KEY ELEMENT AND PINICPLES OF NEURO REHABILITAION


We should always treat in upright positions work on Alignment Reactive postural control Righting reactions Postural adjustments Adaptive postures and reactions Change BOS first then COG then orientation or alignments We should always work at the end  limit of stability. it should be just enough to challenge it. Not too much out of LOS orContinue reading “KEY ELEMENT AND PINICPLES OF NEURO REHABILITAION”

TO LEARN NEURO REHABILTATION, IT IS IMPORTANT TO LEARN THE PAEDIATRIC REHABILITATION


During my practice of neuro rehabilitation of adult, i understood that the better i could understand and manage a baby with cerebral disorder, i got better understanding of management of adult neuro case. In children with cerebral palsy, and small baby’s who do not understand us and cant follow the command, itself it is aContinue reading “TO LEARN NEURO REHABILTATION, IT IS IMPORTANT TO LEARN THE PAEDIATRIC REHABILITATION”

ANY SENSORY STIMULUS WHICH IS PURPOSELESS IS USELESS


During sensory facilitation in neuro rehabilitation we use tapping, weight bearing, and joint compression to facilitate the motor control in upper limb. Most of the time therapist use weight bearing through upper limb either in prone on elbows, quadruped, or in sitting weight bearing through upper limb with hand kept either sideways or backward. MostContinue reading “ANY SENSORY STIMULUS WHICH IS PURPOSELESS IS USELESS”

HOW TO IMPROVE AROUSAL IN PATIENTS HAVING COMATOSE STATUS OR LOW SCORE ON GLASGO COMA SCALE?


Patients with brain injury or stroke patients with loss of consciousness they have multiple problems. Major problem is loss of consciousness, less arousal and alertness. Along with loss sensory motor control. Coma stimulation program emphasis on use of sensory stimuli of different nature. Such as use  of auditory stimuli, olfactory, visual & somato sensory stimulation.Continue reading “HOW TO IMPROVE AROUSAL IN PATIENTS HAVING COMATOSE STATUS OR LOW SCORE ON GLASGO COMA SCALE?”

MOTOR LEARNING PROGRAM(MRP): MRP provides practical guidelines


Carr & Shepherd, Australian physical therapist, among a growing group of physical therapists , occupational therapist  & movement scientist (who apply principles of motor learning to practical rehabilitation intervention for people with motor difficulties due to CNS dysfunction. Clients who demonstrate potential to improve motor control decrease the opportunity to learn to perform motor taskContinue reading “MOTOR LEARNING PROGRAM(MRP): MRP provides practical guidelines”

MOTOR LEARNING PROGRAM (MRP):Theoretical framework


Theoretical framework             The framework on which a Carr & Shepherd’s approach is based includes the dynamical systems theory of motor control, the plasticity of the CNS, & the maladaptive biomechanical changes that occurs after CNS injury. Principles of motor learning guide the therapist in structuring the therapeutic environment to maximize patient’s recovery of motorContinue reading “MOTOR LEARNING PROGRAM (MRP):Theoretical framework”

MOTOR LEARNING PROGRAM (MRP);Theoretical framework:1. Dynamic system theory & CNS plasticity


MOTOR LEARNING PROGRAM (MRP);Theoretical framework  1. Dynamic system theory & CNS plasticity A principle of dynamic system theory, is that organism demonstrate an inherent capacity to self organize throughout life (Perry, 1998). Plasticity (Kolb, 1995) is a capacity to reorganize after disruption & to adapt to functional demands. Although a damaged tissue does not structurallyContinue reading “MOTOR LEARNING PROGRAM (MRP);Theoretical framework:1. Dynamic system theory & CNS plasticity”

MOTOR LEARNING PROGRAM (MRP);Theoretical framework: 2. Development of maladaptive strategies


 2. Development of maladaptive strategies Attempt to move leads to Obstacles to efficient movement (Negative control parameters) Ø Diminished soft tissue extensibility Ø Impaired balance Ø Insufficient endurance Ø Specific muscle weakness leads to Maladaptive movement strategy (Inefficient deep well attractor state)

MOTOR LEARNING PROGRAM (MRP): 3. Principle of the functional task oriented approach.


3. Principle of the functional task oriented approach. The task-oriented approach is based on a systems model of motor control & theories of motor learning. The approach attempts to understand the problems faced by the nervous system to control & learning from the perspective of neurophysiology, biomechanics, & behavioral sciences.  Within this frame work, motorContinue reading “MOTOR LEARNING PROGRAM (MRP): 3. Principle of the functional task oriented approach.”

COMPARISION OF BOBATH APPRPACH & MOTOR LEARNING PROGRAME


BOBATH APPROACH MOTOR LEARNING PROGRAMM Model of motor control Hierarchical Movement are elicited by sensory input or controlled by central programs. Open loop & closed loop control is used. Feedback & feed-forward influences movements. CNS is hierarchically organized, with higher centers controlling lower centers. Reciprocal innervations are essential for coordinated movement. Systemic model Personal &Continue reading “COMPARISION OF BOBATH APPRPACH & MOTOR LEARNING PROGRAME”