Fantastic word salad! Absolutely useless to survivor understanding. If survivors can't understand what therapists are trying to do, it is doomed to failure.
Sensorimotor Approach To Improve Balance And Functional Activity In Stroke Rehabilitation.
Dr Ketaki Patani1*, Dr Sudhir Tungikar2, Dr Apjak3
1*Bpt, Mpt, Phd Scholar, Associate Professor Department Of Neurophysiotherapy
2Hod & Professor Department Of Medicine, Pims, Loni
3Associate Professor Department Of Copt, Pims, Loni
Citation: Dr Ketaki Patani et al. (2024) Sensorimotor Approach To Improve Balance And Functional Activity In Stroke Rehabilitation,
Educational Administration: Theory and Practice, 30(5), 938-943
Doi: 10.53555/kuey.v30i5.2991
ARTICLE INFO ABSTRACT
INTRODUCTION: Decreased balance is a common problem associated with
people following Stroke. Poor dynamic balance may hinder individual from
independent walking, one of the critical factor to achieve functional independence
in activities of daily living. Stroke is third leading cause of death ,long term
disability which can be regarded weakness , loss of muscle tone ,generalized
fatigue ,loss of voluntary control or limitation in mobility ,loss of balance,loss of
functional activity along with sensory and cognitive dysfunction. Sensorimotor
approach mainly focused on to improve functional activity and regain balance
after Stroke.
AIM: Sensorimotor approach to improve balance and functional activity in Stroke
Rehabilitation.
Methods: Data is collected by Principal investigator with all patients of Stroke
referred for PT by Department of Medicine with clinical diagnosis of Stroke. Study
design is Randomized Controlled Trial with Pre and Post experimental study.
Result: All 74 patient were assessed with SD using Chi-square test, Student’s
paired an unpaired‘t’ test ,Wilcoxon signed rank test, Mann Whitney U test
comparison is taken from all data.
Conclusion :After intervention with outcome measures experimental group
shows more improvement in Tone, balance as well as Quality of movement than
control group ,all the measurement shows Berg balance scale ,FIM and as well as
MASS significant improvement.
Introduction:
Decreased balance is common problem following associated with Stroke. Poor dynamic balance may hinder individuals from independent walking, one of the critical factor to achieve functional independence in activities of daily living. Stroke is major cause of long-term neurological disability in adults with appropriately all Stroke survivors left with severe functional problem in the acute stage of Stroke. This drastically impacts on performance of functional abilities, independent,selfcare and quality of life. The primary goal of rehabilitation is to assist Stroke survivors to relearn the skills that are lost due to brain damage. Stroke rehabilitation can help in regainingself independence and improve the Quality of life. Most stroke survivors are burdened with physical dysfunction continue with motor deficit into chronic phase of Stroke that have large effect on daily life. The primary goal of rehabilitation interventions to maximize UL motor recovery and functional independence with Stroke. The primary goal of rehabilitation is to assist Stroke survivors to relearn the skill that are lost due to brain damage. This will maximize functional independence, minimize long term disability and increase the activities of daily living. Stroke rehabilitation is only way to get motor and functional recovery. Rood’s approach is based on known physiological facts in that sensory stimulation provides desired muscular response and was specially designed for patients with motor control problem. Rood’s approach is based on four basic principles-
1) Normalization of tone using sensory stimulation. 2) Ontogenic development pattern 3) Repetition 4)
Purposeful movement. According to, Rood sensory stimulation can activate or deactivate the Receptor by facilitation or inhibition, which makes possible to get desired muscular response. Sensory stimulation causes
– 1) trophic changes by the axoplasmic flow in nerve processes over the period of time as well as 2) immediate effect by transmission of nerve impulses. According to, Rood’s clarified four types of Receptor ; Proprioceptor, Exteroceptor,Vestibular and Special sense organ .According to Rood muscle in combination of light work or phasic muscle or heavy work or tonic muscles. Rood categorized all flexors and adductors muscle group and phasic or mobility muscle and all extensor and abductor are categorized as tonic or stability muscles.
Facilitation or inhibition of proprioceptors,exteroceptors, vestibular and special sense organs can excite the anterior horn cell of spinal cord in which it is help to normalize the tone of muscles and for motor recovery. In this study, appropriate sensory stimuli, purposeful movement and Repetition component was employed in stimulating cortical area and development of motor skill. Somatosensory input to motor cortex normally plays vital role in learning new motor skill and takes crucial part in motor relearning after Stroke.
Sensorimotor approach from multiple sources is used by Central nervous system (CNS) to optimize functional performance(What?). Proprioceptive, exteroceptive and vestibular stimulation, purposeful movement and repetition of movement is essential for sensorimotor reeducation. The proprioceptive and extroceptive stimulation significantly improves motor recovery in post-stroke patient; which leads to improve ability of independent self care.
Decreased balance is common problem following associated with Stroke. Poor dynamic balance may hinder individuals from independent walking, one of the critical factor to achieve functional independence in activities of daily living. Stroke is major cause of long-term neurological disability in adults with appropriately all Stroke survivors left with severe functional problem in the acute stage of Stroke. This drastically impacts on performance of functional abilities, independent,selfcare and quality of life. The primary goal of rehabilitation is to assist Stroke survivors to relearn the skills that are lost due to brain damage. Stroke rehabilitation can help in regainingself independence and improve the Quality of life. Most stroke survivors are burdened with physical dysfunction continue with motor deficit into chronic phase of Stroke that have large effect on daily life. The primary goal of rehabilitation interventions to maximize UL motor recovery and functional independence with Stroke. The primary goal of rehabilitation is to assist Stroke survivors to relearn the skill that are lost due to brain damage. This will maximize functional independence, minimize long term disability and increase the activities of daily living. Stroke rehabilitation is only way to get motor and functional recovery. Rood’s approach is based on known physiological facts in that sensory stimulation provides desired muscular response and was specially designed for patients with motor control problem. Rood’s approach is based on four basic principles-
1) Normalization of tone using sensory stimulation. 2) Ontogenic development pattern 3) Repetition 4)
Purposeful movement. According to, Rood sensory stimulation can activate or deactivate the Receptor by facilitation or inhibition, which makes possible to get desired muscular response. Sensory stimulation causes
– 1) trophic changes by the axoplasmic flow in nerve processes over the period of time as well as 2) immediate effect by transmission of nerve impulses. According to, Rood’s clarified four types of Receptor ; Proprioceptor, Exteroceptor,Vestibular and Special sense organ .According to Rood muscle in combination of light work or phasic muscle or heavy work or tonic muscles. Rood categorized all flexors and adductors muscle group and phasic or mobility muscle and all extensor and abductor are categorized as tonic or stability muscles.
Facilitation or inhibition of proprioceptors,exteroceptors, vestibular and special sense organs can excite the anterior horn cell of spinal cord in which it is help to normalize the tone of muscles and for motor recovery. In this study, appropriate sensory stimuli, purposeful movement and Repetition component was employed in stimulating cortical area and development of motor skill. Somatosensory input to motor cortex normally plays vital role in learning new motor skill and takes crucial part in motor relearning after Stroke.
Sensorimotor approach from multiple sources is used by Central nervous system (CNS) to optimize functional performance(What?). Proprioceptive, exteroceptive and vestibular stimulation, purposeful movement and repetition of movement is essential for sensorimotor reeducation. The proprioceptive and extroceptive stimulation significantly improves motor recovery in post-stroke patient; which leads to improve ability of independent self care.
No comments:
Post a Comment