|
Besøk/visitors siden siden/since 21. June/juni 2002:
Du er besøkende nr.(You're visitor no). 
her siden 13. des.1998 (since Dec.13th. 1998)
Sist
oppdatert / Last updated 19. mai / May 19. 2003
"Inntil 140%
forbedring i tommelens bevegelsesområde og inntil 118% forbedring i
evnen til å bevege fingrene, hver for seg..." / "Up
to a 140 % improvement in range of motion for the thumb and up to a 118 %
improvement in the ability to move one finger at a time..."
Rutgers, The State University Of New Jersey
NEW BRUNSWICK/PISCATAWAY, N.J. – Rutgers researchers have filed a patent
application for a PC-based virtual reality system that works alone to
provide stroke patients effective, intensive nontedious hand-impairment
therapy even years after a stroke has occurred.
"Virtual Reality-based Post-Stroke Rehabilitation" is
discussed in a paper presented Jan. 24 at the 10th annual Medicine Meets
Virtual Reality conference, by Grigore C. Burdea, director of the
Human-Machine Interface Laboratory at Rutgers' Center for Advanced
Information Processing.
The new system uses two types of sensor-equipped gloves along with
programs running on a PC to provide both therapy and a way for the
therapist to chart progress. In use, the patient's gloved hands are linked
to virtual hands on the PC monitor – the patient's actual hand movements
are mimicked on-screen. By interacting and playing with various onscreen
graphics – including fluttering butterflies, piano keyboards and
mechanical hands – the patient performs intensive rehab exercises
without drudgery. The PC-based design also opens the door for
"tele-rehabilitation" – the opportunity for therapists to work
with patients from remote locations.
The Rutgers researchers tested four patients with hand impairment
suffered in strokes from one to four years prior to the study. After three
weeks of the new therapy, the researchers found up to a 140 percent
improvement in range of motion for the thumb and up to a 118 percent
improvement in the ability to move one finger at a time. There were also
significant improvements in such areas as finger speed and finger
strength.
"We found that virtual reality alone could be used to improve the
condition of chronic stroke patients, without the use of traditional rehab
exercises," said Burdea. "It provides a way for patients to
completely immerse themselves in rehab, and actually look forward to
treatment. As a consequence, the results are fast and dramatic." ...mer/more...
Relaterte
liker / Related links
-
Virtual
Rehabilitation - Benefits and Challenges
-
Retraining
Movement in Patients with Acquired Brain Injury using a Virtual
Environment
-
Virtual
Reality in Neurological Rehabilitation: Coming of Age
-
Rutgers
Develops Virtual Reality Treatment For Hand Impairment In Chronic
Stroke Patients
Litt kaldt vann i Virtual
Reality-blodet / A note of scepticism on Virtual Reality rehab:
... Remarkable as it is Virtual Reality (VR) is a
technology which does seem to attract rather more than its fair share of
hyperbole. If those who advocate the use of VR in rehabilitation are to be
taken seriously by clinicians it is important to curb the temptation to
"over-claim" its virtues. The realities of day to day life on a
traumatic brain injury rehabilitation unit do not sit happily with such,
as yet, unsupported promise. We should be mindful of the observation made
in the National Academy of Sciences report (Durlach and Mavor, 1995), that
so far for VR the "excitement to accomplishment ratio" remains
high ...
mer/more...
Enig, dessverre
Antallet konkrete studier jeg klarte å finne, er forbausende få i
forhold til antallet forskningsartikler/prosjekter/omtaler jeg fant, men
noen finnes det jo, som den over her, skjønt metodene man beregner 140%
eller 118% bevegelsesforbedringer med, er kanskje ikke helt uangripelige
og objektive(?) Men at VR kan stimulere de neuroplastiske prosesser, som
utvikler alternative nerveforbindelser, virker jo besnærende logisk, så
jeg vil fortsette å se etter nyheter om VR-rehab. Om du kommer over noe
interessant om dette, vil jeg sette stor pris på å bli tipset!
Trond |
|
Helping
the brain fix its own wiring
Lauran Neergaard, The Associated Press
WASHINGTON -- Doctors have had little to offer stroke survivors who
lost the use of an arm. Now, Alabama scientists report that patients can
regain some movement with special intense rehabilitation -- forcing them
to use the bad arm by tying down the good one -- that may help the
stroke-damaged brain actually rewire itself.
Surprisingly, even patients who had strokes years ago improved.
"This offers hope that people can get better ... months and years
after the damage has occurred," said Harvard Medical School
neurologist Dr. Seth Finklestein. But the study, published yesterday in
the journal Stroke, has broader ramifications: It's another illustration
that the brain adapts after injury better than scientists once thought,
part of doctors' ultimate quest to one day spur that repair process.
"We are on the brink of a revolution in rehabilitation,"
predicts study author Dr. Edward Taub of the University of Alabama at
Birmingham ...
mer/more...
...Se
også / Also see...
|
|
Teaching
Me to Run
by Tommye-K.
Mayer
Prince Gallison Press
Book
Description
The story of how and why stroke survivor Tommye-K. Mayer taught her
stroke-paralyzed body to run culminating with finishing Boston's Tufts
10K.
Mayer will run the 2001 Kona Marathon as a member of the American Stroke
Association "Train to End Stroke" marathon team
|
the Lancet/ Doctor's Guide /
Er det liten langtidseffekt
av fysioterapi mot slagutfall?
DGReview
Only Limited Benefit At One Year After Community Physiotherapy For Stroke
A DGReview of :"Physiotherapy
for patients with mobility problems more than 1 year after stroke: a randomised
controlled trial"
Lancet
01/23/2002
By Harvey McConnell
Community physiotherapy given to patients after a stroke shows short-term
benefits at three months but the improvements are not sustained after one year.
Community physiotherapy is often prescribed for stroke patients with long-term
mobility problems. Dr John Green and colleagues from the Department of Health
Care for the Elderly, St Luke's Hospital, Bradford, England, aimed to assess the
effectiveness of this treatment in a single-masked, randomised, controlled
trial.
As the clinicians note, patients who have had a stroke often have long-term
difficulties with walking and other daily activities such as getting out of a
chair and climbing stairs. Falls are frequent and are a potentially serious
consequence of stroke.
Patients who have deteriorating mobility or who have fallen are often referred
for physiotherapy treatment by family practitioners and other agencies. However,
the benefit of community physiotherapy for patients with long-term mobility
problems after a stroke is inconclusive.
The researchers assessed 170 patients at baseline, three, six and nine months.
They were assigned community-based physiotherapy or no intervention. Primary
outcome measure was mobility (measured by the Rivermead mobility index), gait
speed, number of falls, daily activity, social activity, hospital anxiety and
depression scale, and the emotional stress of care givers.
Patients given physiotherapy showed minor improvements at three month follow-up
which was an increase of one point on the Rivermead mobility index, and an
increased gait speed of 2.6 metres per minute. However, these improvements were
not sustained over longer periods of follow-up.
The physiotherapy had no effect on daily activity, social activity, anxiety,
depression, and number of falls, or on emotional stress of carers.
Dr Green said: " The improvement in patients' mobility at three months,
although significant, was too small to be clinically important and was not
sustained. Patients who had fallen in the three months before the study and
patients who had very poor initial mobility showed the most improvement, but
this effect was not sustained past three months."
In a parallel and complementary qualitative study, the investigators interviewed
patients and care givers after physiotherapy treatment. "Patients were
thankful for the physiotherapy, but felt that treatments were not designed to
help them with their practical difficulties with daily activities. The aims of
treatment differed from the expectations of patients," the clinicians
added.
Dr Green, in a comment on the report, said : "The findings suggest that
low-intensity physiotherapy given to patients with stroke-related mobility
problems persisting a year after the stroke is not associated with clinical
benefit. New work is now needed to identify a more effective treatment or
treatments and to identify which patients should be particularly targeted."
Lancet 2002; 359: 199-203.
"Physiotherapy
for patients with mobility problems more than 1 year after stroke: a randomised
controlled trial
|
|
Course: 2.45s Date: DATE: June 13 -
15, 2001 (3 days) Tuition: $1,300 |
|
| Millions of people in the U.S. suffer
from movement disabilities as the result of injury and disease. Their
rehabilitation is labor-intensive, usually relying on one-on-one sessions
with therapists. Outcome assessment often has a substantial subjective
component, making it difficult to monitor treatment effects. Indeed, for
many disorders, it is unknown which therapies best promote recovery. Given
the pressure to reduce the cost of health-care delivery and the projected
growth of the population in the age groups most prone to neurologic
disorders, there is a need and opportunity for new technology to
facilitate recovery.
Robotic and information technologies can play a key role at all stages
of the recovery process, enabling new methods of treatment; improved
control of the type and amount of therapy; and more precise and objective
measurement to support diagnosis, prognosis and outcome assessment. Recent
work by several different groups has shown the efficacy of robot-aided
therapy for rehabilitation of patients recovering from stroke, the leading
cause of permanent sensory-motor disability in the U.S
This course will provide hands-on experience with a robotic therapy
workstation for clinicians and researchers; present the "state of the
technology" available for robot-aided rehabilitation; review progress
to date using robotic sensory-motor training to aid recovery from several
different neurological disorders; review the fundamental biological
mechanisms underlying neuro-recovery and how they may be enhanced by
sensory-motor stimulation; and present some of the novel data obtainable
from robotic instruments and the insights they may suggest. ...mer
/ more...
NB! Se nyhetsartikkel nedenfor
om Robots
Improve Movement In Stroke Patients
Note!
Cfr. the news item below: Robots
Improve Movement In Stroke Patients |
Slagrehabilitering? Finnes det noe slikt? Eller er dette mest et abstrakt begrep
uten særlig reellt innehold?
Vel, hittil er det vel
ikke så optimistiske prognoser, som kan gis til majoriteten av oss
slagpasienter, med de rådende rehabiliteringsmetodene?
De fleste av oss har vel
egentlig etterhvert bare måttet lære oss å akseptere at våre
lammelser, og andre slag-skader vil komme til å forbli omtrent uendret
resten av livet. Vi vil derfor her forsøke å kartlegge eventuelle andre/nye
medisiner og behandlingsformer, som har gitt resultater i
praktisk bruk Av spesiell interesse vil selvfølgelig da være
de nye utradisjonelle behandlingsmetodene, som f.eks.Vojta-Slagfysioterapi
på voksne slagrammede, Zanaflex-basert anti-spasmebehandling i
kombinasjon med fysioterapi og Elektromyografisk (EMG) biofeedback
("kognitive" rehabiliteringsmetoder), som alle
er i tildels utstrakt bruk i flere utland, men som virker forholdsvis ukjente og
uprøvede i de fagmiljøene her i landet, som jeg har klart å få kontakt med.
(Min egen erfaring med
EMG Biofeedback)
| NB! Etter at
ovenstående ble skrevet, i 1998, har jeg vært på to
rehabiliteringsopphold på SIAs nevrologiske rehabinstitusjon, og der ble
et EMG feedback hjelpemiddel tatt i bruk på prøvebasis av min
fysioterapeut. Jeg forsøkte det, men da signalstyrken i mine
nerveimpulser ikke oversteg 20 mA (milliAmpére) hadde apparatet liten
eller ingen effekt (produsentens angitte, nedre, grenseverdi, for
nytteffekt var nemlig ca. 20 mA.Men dette betyr jo ikke at
andre, med litt sterkere nerveimpulser, ikke vil kunne ha nytte av
teknikken! For EMG-biofeedbackteknikker, er som sagt omgitt med mye
interesse og forskning i utlandet (Trond) |
Spesielt håper vi derfor
å kunne gjengi personlige erfaringer med en eller flere
av disse metodene, fra medlemmer av Slaglisten, eller andre identifiserbare
personer og institusjoner, som evt. kan fremlegges for håndfast vurdering i
fagmiljøene. Og slik kanskje påvirke at nye metoder blir vurdert og tatt i
bruk raskere enn det som synes å være tilfellet nå. For 3 år etter
den internasjonale lanseringen (i 1996) er f.eks. Zanaflex
fremdeles tilsynelatende generelt ukjent i de medisinske fagmiljøene her i
landet, i det minste har min primærlege vært ute av stand til å finne
noesomhelst ut om det og nevrologene han har ringt (på SiA tror jeg) har
tydeligvis heller ikke hatt noe informasjon å gi ham, så behovet for en
systematisk kartlegging av nye medisiner og rehab-metoder virker åpenbar.
Øyensynlig er det ikke helt "typisk norsk" å være
tidlig ute.
Stroke Rehab? Is there such an animal, or is it mostly an abstract concept of
little or no real consequence?
Well, so far the
prognoses for the majority of Stroke victims, on basis of the prevalent
rehabilitation methods aren't too optimistic, obviously?
The majority of us have
been forced to accept that our paralyses and other, mental and/or physical
stroke related damages will have to remain unchanged for the rest of our
lives.Therefore the aim of this page, is to try to be an overview of other/new
medicines and rehabilitation techniques that have given better results than the
traditional methods, in actual, practical therapy. Of special
interest will be methods, such as Vojta Stroke Physiotherapy in
adult stroke victims, Zanaflex anti-spasticity treatment in
physiotherapy. and Electromyographic (EMG) biofeedback,
cognitive rehabilitation techniques, which are all in widespread use in foreign
countries, but seem relatively little known and untested in stroke rehab
institutions here in Norway (?)
(My personal experience
with EMG Biofeedback)
| Note! After
I wrote the above, (in 1998), I have been admitted, twice, to the
neurological rehab institution at the regional hospital here (SiA) and the
physiotherapist there applied EMG Biofeedback therapy on my paralyzed
hand, on a trial basis. However, my nerve signals were too weak for the
therapy to work properly, so I didn't benefit from it. Trond |
We especially hope to be
able to report personal experiences with these, or other methods, by the members
of Slaglisten (The Stroke List), or other identifiable persons or institutions,
that may be submitted to the proper professional authorities for evaluation, so
that promising new methods may be known and applied, sooner than what seems to
be the case at the present.
All information about
successfull/promising, new rehabilitation techniques will be most welcome!
Please submit your contribution(s) by clicking the envelope icon below:
Alle tips og hints om vellykkede rehab-metoder vil mottas med stor takk, send
dem inn her: 
Trond
| 5.mars 1999
Roald
Toskedal (Slaglisten):
Ny Anti-spasme behandling:
Mine erfaringer med Zanaflex
Jeg kommet godt i gang med denne Zanaflex/Sirdalud
medisinen, og det
gleder meg å melde at erfaringene er stort sett positive.
Så å si alle
ufrivillige spasmer forsvinner som dugg for solen, og bivirkningene
begrenser seg til kraftig munntørrhet og søvnighet. Jeg merker ingen
ekstra
svakhet i musklaturen, så det er det ingen risk for, vil jeg
tro. Og
søvnigheten begrenser seg til en times varighet en stund etter jeg har
tatt
pillen, resten av dagen er det som normalt,. denne søvnigheten har
også
avtatt over de månedene jeg har tatt medisinen, så nå merker jeg den
mye
mindre enn til å begynne med. Ellers tror jeg den er litt sterk på
magen,
for jeg har merket en viss økning i sure oppstøt og
"gassproduksjon", men
det er nå for småting å regne når rygg og nakke er blitt så
smidige som de var da jeg var 20... :-) Så, alt i alt en
positiv rapport fra meg!
(NB!
Alle uthevelser og understrekninger er gjort av meg, Trond)
Roald
http://home.sol.no/~roald1/
Kommentar:
Ja. du verden! Dette var virkelig en positiv
rapport Roald! Synd at Zanaflex
/ Sirdalud (som visstnok er det norske merkenavnet) jo synes å
være helt ukjent blandt medisinerere her i landet For jeg
har lest om en god del omtrent identiske erfaringer som dine, fra mange
andre, bl.a. på STROKE-L lista i USA.
Der har én slagrammet også beskrevet hvordan problemet med overstrukket
kne, som jo nesten 100% av alle slagpasienter sliter med, faktisk forsvant,
etter behandling med Zanaflex,
og at vedkommende etter dette hadde klart å trene opp tilnærmet normal
gange igjen. (det er nemlig hovedsaklig spasmer som holder kneet
overstrukket og hindrer kneet i å bøyes og falle naturlig fremover for
hvert skritt) Imidlertid er det jo ikke 2 slag som er like, så man skal
nok være forsiktig med å betrakte Zanaflex,
som en mirakelkur for alle slagrammede. Men at det virker
lovende er det liten tvil om!! (min lege fin-gransket imidlertid den
aller nyeste utgaven sin av legemiddelkatalogen, men fant ingen
referanser der, hverken til Zanaflex
eller Sirdalud, så det ser dessverre veldig dårlig
ut for slagrammede her i landet, hva angår det å få prøvet om
medisinen også kan hjelpe dem.)
Trond
Se ellers også tidligere
rapport fra Roald om hvordan han tilslutt klarte å få tak i Zanaflex
her i Norge og beslutningen om delvis refusjon av
utgiftene. Og også den interessante artikkelen: Zanaflex®
As A Treatment For Spasticity fra Expert Forum på
Internet (for MS-rammede.)
5.mars 1999
Roald
Toskedal (Slaglisten):
CellCom
Nå bruker ikke Sirdalud lenger, for
jeg har nå kjøpt et sånt
CellCom - apparat selv (den typen Terapeuten min
bruker), og nå tar kona
CellCom behandling på meg en gang for dagen, og det
tar faktisk spasmene
like effektivt som Sirdalud. Her kan du lese om det:
http://www.hugo-nielsen-instituttet.dk/
Dette apparatet har også den fordelen at jeg kan bruke det selektivt -
har
jeg spasmer i armen, så bruker jeg det bare på armen og ikke på hele
kroppen, slik pillene virker....
Kanskje du burde legge inn en link til Hugo Nielsen Instituttet på
rehab.siden?
Apparatet er nok litt dyrt, kr 3600,- inkl. mva, men pillene er nå ikke
gratis de heller.... :-)
Roald
http://home.sol.no/~roald1/
Kommentar:
Problemet her er i forhold til Zanaflex er vel kanskje at CellCom,
åpenbart krever assistanse fra andre for å kunne benyttes. Selv
forsøkte jeg TES-terapi
etter henvisning fra nevrolog på Rigshospitalet i København, og også
det virket veldig gunstig (dempende) på spasmene jeg hadde i
benet og muliggjorde faktisk knebøy i det
rammede benet etter bare noen måneders bruk, men TES-apparatet
forutsetter kontinuerlig oppfølging av spesialutdannet
nevrolog/fysioterapeut for stadig re-plasering av elektrodene, om
optimalt resultat skal oppnås. Feilplassering kan nemlig medføre at
man forsterker spasmene istedet for å dempe
eller fjerne dem! (I tillegg vil man ofte være avhengig av hjelp til
såvel påsetting, som av-tagning av elektrodene).
Imidlertid finnes såvidt jeg har klart å avdekke, overhodet ingen
nevrologer / terapeuter her i Norge som er utdannet i TES-terapi,
og det ble for dyrt og tungvint å måtte reise til Rigshospitalet i
København for å få justert plasseringen av elektrodene så ofte som
terapien forutsetter. Så derfor ble det dessverre avbrudd i
behandlingen, med den følge at mitt venstre ben nå igjen er helt
stivt, og knebøyen fullstendig forsvunnet. Og min gangfunksjon
er derfor blitt veldig mye dårligere igjen. Fra å kunne gå 50-100m
på egenhånd (med stokk) etter TES-behandlingen,
er jeg nå tilbake på startpunktet med bare noen få meters
aksjonsradius og en veldig stor balanse-usikkerhet, fordi det er en
kontinuerlig tendens tilå snuble frem over det spastiske benet, når
tåspissen skrubber i bakken. Så etter et ganske stygt slikt
"snublefall" midt på kjøkkengulvet, med medfølgende
fobi for store åpne flater, der det er langt til faste støttepunkter
driver jeg nå igjen å "sniker" meg langs veggene for å ha
noe håndfast å gripe tak i når jeg snubler.
TES-apparatet kostet ca
12.000 med nødvendige elektroder ($1.700+ 23% moms, og frakt) og med
reise og hotellopphold i København, ble dette en mye dyrere
affære enn hva vi egentlig hadde råd til. Så, sålenge det ikke
finnes noen kunnskap om slik terapi her i Norge, kan jeg dessverre
ikke anbefale behandlingen, tiltross for at den altså hadde en
åpenbart gunstige virkning på meg i den korte tiden (ca. 6 måneder)
som den pågikk.
Det foregår forøvrig en stor "dobbel
blind"-studie av TES
på Rigshospitalet i København, der 90 CP-rammede barn
deltar, for om mulig, endelig å få fastslått effekten av TES-terapi
i nevrologisk rehabilitering med videnskapelige metoder. Og selv om jeg
ikke lenger altså aktivt driver med denne behandlingen, er jeg meget
spent på resultatet av den danske studien. Ikke minst fordi full
TES-terapi også omfatter kognitive
rehabiliteringsmetoder, som
Elektromyografisk biofeedback. når TES-terapien alene ikke gir
tilstrekkelig gode resultater. Så studien burde kanskje kunne gi noen
indikasjoner også om EMG-Biofeedback.En mindre,
tilsvarende TES-studie ble
foretatt på universitetet i Bergen for noen år siden, men var visstnok
mislykket fordi tolkningen av resultatene ikke kunne gjøres entydige.
En situasjon som Dr. Juel hansen ved Rigshospitalet i København,
forsikret meg ikke skulle kunne oppstå der fordi man hadde lagt
ned enormt mye forhåndsarbeide i å definere metoder for entydig
registrering av resultatene. Studien i Bergen, har ellers forundret meg
veldig da den jo åpenbart indikerer at TES-terapien
er kjent her i landet, noe jeg (og min
daværende fysioterapeut) aldri klarte å få bekreftet (i 1996.) og som
jeg heller ikke har sett noen andre indikasjoner på siden dengang.
I Danmark finnes det imidlertid flere sertifiserte
TES-terapeuter, på ulike steder i landet (både nevrologer og
fysioterapeuter.) Så de som har råd kan jo evt. kombinere et
ferieopphold der med TES-terapi. Men vent til resultatene av den store
TES-studien foreligger.
Trond
|
Scand J Rehabil Med
1998 Jun;30(2):95-9
Stimulation
with low frequency (1.7 Hz) transcutaneous electric nerve stimulation
(low-tens) increases motor function of the post-stroke paretic arm.
Sonde L, Gip C, Fernaeus SE, Nilsson CG, Viitanen M
Division of Geriatric Medicine, Karolinska Institute, Huddinge
Hospital, Sweden.
The object of this study is to determine if the functional motor
capacity of the paretic extremity can be improved by stimulation with
low intensity low frequency (1.7 Hz) transcutaneous electric nerve
stimulation (Low-TENS), started 6-12 months after a stroke. Forty-four
patients who had a paretic arm as a consequence of their first stroke
were included and randomly assigned to either a treatment group (n = 26)
or a control group (n = 18). Patients in both groups received
physiotherapy at a day-care center, usually twice a week. The treatment
group received, in addition, Low-TENS for 60 min, five days a week for
three months. Results showed that motor function increased
significantly in the treatment group, compared to controls. The
Low-TENS did not decrease (increase?) either pain or spasticity. It is
concluded that stimulation by means of Low-TENS could be a
valuable complement to the usual training of arm and hand
function in the rehabilitation of stroke patientsin
the rehabilitation of stroke patients.
Publication Types:
 | Clinical trial |
| Randomized controlled trial |
PMID: 9606771, UI: 98269616
23.mars
1999
Spesialtrening for slagrammede:
This HTML version adapted by Mark Henderson-Thynne
http://galway.informatik.uni-kl.de/staff/weidmann/pages/stretch/stretching_4.html
PNF
Proproiceptive Neuromusular
Facilitation
Remember that during an isometric stretch, when the muscle
performing the isometric contraction is relaxed, it retains its ability
to stretch beyond its initial maximum length (see section How
Isometric Stretching Works). Well, PNF tries to take immediate
advantage of this increased range of motion by immediately subjecting
the contracted muscle to a passive stretch.
The isometric contraction of the stretched muscle accomplishes
several things:
- As explained previously (see section How
Isometric Stretching Works), it helps to train the stretch
receptors of the muscle spindle to immediately accommodate a
greater muscle length.
- The intense muscle contraction, and the fact that it is maintained
for a period of time, serves to fatigue many of the fast-twitch
fibers of the contracting muscles (see section Fast
and Slow Muscle Fibers). This makes it harder for the fatigued
muscle fibers to contract in resistance to a subsequent stretch (see
section The
Stretch Reflex).
- The tension generated by the contraction activates the golgi
tendon organ (see section Proprioceptors),
which inhibits contraction of the muscle via the
lengthening reaction (see section The
Lengthening Reaction). Voluntary contraction during a stretch
increases tension on the muscle, activating the golgi tendon organs
more than the stretch alone. So, when the voluntary contraction is
stopped, the muscle is even more inhibited from contracting against
a subsequent stretch.
PNF stretching techniques take advantage of the sudden
"vulnerability" of the muscle and its increased range
of motion by using the period of time immediately following the
isometric contraction to train the stretch receptors to get used to this
new, increased, range of muscle length. This is what
the final passive (or in some cases, dynamic) stretch accomplishes
(my emphasis/mine uthevelser, Trond Ruud)
Forskning på slagrehab:
Robots Improve Movement In
Stroke Patients
American Academy Of Neurology /
Science Daily
Stroke patients aided by "robot therapists" gain
significant improvements in movement, according to a study in the
November 10 issue of Neurology,
the scientific journal of the American
Academy of Neurology. Results suggest that both initial and
long-term recovery are greater for patients assisted by
robots during rehabilitation!
To improve recovery of the shoulder and upper arm, neurologists
teamed with engineers at Massachusetts Institute of Technology (MIT) to
create an interactive "robot therapist." The robot was
designed to help patients consistently exercise an arm paralyzed by
stroke, even when patients cannot move the arm on their own. ...mer/more...
(Uthevelser laget av meg / Emphasis added by me, Trond)
13.5.2001
Musical
Rehabilitation?
Musikk
i rehabilitering?
Mayatek: The
TASC Network
Why
Music For Motor Retraining
Two of the brain's three
main auditory areas deal with language. In the common forms of brain
injuries or strokes, these areas, located mainly on the left side of the
brain, may be damaged. Due to differences in regional blood supply, the
Primary Auditory Area which controls movement to music is generally
spared. Complex movements can be accomplished even in the presence of
severe damage to certain motor areas.
Most of what we know
about how this happens has come from observing people with various brain
injuries and their responses to music. People with stroke or even
advanced Alzheimer's disease may still be able to dance.
When damage occurs, the
level and severity of injury determine the resulting neurologic
syndrome. With growth and development in a child or with functional
reorganization for children and adults, some recovery can be expected.
Augmenting The
Process
Walking and moving in
time to music can take advantage of the frequently undamaged primary
auditory motor system. With practice, the individual can learn to access
this area automatically, without the need for auditory cues. Recall of
the music and pace can act as a trigger.
In clinical tests of
this specially constructed music in subjects with ambulatory cerebral
palsy, first use resulted in a 20 to 35% improvement
...mer/more... |
Home
Up
|
