Neurology Treatment Techniques: Difference between revisions
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=== Constraint Induced Movement Therapy === | === Constraint Induced Movement Therapy === | ||
The term Constraint-Induced Movement Therapy (CIMT) describes a package of interventions designed to decrease the impact of a stroke on the upper-limb (UL) function of some stroke survivors <ref name="CIMT">Morris DM, Taub E, Mark VW. Constraint-induced movement therapy: characterizing the intervention protocol. Eura Medicophys. 2006;42(3):257–68</ref>. It is a behavioural approach to neurorehabilitation based on "Learned- Nonuse" <ref>Taub, E.,Uswatte, G. Constraint-induced movement therapy: answers and questions after two decades of research. 2006 NeuroRehabilitation, 21(2), 93-95.</ref> . | |||
CIMT is typically performed for individuals following a Cerebrovascular Cccident as between 30-66% will experience some functional loss in their impaired limb <ref>Kwakkel, G., Kollen, B. J.,Wagenaar, R. C. Therapy impact on functional recovery in stroke rehabilitation: a critical review of the literature. 1999 Physiotherapy, 85(7), 377-391.</ref>. Furthermore, CIMT has also been performed for individuals with Cerebral Palsy, Traumatic Brain Injury and Multiple Sclerosis. The aim of CIMT is to improve and increase the use of the more affected extremity while restricting the use of the less affected arm.<br>The three major components of CIMT include <ref name="CIMT" />; | |||
#Repetitive, structured, practice intensive therapy in the more affected arm | |||
#Restraint of the less affected arm | |||
#Application of a package of behavioural techniques that transfers gains from the clinical setting to the real world (i.e. making it functional) | |||
For more detailed information about CIMT read the Physiopedia Page; | |||
[http://www.physio-pedia.com/Constraint_Induced_Movement_Therapy www.physio-pedia.com/Constraint_Induced_Movement_Therapy] | [http://www.physio-pedia.com/Constraint_Induced_Movement_Therapy www.physio-pedia.com/Constraint_Induced_Movement_Therapy] | ||
Articles: | Articles: | ||
*[http://ptjournal.apta.org/content/87/9/1212 Revisiting Constraint-Induced Movement Therapy: Are We Too Smitten With the Mitten? Is All Nonuse “Learned”? and Other Quandaries] | *[http://ptjournal.apta.org/content/87/9/1212 Revisiting Constraint-Induced Movement Therapy: Are We Too Smitten With the Mitten? Is All Nonuse “Learned”? and Other Quandaries] | ||
Revision as of 17:48, 25 March 2016
Introduction[edit | edit source]
A wide range of treatment techniques and approaches are utilised in Neurological Rehabilitation.
Facilitation[edit | edit source]
Tapping[edit | edit source]
Brushing[edit | edit source]
Cryotherapy[edit | edit source]
Passive Stretching[edit | edit source]
Joint Compression[edit | edit source]
Vibration[edit | edit source]
Vestibular Stimulation[edit | edit source]
Facilitation of Movement[edit | edit source]
Normalisation of Tone & Maintenance Soft Tissue Length[edit | edit source]
Passive Stretching[edit | edit source]
- Seriel Casting
www.physio-pedia.com/Ponseti_method
Positioning[edit | edit source]
Pressure[edit | edit source]
Neutral Warmth[edit | edit source]
Cryotherapy[edit | edit source]
Vibration[edit | edit source]
Massage[edit | edit source]
Massage uses pressure to direct venous and lymphatic flow back towards the heart. It is therefore important that the movement is always in this direction so that there is no undue pressure on the closed valves in the veins. These valves prevent backflow of blood by only allowing blood to move in one direction (i.e. toward the heart). As the pressure from the heart pumping subsides and the blood moves back, the valves close and prevent any further back flow.
Massage may also be used to stretch muscle fibres. In this case, the direction is not as important as the strokes are much shorter and therefore pressure in the wrong direction is not significant enough to cause damage.
Physical Activity & Exercise[edit | edit source]
Hydrotherapy[edit | edit source]
Hydrotherapy is a definition for exercise in warm water and is a popular treatment for patients with neurologic and musculoskeletal conditions [1]. The goals of this therapy are muscle relaxation, improving joint motion and reducing pain [2]. This therapy is been used for thousands of years. (Level of Evidence A1)
www.physio-pedia.com/Category:Hydrotherapy
Proprioception Neuromuscular Facilitation[edit | edit source]
Cardiovascular Training[edit | edit source]
Strength Training[edit | edit source]
Exercise Prescription[edit | edit source]
Treadmill Training[edit | edit source]
Pilates
[edit | edit source]
Pilates is a system of exercises using special apparatus, designed to improve physical strength, flexibility, and posture and enhance mental awareness [3].
Tai Chi[edit | edit source]
Constraint Induced Movement Therapy[edit | edit source]
The term Constraint-Induced Movement Therapy (CIMT) describes a package of interventions designed to decrease the impact of a stroke on the upper-limb (UL) function of some stroke survivors [4]. It is a behavioural approach to neurorehabilitation based on "Learned- Nonuse" [5] .
CIMT is typically performed for individuals following a Cerebrovascular Cccident as between 30-66% will experience some functional loss in their impaired limb [6]. Furthermore, CIMT has also been performed for individuals with Cerebral Palsy, Traumatic Brain Injury and Multiple Sclerosis. The aim of CIMT is to improve and increase the use of the more affected extremity while restricting the use of the less affected arm.
The three major components of CIMT include [4];
- Repetitive, structured, practice intensive therapy in the more affected arm
- Restraint of the less affected arm
- Application of a package of behavioural techniques that transfers gains from the clinical setting to the real world (i.e. making it functional)
For more detailed information about CIMT read the Physiopedia Page;
www.physio-pedia.com/Constraint_Induced_Movement_Therapy
Articles:
Robotics[edit | edit source]
Virtual Reality[edit | edit source]
- www.physio-pedia.com/The_effectiveness_of_gaming_technology_in_neurological_rehabilitation
- www.physio-pedia.com/The_emerging_role_of_Microsoft_Kinect_in_physiotherapy_rehabilitation_for_stroke_patients
Cueing[edit | edit source]
Electrotherapy[edit | edit source]
Transcutaneous Electrical Nerve Stimulation[edit | edit source]
Electrical Stimulation of Muscle[edit | edit source]
Biofeedback[edit | edit source]
Other[edit | edit source]
Orthotics[edit | edit source]
Acupuncture[edit | edit source]
String Wrapping[edit | edit source]
- String Wrapping versus Massage for Reducing Digital Volume.
Flowers KR1. Phys Ther. 1988 Jan;68 (1):57-9.
Recent Related Research (Pubmed)[edit | edit source]
- ↑ Hiroharu K., Kiichiro T. Effectiveness of Aquatic Exercise and Balneotherapy: A Summary of Systematic Reviews Based on Randomized Controlled Trials of Water Immersion Therapies. Journal of epidemiology 2010; Vol.20;1:2-12.fckLRLevel of evidence 1 (A1)
- ↑ Eversden L, Maggs F, Nightingale P, Jobanputra P. A pragmatic randomized controlled trial of hydrotherapy and land exercises on overall well being and quality of life in rheumatoid arthritis. BMC Musculoskeletal Disorders 2007;Vol.8:23fckLRLevel of evidence 2 (A2)
- ↑ Oxford Dictionaries, Definition of Pilates in English. Available from: http://oxforddictionaries.com/definition/english/Pilates (accessed 20 Mar 2016).
- ↑ 4.0 4.1 Morris DM, Taub E, Mark VW. Constraint-induced movement therapy: characterizing the intervention protocol. Eura Medicophys. 2006;42(3):257–68
- ↑ Taub, E.,Uswatte, G. Constraint-induced movement therapy: answers and questions after two decades of research. 2006 NeuroRehabilitation, 21(2), 93-95.
- ↑ Kwakkel, G., Kollen, B. J.,Wagenaar, R. C. Therapy impact on functional recovery in stroke rehabilitation: a critical review of the literature. 1999 Physiotherapy, 85(7), 377-391.
