Introduction of Physiotherapy For Neurological Conditions

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Introduction To Physiotherapy In

Neurological Conditions

Dr Suraj B.Kanase
HOD Dep of Neurophysiotherapy
Krishna college of physiotherapy
• The field of neurology deals with the central and peripheral nervous
system and impairments in other systems related to the nervous
system disorders.
• Neurophysiotherapy has changed the face of rehabilitation.
• Historically, patients with neurological disorders were dealt with
compensatory approach by trying to use the unaffected parts.
• WHO developed the ICF, as an illness model to redefine the
rehabilitation approaches and shift the perspective from disablement
to enablement.
HISTORY PRINCIPLE TECHNIQUE
20th Century – Rampant polio Focus – structural anatomy Corrective exercise and muscle
cases and principles of exercises reeducation directed at
individual muscles

1950s Focus – non muscle elements Origin of neuromuscular


World war- brain injury neurophysiology facilitation exercises.
Bobath Encouraging developmental NDT
movement patterns
Kabat, Knott and Voss second Stimulation of nervous system PNF
half of 20th century
Rood, Ayres and brunnstrom Stimulation of nervous system Techniques based on
originator
1980s Developing research skills Techniques using knowledge
on human movement
Last few decades • technological developments •Greater understanding of
in motion analysis and EMG. brain reorganization and the
•New brain imaging methods mechanisms of motor control,
motor performance,
impairments and adaptions
•Examination of organizational
changes occuring within the
brain.
ROLE OF A PHYSIOTHERAPIST
Goals of Neuro-physiotherapist includes:
1. To analyze normal and abnormal movements.
2. To address wide range of impairments
3. To retard and prevent atrophy
4. To restore muscle mass and strength
5. Prevention and risk reduction training
6. providing rehabilitation services
7. Improving quality of life.
• Neurophysiotherapist needs sound knowledge of the following :

1. Basics of neuroanatomy and the functioning of the nervous system.

2. An overview of investigations and the drugs used.

3. Assessment techniques.

4. Knowledge of techniques used in physiotherapy.

5. Particular techniques needed for particular conditions.

6. Overall rehabilitation of neurological patient.


PHYSCIAL
SOCIAL COGNITIVE

COMPREHENSIVE
REHABILITATION
PROGRAM

CULTURAL PSYCHOLOGICAL
NEUROREHABILITATION TEAM

• PHYSICIAN •PHYSIOTHERAPIST •PATIENT

•NEUROLOGIST •OCCUPATIONAL •FAMILY

•NEUROSURGEON THERAPIST •SOCIAL WORKER

•PSYCHOLOGIST •SPEECH THERAPIST

•NURSE

•ORTHOTIST

•DIETICIAN
NEED FOR EVIDENCE BASED PRACTICE

• There is need for appropriate and comprehensive assessment using

relevant outcome measures that are important to a patient from

quality of life perspective of the patient.

• Physiotherapists need to embrace the responsibility of using evidence

based , or at least scientifically acceptable , methods of intervention.


INTEGRATED FRAMEWORK

Physiotherapists should be able to :

 Identify the problem.

 Determine factors that may affect the solution.

 Synthesize the information.

 Predict outcomes.

 Plan a management strategy for the said problem.


• Management of neurological patient can be divided into following

phases:

1. History and interview

2. Examination

3. Evaluation

4. Planning

5. Intervention

6. Re- examination or follow up.


QUESTIONS

1. Describe role of physiotherapist in neurological conditions.

2. What are steps of neurorehabilitation.

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