Techniques of general relaxation Basic three techniques a)Support b)Comfort c)Restful atmosphere a. support i. Lying ii. Half lying iii. Prone lyng iv. Side lying i. Support by LYING Used a)to achieve full support of body b)counterbalanced weight of the body c)obviates all mechanical tension on muscles or ligaments suitability of each position is according to a.condition of the patient b.individual preference. (i) Lying Supine. spring mattress is good it will mould itself to the body contours and give even press and comfort. HEAD soft pillow that prevent the head from rolling to either side and be well molded to support the neck posteriorly. KNEES small pillow under knee i. relieves tension on the Hamstrings and the ilio- femoral ligament, ii. allows the pelvis to roll backwards iii.the lumbar spine is straightened and supported. FEET are held in the mid-position by a sandbag or similar device, Arm slightly abducted at the shoulder and flexed at the elbow, rests on a pillow. (ii) Half Lying Similar to the previous position but breathing is easier because less weight on the back and abdominal pressure on the under surface of the Diaphragm is reduced. ARMCHAIR good substitute for a plinth or bed thighs are fully supported feet rest on the floor or foot stool, or a T footrest. (iii) Prone Lying. Head is turned to one side and may rest on a small pillow, Hip A firm pillow under the hips and the lower abdomen prevents hollowing of the back for women it should extend higher to avoid too much pressure on the chest. Lower Leg is elevated so that the knees are slightly bent and the toes free. Slight medial rotation at the hips, causing the heels to fall apart, induces relaxation of legs. Prone lying Side Lying. relaxation obtained in this position is determined by the how efficiently shoulder and pelvic gjrdles are stabilized The uppermost arm and leg may be rested on the supporting surface The head pillow supports the neck and head in alignment with the body, and must not be too high. The majority of people sleep on the side, Side lying b. comfort
the ingredients of comfort
deep breathing warmth mild degree of physical fatigue. Removal of constrictive clothing corsets and belts, buttons or suspenders liable to cause pressure must be removed. b. comfort ROOM should be warm, free supply of fresh air; in winter additional warmth can be supplied by light but warm blankets, a covered hot-waterbottle at the feet, an electric blanket by non- luminous infra-red irradiation, care being taken to avoid over heating, that leads to restlessness. FOR HOME use a warm bath gives the most even and pleasing type of heat, its soothing effect must not be ruined subsequently by vigorous rubbing with a towel. A light well-balanced meal, rhythmical physical activity of short duration, such as a brisk walk in the open- air, c. Restful Atmosphere physical and mental relaxations are interdependent, an effort must be made to secure mental rest. treatment-room should be as quiet as-possible, as noice has disturbing influence some worried by complete silence, but high-pitched sound produced close at hand should be avoided continuous low-pitched hum of distant traffic tends to be soothing. Bright lights and strong colours, red and bright yellow, should be avoided low well-diffused light with green and peach furnishings gives a soft and warm glow and provides relaxation. screens and shades used with a little imagination can provide soothing atmosphere Behaviour of the physiotherapist. Behaviour of physiotherapist is v. important to comfort the patient must inspire confidence, as fear ,is at the root of much of the tension appearance must be tidy dressing should be Suitable should be Punctual move calmly without hurry or hesitation manner must be courteous, pleasant and understanding voice should be low-pitched and. clear. simple explanation of the instructions, should be in language and terms which he can understand Conversation, on different topics may be important to comfort patient. habit of relaxation In successful cases a habit of relaxation is built up in place of a habit of tension, but the formation of new habits takes time. Regular and frequent practice on the part of the patient is essential, until finally he becomes, an expert in the art ofletting go or relaxing.