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Exercises

For each technique of adaptive kinesitherapy, developed basic exercises (presented in Table 2). The complete register consists of a set of 25 training exercises.

All exercises (with the exception of static verticalization) are performed with the drive fixed to the suspension system (when performing dynamic verticalization), or to the limb cuff.

Specific location of the transition roller on the anti-gravity frame of the KINIDEX provides a verity training exercises.

Table 2. List of basic exercises of adaptive kinesitherapy

Training exercises Drive system
Type Limb cuff Transition roller
1 Static verticalization without feet fixation
2 Static verticalization with feet fixation
3 Dynamic verticalization with feet fixation 0 (central)
4 Right leg raising Right upper locking module 0 (central)
5 Left leg raising Left 0 (central)
6 Right leg flexion Right lower locking module 0 (central)
7 Left leg flexion Left 0 (central)
8 Right hand raising Right lower locking module 0 (central)
9 Left hand raising Left 0 (central)
10 Right leg abduction Right upper locking module 1 (front on the right)
11 Left leg abduction Left 2 (front on the left)
12 Right hand abduction Right lower locking module 3 (on the right)
13 Left hand abduction Left 4 (on the left)
14 Right leg diagonal raising Right lower locking module 1 (front on the right)
15 Left leg diagonal raising Left 2 (front on the left)
16 Right leg extension Right lower locking module 0 (central)
17 Left leg extension Left 0 (central)
18 Right hand extension Right lower locking module 0 (central)
19 Left hand extension Left 0 (central)
20 Right leg rotation Right lower locking module 2 (front on the left)
21 Left leg rotation Left 1 (front on the right)
22 Right hand adduction Right lower locking module 2 (front on the left)
23 Left hand adduction Left 1 (front on the right)
24 Tempo-rhythm correction (right side) Right upper locking module 0 (central)
25 Tempo-rhythm correction (left side) Left 0 (central)

Static verticalization without feet fixation №1

Picture
Schema
Limb cuff No
Transition roller (position on the anti-gravity frame) -

Static verticalization with feet fixation №2

Picture
Shema
Limb cuff No
Transition roller position on the anti-gravity frame -

Dynamic verticalization with feet fixation №3

Picture
Shema
Limb cuff Suspension system
Transition roller position on the anti-gravity frame 0 (central)

Right leg raising №4

Picture
Shema
Limb cuff upper locking module
Transition roller position on the anti-gravity frame 0 (central)

Left leg raising №5

Picture
Shema
Limb cuff upper locking module
Transition roller position on the anti-gravity frame 0 (central)

Right leg flexion №6

Picture
Shema
Limb cuff lower locking module
Transition roller position on the anti-gravity frame 0 (central)

Left leg flexion №7

Picture
Shema
Limb cuff lower locking module
Transition roller position on the anti-gravity frame 0 (central)

Right hand raising №8

Picture
Shema
Limb cuff lower locking module
Transition roller position on the anti-gravity frame 0 (central)

Left hand raising №9

Picture
Shema
Limb cuff lower locking module
Transition roller position on the anti-gravity frame -

Right leg abduction №10

Picture
Shema
Limb cuff upper locking module
Transition roller position on the anti-gravity frame 1 (front on the right)

Left leg abduction №11

Picture
Shema
Limb cuff upper locking module
Transition roller position on the anti-gravity frame 2 (front on the left)

Right hand abduction №12

Picture
Shema
Limb cuff lower locking module
Transition roller position on the anti-gravity frame 3(on the right)

Left hand abduction №13

Picture
Shema
Limb cuff lower locking module
Transition roller position on the anti-gravity frame 4 (on the left)

Right leg diagonal raising №14

Picture
Shema
Limb cuff lower locking module
Transition roller position on the anti-gravity frame 1 (front on the right)

Left leg diagonal raising №15

Picture
Shema
Limb cuff lower locking module
Transition roller position on the anti-gravity frame 2 (front on the left)

Right leg extension №16

Picture
Shema
Limb cuff lower locking module
Transition roller position on the anti-gravity frame 0 (central)

Left leg extension №17

Picture
Shema
Limb cuff lower locking module
Transition roller position on the anti-gravity frame 0 (central)

Right hand extension №18

Picture
Shema
Limb cuff lower locking module
Transition roller position on the anti-gravity frame 0 (central)

Left hand extension №19

Picture
Shema
Limb cuff lower locking module
Transition roller position on the anti-gravity frame 0 (central)

Right leg rotation №20

Picture
Shema
Limb cuff lower locking module
Transition roller position on the anti-gravity frame 2 (front on the left)

Left leg rotation №21

Picture
Shema
Limb cuff lower locking module
Transition roller position on the anti-gravity frame 1 (front on the right)

Right hand adduction №22

Picture
Shema
Limb cuff lower locking module
Transition roller position on the anti-gravity frame 2 (front on the left)

Left hand adduction №23

Picture
Shema
Limb cuff lower locking module
Transition roller position on the anti-gravity frame 1 (front on the right)

Tempo-rhythm correction (right side) №24

Picture
Shema
Limb cuff upper locking module
Transition roller position on the anti-gravity frame 0 (central)

Tempo-rhythm correction (left side) №25

Picture
Shema
Limb cuff upper locking module
Transition roller position on the anti-gravity frame 0 (central)

TRAINING MODES

In adaptive kinesitherapy, each exercise can be performed in 5 modes on 4 difficulty levels, which in fact provides 20 training regimes. Schematic coding modes and levels of complexity for each mode is presented in Table 3.

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Table 3. List (encoding) of training modes

Training modes Pattern Difficulty
1 2 3 4
linear Displacement part of the body at a constant speed and dynamically varying amplitude. L1 L2 L3 L4
intermittent Rhythmic displacement of a part of the body with alternation of small and large velocities. i1 i2 i3 i4
growing Displacement part of the body in space from the initial to the final point with a gradually increasing speed. G1 G2 G3 G4
damped Displacement part of the body in space from the initial to the final point with gradually damped speed. D1 D2 D3 D4
combined Stepwise alternation of linear, intermittent growing and damped modes C1 C2 C3 C4

The use of different training modes makes it possible to provide a wide range of mechanical effects on joints and muscle-ligament chains, as well as stimulate the polymodal receptor apparatus:

  1. muscular spindles, consisting of several intrafusal muscle fibers; each of the fibers in turn is represented by a central part in the form of a nuclear bag with spiral-shaped thick myelinated afferent primary endings (type Ia) and secondary (type II).
  2. golgi bodies located in the muscle tendons in series, close to the tendon-muscular junction and combined with primary endings (type Ib).
  3. afferents of the flexion reflex of type III, associated with the spinal generator of locomotion.

Due to the launch of a certain training mode, the corresponding motor image is performed. Methodical repetition of motor images leads to stimulation of a complex receptor apparatus and the memorization of patterns of trained movements.

The physiological role of regimes is presented in Table 4, where "++" shows the main effects, and "+" additional ones.

Table 4. The physiological role of training modes

physiological effect of activation of Training modes
L i G D C
muscular receptors (ia type) ++ ++ +
muscular receptors (ib type) ++ ++ +
muscular receptors (ii type) ++ ++ +
reciprocal connections of muscles - antagonists ++ +
retainer muscle ++ +
proprioceptors of the musculo-articular feeling ++ +
muscle receptors of the flexor reflex ++ +
resilient adaptation to external environmental factors + + + ++
vestibular afferentation ++ +

Clinical indications for the choice of training modes are presented in Table 5, where "++" shows the main modes, and "+" additional ones.

Table 5. Clinical role of training modes

Clinical Pathology Режимы тренировок
L i G D C
flaccid paresis / / contracture / ataxia / akinetic, rigid and trembling syndromes ++ ++ ++ + +
severe spastic paresis ++ +
severe contracture ++ +
moderate spastic paresis + ++ +
moderate contracture + ++ +
ataxia ++ ++ +
akinetic syndrome + ++ +
trembling syndrome + ++ +
rigid syndrome + ++ +