Best Physiotherapy Exercises for In-coordination- Frenkel’s Exercises

Frenkel’s exercises are a very effective means of improving the coordination. In fact, it is very beneficial for the patient with sensory ataxia. This technique established control of movement by use of the alternate sensory mechanism, which is intact, usually visual, sound and touch. 

The main principles of Frenkel’s exercises are as follows:

  • Concentration or attention
  • Precision
  • Repetition

The patient is positioned in such a manner that he can see the movement. The therapist gives a concise explanation and even demonstrates the exercises so that the patient obtains a good mental picture of what he is expected to do. The patient should concentrate to perform a smooth and accurate movement. The speed of the movement is regulated by the therapist through the use of rhythmic counting, movement of her hand or the use of suitable music. 

The range of the movement is indicated by marking the spot on which the foot or hand is to be placed. The exercises are repeated many times until the patient perfect it and is able to perform it with ease. The exercises are made more difficult by incorporating more movements and more joints into the exercise. 

Slower movements need more control than rapid movements hence alteration in the speed of consecutive movements is very essential to offer a challenge to the patient. 

In a sitting position, one can even use the technique of joint approximation or rhythmic stabilization in order to bring about a contraction of the neck muscle that in turn can stabilize the neck.

Biofeedback can also be tried out to facilitate contraction of postural muscles of the neck and trunk. Good trunk control can be achieved by giving activities like prone on the elbow, prone on hand, on all fours, bridging, trunk rotations etc. putting the patient prone on the vestibular ball also helps in developing control of the trunk extensors. side sitting by taking weight already on both the hands also stimulates trunk stabilization.