Description of Exercises  [For prologue to this section of The Mom & Me Journals dot Net, click here.]
As of 9/04/04:
  1. In Side Lift [ISL]:  Standing, with weights; Holding arms at sides, weights parallel to floor, lift weights up along sides as high as possible while holding elbows as close to body as possible; lower weights to starting position.
  2. Kick It [KI]:  Sitting, independent alternate leg reps; start with foot flat on floor, kick to touch trainer's hand with toes, return foot flat to floor.
  3. Lift Up [LU]:  Standing, with weights; Holding weights above shoulders, elbows out to sides, weights parallel to floor, extend arms completely above head, return to starting position.
  4. Knee It [KNI]:  Sitting, independent alternate leg reps; start with foot flat on floor, raise knee up to touch trainer's hand, return foot flat to floor.
  5. Forward Out 1 [FO1]:  Standing, with weights; Holding weights to upper chest perpendicular to ground, elbows close to sides, extend arms straight out, return to starting position.
  6. Separate Demitoe Sitting [SDS]:  Sitting, independent alternate leg reps; start with foot flat on floor, raise heel until foot is resting on ball and toes, return to starting position.
  7. Forward Out 2 [FO2]:  Standing, with weights; Holding weights to upper chest parallel to ground, elbows perpendicular to body, extend arms straight out, return to starting position.
  8. Together Demitoe Sitting [TDS]:  Sitting, both feet reps together; start with feet flat on floor, raise heels until feet are resting on balls and toes, return to starting position.
  9. Forward 2 Side [F2S]:  Standing, with weights; Holding weights straight out in front at shoulder height perpendicular to ground, open arms out until they are perpendicular to front of body, return to starting position.
  10. Side Step Sitting [SSS]:  Sitting, independent alternate leg reps; start with foot flat on floor, step smartly to side and back, lifting knee up and down with thigh action.
  11. Arm Circles [AC]:  Sitting, with weights; Holding weights straight out to sides at shoulder height perpendicular to ground, circle arms forward for prescribed reps, then backward.
  12. Marching In Place [MIP]:  Standing, holding on to back of chair with both hands for support; march in place smartly, lifting knees high. On 9/6/04, changed exercise so that she stands between two chair backs facing forward and supports self on either side.
  13. Forward Curls [FC]:  Standing, with weights; Holding weights parallel to ground, arms close to sides, bend arm at elbow and raise weights to shoulders, keeping elbows close to sides.
  14. Separate Demitoe Standing [SDST]:  Standing, holding on to back of chair with both hands for support, independent alternate leg reps; with foot flat on floor lift heel until foot is resting on ball and toes, lower foot flat to floor.
  15. Independent Arm Circles Right [IACR]:  Standing perpendicular to chair back holding onto chair with left hand, without weights; with right arm hanging down at side, circle arm from shoulder and upper arm, forearm hanging loose and elbow slightly bent, around across body and face, up, then out to side and down.
  16. Together Demitoe Standing [TDST]:  Standing, holding on to back of chair with both hands, both feet reps together; start with feet flat on floor, raise heels until feet are resting on balls and toes, return to starting position.
  17. Independent Arm Circles Left [IACL]:  Standing perpendicular to chair back holding onto chair with right hand, without weights; with left arm hanging down at side, circle arm from shoulder and upper arm, forearm hanging loose and elbow slightly bent, around across body and face, up, then out to side and down.
  18. Side to Side [STS]:  Standing, hands on hips, without weights; begin facing forward, twist torso to left, then to right, as far as you can go.
  19. Side Step Standing [SSST]:  Standing, holding on to back of chair with both hands for support, independent alternate leg reps; start with foot flat on floor, step smartly to side and back, lifting knee up and down with thigh action.
  20. Back Drop [BD]:  Standing or sitting, independent alternate arm reps, with weights; Turning arm out so palm faces away from body, grip top of weight between thumb and forefinger, lift a arm straight above head so weight is parallel to ground, keeping upper arm straight, bend elbow and lower weight behind head and neck and lift to starting position.
  21. Not So Grand Plie [NSGP]:  Standing supporting self with arms between two chair backs, toes turned outward, feet about shoulder's length apart, bend just a touch at the knees, keeping back straight and buttocks held in, then rise.
  22. Standing Up/Sitting Down [SUSD]:  That's right, standing up and sitting down, with coaching and support. Not surprisingly, she is currently having difficulty standing up and sitting down, so I decided we should practice this. She scoots to the edge of the chair, readies her muscles, braces herself with her hands on my very steady arms, I coach her to "lean forward from the hips" and she stands up, then sits down, while I coach her to "sit with control, don't plop yourself in the chair."
  23. Belly Grip [BG]:  This is simply tightening the abdominal muscles, holding for a count of five and relaxing for a count of five. Performed standing up. It occurred to me that this might help strengthen her lower back and help her body "remember" how to stand correctly when using her walker so that she stands closer to it and pushes it with the momentum of her legs instead of with her arms.

Friday, September 17, 2004

 

Today's Exercise Session:

Time Session Began:  1330
Duration of Session:  1hr 5min
Exercise Reps Sets Comments
ISL 15 + 5 2 Work still needed on keeping elbows in, but good. Did as two sets, no additional reps.
KI 15 + 5 2 No comments.
LU 15 + 5 (new reps) 2 Upped this by starting a new set with 5 additional reps. Second set performed wonderfully. Kept elbows up, even at beginning.
KNI 15 + 5 2 She did so well on this, I decided to check and see if she can lift both knees together with feet off ground; only barely, but she can lift them about 3/4 of an inch.
FO1 15 + 5 (new reps) 2 Still working on elbows in and not breaking wrists at the shoulder. She asked, today, what this one is for, with that "What the hell?!?" vocal attitude of hers. I explained that it helps strengthen, among other things, the upper chest muscles so that she'll hold her head more erect. She was fascinated with this idea.
SDS 20 1 Was really working it; I'll up sets and reps tomorrow.
FO2 15 + 5 (new reps) 2 She's beginning to work on keeping elbows up in air, thus she forgets and breaks her wrists at the bottom of the move, but didn't bother her about this; she'll get it all together. She complained about her arms getting tired, today. Good, I said. That means it's working. After I said that, she did the last 5 with elan.
TDS 20 + 5 (new reps) 2 Very good.
F2S 5 + 5 + 5 + 5 (new reps) 4 Excellent form, really did it right, really felt it. Did the 20 reps as sets of 5; excellent responsiveness to this.
SSS 15 + 5 (new reps) 2 Lifting legs from thigh both going on and coming still hard for her; told her if she returned her foot flat to the floor between each lift, it would be easier and work for her better. Told her to consider every repetition a new opportunity to perform it so work will be done. "Don't squander even one opportunity."
    She didn't.
AC 10 + 5 (new reps) 2 Did really good; arms still aren't completely straight. She said, "That's hard." But, the last set was great.
MIP 20 + 5 2 Stopped at 19 on first set, took a big breath and did the last one. I readjusted the chair so that her arms were more relaxed and she did 5 perfect reps.
FC 15 + 5 (new reps) 2 Still a little iffy on "gripping the weight". We're working on it. She is showing improvement.
SDST 20 + 5 (new reps) 2 Doing good, but still doesn't want to pick up heel all the way when doing it standing.
IACR 10 + 5 (new reps) 2 Got the idea of lifting with upper arm on upsweep; we both saw her 'get it' and smiled at each other as she lifted her arm high. Very good!
TDST 15 + 1 2 Didn't add any reps, just broke her 1 set of 20 into two sets. She lifts herself much better with a rest between sets.
IACL 10 + 15 (new reps) 2 Really getting it well. She said, "I can feel how it works..." and indicated the upper arm pulling the rest of the arm up and the shoulder directing the movement.
STS 5 + 2 (new reps) 2 I coached her on twisting entire torso from hip joints because she said she was "feeling it in her back, pulling" and indicated her lower back. Experimented with how far she could twist without pulling on her back. I think we got a good idea, today.
SSST 5 + 5 + 5 + 5 (new reps) 4 Slowed way down so she'd have to lift both ways. Showed her were she should be feeling it. "That's where I am feeling it," she confirmed.
BD 15 + 5 (new reps) 2 As each new second set started I said, "make the last set the best", and she did.
NSGP 5 + 2 2 This exercise a new addition just today. Not as iffy as I thought she'd be with this one. Just plies a tiny bit, but she did so well that we did a second set of 2.

    As usual, she did not approach her therapy session with eagerness, but once we started she got into it. I'm still using 1.5L on her when she's exercising. She only panted once, today, during the Marching in Place.
    She did marvelously, though. I was really thrilled. Today, along with everything else, I explained the theory behind doing exercises in sets: That a brief rest allows the muscles to "encode" what's been happening; as a result the last set is usually both performed the best and the 'most felt' workout. She agreed.
    I'm thinking that she shows more progress if she doesn't do her therapy exercises every day, although, truthfully, when we began we were doing them every day, so I'm not sure I can actually speak with authority on this. At any rate, she certainly is more alert, "here", able to entertain herself and enterprising after she's done her exercises. Today, for instance, after sucking oxygen for 15 minutes after her session, she decided she'd go out to get the mail. She hasn't done this for over a year. Hasn't even mentioned it.
    I told her, great. She can do it either with or without the walker, and, since it's been a long time since she's done this, I'd accompany her, but leave her alone about walking form. "Remember," I said, "our driveway is on a slight incline and the "path" to the mail box is a sort of concrete gutter and may be hard to negotiate. Take is slow and watch what you're doing."
    She did perfectly, so perfectly! At first I may have to keep a sharper eye on her, as she begins moving more, and try hard to monitor what I say so as not to discourage her from trying anything. But, becoming more adventurous is a part of becoming stronger, no matter what age one is, and I want to honor this in my mother, as well as her nascent strength.
    We're doing more in less time, I'm noticing. Some of the exercises are speeding themselves up. A few, I'm slowing down, like the Forward Curls and the Standing Side Stepping. But, we're making good time, and her body is responding with very little to no complaint.
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