I am trying to picture somebody with limited range of motion in her knees but have a hard time imagining it.
Well, whatever the case may be, the only other alternative is the use of arms. The upper body ergometer has already been suggested but I wonder how practical this is for your setting. I would put a balloon on the recovery station and have the client use it like a punching ball for boxers.
Obviously, this is a compromise but if the goal is to keep the heart rate elevated during the weight training segments, this may help.
She could perform a lateral two step with her arms over her head. She can do an isolated twist her hips still and raising her arms overhead. She can perform toe taps forward/side and back and include corresponding arms. She tap her toe to each corner of the recovery board. She can do heel shuffles.
Hope this helps!
I would recommend the following:
Upper body ergometer
Upper body resistance training doing it in a circuit fashion
I would also add balance training and core training for this individual. This will stimulate the neuromuscular system to help prevent injury and unwanted joint motion. It will also enhance neuromuscular efficiency for more intense exercises later on
The biggest thing is a workout needs to be one that they will enjoy and stick with ( even with limited mobility). Keep it challenging yet feasible for the client.
I read your question about raising the heart rate of a member w/knee ROM limitation. Without direct knowledge of the situation(environment, personal particulars, etc.) being very general with my assumption of the w/o setup & area…
Assuming the recovery board sits @ least 3-6 inches off ground, if she can step up & down without much discomfort…
ask her to stand on 1 leg (keeping knees softly bent, never locked) & direct her in some varying arm rotations as a start. DO NOT ALLOW HER TO LOOK @ GROUND (remembering to alternate leg of course :D)
1. will keep her n tact w/group
2. will challenge her balance (bonus to whatever your doing already)
3. can help to build more stability in the knee (consider motion @ knee wisely, if @ all)
4. can add a new dimension for challenge for ALL w/some modification
Key: think safety, improvement factor, client comfort
The knee is a major activity center for body. It should, must be treated w/care or ….
…just a quick thought, hope it’s useful