Spastic muscles cant do eccentric lengthening


Spastic muscles are in the state of concentric contractions can’t do eccentric lengthening. Spastic muscles are in shortened state and active eccentric contraction in difficult. This can be due to a. Weakness of antagonistic muscle b. Due to reciprocal inhibition causes relaxation of antagonistic muscle Spastic muscles act like spring that work in concentric contraction andContinue reading “Spastic muscles cant do eccentric lengthening”

Never plan the therapeutic management based on the medical diagnosis or cause of stroke


All students and the therapists who are treating patients with stroke must have thought or heard this kind of question in their practice. What is the therapeutic management of frontal lobe bleed/infarction? What is the therapeutic management of occipital bleed /infarction? What is the therapeutic management of parietal bleed /infarction? What is the therapeutic managementContinue reading “Never plan the therapeutic management based on the medical diagnosis or cause of stroke”

Never plan the therapeutic management based on the diagnosis or cause of stroke, but based on sign and symptoms and the patients’ occupational demands.


All students and the therapists who are treating patients with stroke must have thought or heard this kind of question in their practice. What is the therapeutic management of frontal lobe bleed/infarction? What is the therapeutic management of occipital bleed /infarction? What is the therapeutic management of parietal bleed /infarction? What is the therapeutic managementContinue reading “Never plan the therapeutic management based on the diagnosis or cause of stroke, but based on sign and symptoms and the patients’ occupational demands.”

Every patient of thalamic bleed doesn’t show symptoms of thalamic syndrome…!


 Most of the patients with thalamic bleed don’t show the typical symptoms of thalamic syndrome or thalamic pain. These bleeds are around the basal ganglion and internal capsule so they do show signs of hemiplegia and some will show signs of hemianesthesia on opposite side of body. We assume that every patient of thalamic bleedContinue reading “Every patient of thalamic bleed doesn’t show symptoms of thalamic syndrome…!”

DO NOT STRETCH CALF (TENDO ACHILLES TENDON) TIGHTNESS If IT DON’T HAVE GOOD STRENGTH IN PLANTAR FLEXORS


DO NOT STRETCH CALF (TENDO ACHILLES TENDON) TIGHTNESS If IT DON’T HAVE GOOD STRENGTH Most of the neurological cases presents with calf (Tendo Achilles tendon) tightness i.e hemiplegic, paraplegic, cerebral palsy & Parkinsonism. On routine examination we come across mild to moderate TA tightness. And common line of treatment is TA stretching. But very fewContinue reading “DO NOT STRETCH CALF (TENDO ACHILLES TENDON) TIGHTNESS If IT DON’T HAVE GOOD STRENGTH IN PLANTAR FLEXORS”

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”

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): 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.”