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Objectives:
To Discuss The Latest Physical Therapy Approaches Used In
Neuro-rehabilitation.
Current Treatment
Approaches
Rehabilitation approaches are based on Theories of Motor Learning. These includes RIMT
Biofeedback
CIMT
CONCEPT
To improve functional (meaningful) use of an impaired limb through the systemic application of shaping and repetitive use strategies without employing the contra lateral limb over a defined time interval
Sports Clinic & Physiotherapy Centre
Our Behaviors Affect Our Brain As Much As Our Brain Affects Our Behaviors
EXCLUSION CRITERIA
Under the age of 18 Terminal illnesses Intent to move or relocate too far away Ongoing pharmacological therapy Intended pharmacologic therapy Not meet minimal motor criteria Extreme aphasia or mental incompetence
Sports Clinic & Physiotherapy Centre
TRAINING
2 weeks training and up to 6 hours per day Repetitive task practice Shaping Home exercise concurrent ten days of intensive exercise of the affected upper limb for four hours daily
Sports Clinic & Physiotherapy Centre
Tasks included
Quoits, peg boards, cards, puzzles, stacking blocks, jigsaws and dominos. Each task was progressed by making the participants reach further or faster, or by using smaller pieces. Prior to intervention two pre-treatment measurement sessions were undertaken to provide a baseline measure of upper limb ability for each participant. Two post-treatment measurement sessions were undertaken at one week and three months after the intervention.
The exercises were based on a battery of tasks developed by Taub (2001, unpublished information) and outlined in previous research (Morris et al. 1997, Taub et al. 1994). Sports Clinic & Physiotherapy Centre
EVALUATION
Pre intervention Post intervention Every 4 months for 2 years Delayed group receives treatment during second year
Types of CONSTRAINTS
sling Splint Socks
Outcome Measures
The following measures were selected as primary outcomes to assess upper limb impairment and function: The Fugl-Meyer Assessment (FM) upper extremity) The Motor Assessment Scale (MAS) The Nine-Hole Peg Test
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