum or Codman's exercise. If this blog will help you in any manner then please like and share it with your friend and also don't forget to give your feedback in the comment section.
In this blog, firstly we will know about pendulum exercises, after that we will discuss how to answer its question in the exam.
If you have no idea about books and syllabus of 1st years physiotherapy, you may read our blog 1st YEARS PHYSIOTHERAPY SYLLABUS AND BOOKS and you can also read our previous blog, in which I have described all about suspension therapy and its previous year's questions.
content:-
Definition
It is self-mobilization techniques that use the effects of gravity to distract the humerus from the glenoid fossa and gentle pendulum motions to move the joint surfaces.
Patient position -
Standing, with the trunk flexed at the hips about 90.
The arm hangs loosely downward in a position between 60 and 90 flexion or scaption.
Muscles worked:-
During non-Weight-Bearing Pendulum Exercise:- Supraspinatus, Infraspinatus, Subscapularis, And Teres Minor.
During Weight-Bearing Pendulum Exercises:- Deltoid, Infraspinatus, Supraspinatus, Upper Trapezius.
Equipment needed:-
Table or bed
Dumbbell, or wrist weight (for weighted Pendulum exercise).
How to perform pendulum exercise | Codman's exercise procedure
A pendulum or swinging motion of the arm is initiated by having the patient move the trunk slightly back and forth. Motions of flexion, extension, horizontal abduction, adduction, and circumduction can be done. Increase the arc of motion as tolerated. This technique should not cause pain.
The patient can hold on to a solid structure or lie prone on a table If the patient is unable to maintain balance while leaning over.
The patient can lie prone on couch or table if they experience any back pain from bending over.
Adding a weight to the hand or using wrist cuffs causes a greater distraction force on the GH joint. Weights should be used only when
joint stretching maneuvers are indicated late in the subacute and chronic stages
Scapula is stabilized by the therapist or a belt is placed around the thorax and scapula so the stretch force is directed to the joint, not the soft tissue of the scapulothoracic region
Indications of pendulum exercises:-
Rotator cuff tears
Adhesive capsulitis (frozen shoulder)
Labral tears
Collarbone fractures
Shoulder dislocations
PRECAUTIONS:-
If a patient gets dizzy when standing upright after being bent over, have the patient sit and rest.
With increased pain or decreased ROM, the technique may be an inappropriate choice.
Pendulum exercises are also inappropriate for a patient with peripheral edema.
Question Ask In Previous Years
Questions asked in the exam are like Explain Codman's exercise or what is pendulum exercise and generally, these questions are of 5 marks and asked in both 1st and 2nd-year exam.
You can answer this question by following our blog subheading, for example, 1st write an intro. or definition after that position of patient and so on...
Some students confuse in codmen paradox and codmen's exercise and they treat both as the same question but both are different. We will discuss it in the next blog post.
Thank you
Physio's Helping Hand
(रहे हमेशा आपके संग)
