Constraint-Induced Physical Therapy

Most exercise is designed for neurorehabilitation, not cardiovascular health, so there is a very different definition for stroke patient exercise, as well as a very different goal set. Because strokes affect each person differently, treatment is also specific to the individual. The literature included in this review focuses on three different methods of exercise, each with very specific goals in mind. Cabanas-Valdés and collegues study was on Core and Trunk stability, Minyoung describes use of Virtual Reality enhanced exercise for treatment, and Tutak introduces the concepts behind Rehabilitation

The day-to-day writing in the field of Physical Therapy varies depending on the audience. The audience determines the purpose of the writing and writing style. Physical Therapists (PT) use evidence-based exercises and activities to rehabilitate their patients in order for them to reach their unique goal. Since PT’s work with both medical professionals and patients, they must adjust their writing to be able to communicate effectively. PT’s are just one of the many people in the medical field that may work with a particular patient so it is important that the communication between the different layers of the medical field are precise and clear. Writing to a patient is also important because they are the person who is being directly affected

Predominantly, a physical therapist must be compassionate and caring. My family members and I are accustomed to taking care of one another, regardless of the age or circumstance. Along with these age differences come different opinions; because of this, at a very young age, I quickly understood the meaning of empathy. I have become accustomed to practicing compassion at home, that it has now become second nature to me.

Stroke is a leading cause of adult disability and patients face multiple challenges, such as weakness/paralysis on one side of the body, social disability, inability to walk and self-care, the decline in community participation, and the decline in cognitive and emotional functioning. These challenges impede them from independently performing their daily activities related to work, school, parenting, or leisure. Evidence Based Practice shows that the best way to treat individuals with stroke is through the use of the mental practice. Mental practice is a training method during which a person cognitively rehearses a physical skill in the absence of overt, physical movements for the purpose of enhancing motor skill performance. It is a practice

occupational therapy is a form of therapy for those recuperating from physical or mental illness that encourages rehabilitation through the performance of activities required in daily life (insert citation). Matt patients are victims with injury to any part of the hand and forearm. Throughout the day, I observed Matt’s techniques for helping the hand regain full range of motion. He begins by placing his patient’s hand and arm in a fluid box filled with that contains sawdust for 15 minutes. The box will then begin to generate heat making the sawdust kick up in the box. When this happens, Matt, asks his patient to being moving his/her hand to help warm them up to lessen the stiffness After, the time is up Matt will begin doing a series of messages that target the ligaments, muscle, and bone that were affected by the injury. Then he will begin to make his patient go through series of strength tests to create a baseline to see how much they improve throughout the week of therapy.

There are numerous approaches to stroke rehabilitation, some of which are still in the early stages of development. Behavioral performance in any area, such as sensory-motor and cognitive function, is most likely to improve when motor activity is willful, repetitive and task specific.

The information in this literature review was collected from an expert interview and the search databases Science Direct, PubMed, and Google Scholar. The expert for the expert interview was selected based on experience with designing prosthetics for individuals that had lost their hand and potentially part of their arm (Birdwell, 2016). The databases were searched using keywords “spinal cord injury”, “hand movement”, and “fine motor movement”. In PubMed the selection was also narrowed down by selecting only studies done on humans. New terminology was searched through science direct due to the built in function that allows for key words from the article to be selected for further information from multiple books or journals.

While there are many ways that a person can specialize in the field of occupational therapy, one of the profession’s draws exists in the potential for variety and diversity. The goal of occupational therapy is to provide therapies and alternatives that allow clients to return to the things that they need to be able to do, and the things they want to be able to do. This is obviously a broad definition, and one that can be achieved in various groups, and through various methods. Occupational therapists can specialize in hand therapy, stroke rehabilitation, driving, community mobility, low vision patients, pediatrics, or geriatrics. In any of these specialties, a therapist can address their patient’s daily living activities, leisure, work, education, or social participation. An increased ability to participate in any of these activities can be facilitated through a variety of treatments: splinting, modalities, adaptive equipment, task modification, environmental modification, or activities centered on desired occupations.

Because this focuses on such a specific rehabilitation type, it provides a deeper insight on rehabilitation.

Over the weekend, I demonstrated the constraint induced therapy using my right hand as learned non-use for three hours to performed house chores and grocery shopping at safe way in my neighborhood. I experienced more difficulties in the store than at home. Specifically, when I reached my left hand forward to pull a shopping cart from the stack of shopping carts, I had to move my body against the cart to assist me. Additionally, when I made turns at the isles, I noticed that my shopping cart will get hard to move because my left hand does not pose the same amount strength as my right hand. Also, when scooping olives from the salad bar, getting the money out of my bag to pay for the groceries and carrying it to my apartment. When I got to my

Per our telephone conversation on Wednesday, March 22, 2017, you informed your VR counselor that you have terminated your physical therapy sessions and we both realize that your successful completion of physical therapy was an important step toward your participation in the work evaluation. The agency has been unable to provide VR services within the past two years and it appears that the agency will not be able to provide VR services in the foreseeable future.

The human brain is an amazing organ with its ability to fix or reorganize itself to adapt to negative or positive feedback. Taub took previous experiments and knowledge on neuroplasticity to improve an existing treatment for patients who had lost or decreased function in one of their extremities. The treatment is called Constraint-Induced Movement therapy or CI therapy. The basis behind CI therapy is that if the less disabled extremity is restrained, the patient will be forced to use their “bad” extremity, therefore increasing their range of motion and ability. Along with the restraint, patients were also asked to perform a number of shaping exercises. A shaping exercise consists of success in small steps, meaning there doesn’t have to be much

Constraint-induced movement therapy (CIMT) or modified versions of CIMT (mCIMT) are mainly based on learning to optimize the use of compensation strategies to enhanced cortical neuroplasticity (Kwakkel, Veerbeek, Wegen, & Wolf, 2015). CIMT or mCIMT are driven by repetition and the principles of task-specific and context-specific motor learning which improves motor control. Utilization of constraint induced therapy as interventions to assist Robert develop new skills with his non affected hand relates to motor learning theory in that, it requires task repetitions, practice, retention and transferring of skills that will foster motor performance improvement. The “learned non-use”, Roberts non-used of his right arm made it more difficult to

Physical therapy has grown increasing more useful as the years’ progress and more is learned about the human body and its movements, interactions, and mechanisms. Someone may go to physical therapy for injury, recovery, in order to maintain function, or even due to a stroke and is trying to work on walking again. Patients of a physical therapist can include, but is not limited to, elderly, children, accident victims, athletes, those with conditions such as arthritis or fractures, etc. The possibilities are endless for potential physical therapy patients (Mayo Clinic School of Health Sciences).

It is common for patients to create learned non-utilization of their weaker arm. Study shows about demonstrates the serious rehashed undertaking work on utilizing the weaker arm can enhance both the measure of utilization and nature of development prompting enhanced capacity and independence. Limitation induced development treatment depends on learned non-utilize which creates amid beginning times following a stroke as the patients acquaint with adjust for trouble utilizing the impaired extremities by expanding dependence of the in-place