Bugnet exercises for Physiotherapists.
For any excercise therapy method:
1. Always adapted to the patient's situation: vital functions, comorbidity etc.
2. Dependent on physiotherapist's competence
Statements/remarks about therapeutic exercises:
1. Isometric exercises performed in totality daily ensure general improvement to muscle function and more stamina.
2. There is a "total pattern mechanism” for the integration of posture and movement: everyday movement is not only the domain of the physiotherapist.
3. Posture reflexes are the basis for functional movement.
4. The trunk dominates the limbs.
5. Muscle weakness is difficult to distinguish from hypotonia; weakness can be present in hyper- and hypotone muscles.
6. Posture resistance exercises reach structures in the body which would otherwise be difficult to activate.
7. The method is merciful: it requires the patient to do what he/she can, not what he/she can't.
8. Posture resistance exercises can normalise upset postures and movements and automate them once more.
9. There are more ways to skin a cat.
Examples : brief cases with accompanying exercises from the "Bugnet Posture Resistance Therapy” handbook.
1. Female, 65 years-old, lumbar complaints with lordosis and weak muscle corset ( abdominal, gluteal, pelvic floor, etc.). Lumbar pain, right buttock region (deep), sometimes pseudo-radicular definition, weak collapsed posture when standing with intensified curvature of spinal column, overextended knees, pedes planus (flat feet).
Posture deviations of spinal column, Lumbar/Cervical lordosis A 1, A 2, A 5
Extending basic exercises with pelvic floor
2. Sporty man , 68 years-old, coordination disruption to whole leg and paresis of peroneous muscles after traction injury during Total Hip operation (2 weeks ago). Cave : (sub)luxation THP (Total Hip Prosthesis). Therapy according to protocol extended with exercises in relation to paresis. ). Hyperaesthesia ankle/lower leg after a short time.
Paresis mm. Peroneï en coordination disorder in whole leg with THP E 15, J 9, E 17,
Remark: 6 weeks not lying on side so no J5 for example, 6 weeks no rotational forces so A8 for example without rotational resistance, but with W on lateral edges of foot in distal direction.
3. Girl, 16 years old, leptosome build, growth spurt to above average height , pain in Achilles tendons both sides for several years, especially insertion in calcaneï*, which are in pronation. She can longer participate in sports and can at the moment only walk for 5 min. without complaint. Dorsal flexion in articulatio talocruralis 90 degrees, compensating walking pattern in fore foot, among others. Muscle function loss in calf musculature, cannot for example stand on her toes. General weak musculature with ”clumsiness” and hesitant movement according to mother.
Contracted Achilles tendons after growth spurt with generally weak movement apparatus, increasing hesitancy first A 1, K 20,
than E 16, J 11, J 12
Extended with basic exercises for general coordination etc.