Disadvantages Of Bobath Approach

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

* Relaxes the muscles – enables the therapist to work on the muscles without causing discomfort to the client

De, D., & Wynn, E. (2014). Preventing muscular contractures through routine stroke patient care. British Journal of Nursing, 23(14), 781-786. doi:10.12968/bjon.2014.23.14.781

following a stroke the client usually has weakness in the left side of the body so physiotherapist will aim to create a work out plan

Construct Validity of the BDAE was assessed by Larson et al., (2005)through comparing it to the Repeatable Battery for the Assessment of Neuropsychological Status in 88 clients with stroke and the ranged from adequate to

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

The interventions that I observed was the use of contrast bath for the Chronic Regional pain, E-stim, Ultrasound, hot packs for the pain management as well as to decrease the stiffness and swelling. The activity that I observed were ROM arc to increase movement in the bilateral upper extremities, sand box to increase core strength, Theraputty, peg boards, cognition pattern puzzles, visual perception puzzles, arm bike (rollator), bolts and screw for fine motor coordination, mini mental test to intact orientation as well as memory. I observed how therapist were teaching the patients to increase independence while transferring from bed to wheelchair to commode. I observed the use of adaptive devices to make the patient as functional as possible with their daily activities such as long handled shower brush, Reacher, sock aid, leg lifter, adaptive heavy weighted utensils and many

Afflicted by left-side Hemiplegia and bound to a wheelchair, my grandmother’s life was not one of ease. By the time I was born she had been living with her barriers for thirty years and had learned to compensate due to her astounding will and surrounding subpar medical practices. As a child I thought nothing of the fact that my grandmother was stricken with paralysis until I witnessed her take a turn for the worse and suffer another hemorrhagic stroke. Her recovery was long and arduous yet, it was a blessing that brought us closer together and nudged me down the path of Occupational 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.

This type of therapy is one that many people have never heard of, and therefore, do not recognize what it can do to help stroke patients. WebMD explains that occupational therapy helps make sure that an individual is capable of doing everyday tasks (Beckman). As a result, therapists who specialize in this field are more likely to use the glove to help their patients. Stephen H. Scott and Sean P. Dukelow express in their article “Potential of Robots as Next-Generation Technology for Clinical Assessment of Neurological Disorders and Upper-Limb Therapy” that doing exercises such as moving cups from one end of a table to another or picking up a pen and holding it in a writing position help to reteach the brain that these are normal functions and the hand should be able to move in these ways on its own (339). For example, using the glove allows patients to get a firmer grasp on objects such as a cup or a pen. Allowing patients to use the glove prompts the brain by sending a message and making a connection that the hand should be able to operate on its own in these ways. It also lets the brain know how the hand muscles are supposed to move and how they should react when presented with different tasks. According to an article titled “Robotic Device Offers Physiotherapy to Aid the Recovery of Stroke Patients,” “Stroke patients showed improvements after eight weeks of use” (6).

Which would include environment, level of emotions and cognitive prerequisite, and his volitional and habitual skill. One example is Frank, who had stroke on the right side and it effected the left side. The therapy and Frank will developed a planned of treatment using adaptive devices, orthotics, environment modifications, wheelchair modifications, ambulatory aids, safety, education, then independence in ADLs, home management, work, and leisure will be

People who had strokes have a hard time getting back on their feet to do ADL’s and their best strategy for gaining their independence is by building new skills. As a patient/client starts to gain experience and build new tactics with their areas of development, they’re more likely to be successful in performing activities by using their newly adapted

The purpose of this study was to identify the effect that mental practice would have on learning a sequential task for the lower limb. This was a single case study regarding an individual with a hemiparesis from a stroke. The study took place in a research laboratory of a university-affiliated rehabilitation center. The participant was a 38-year-old man who had suffered a left hemorrhagic subcortical stroke four months prior to the experiment (Jackson, Doyon, Richards, & Malouin, 2004). The subject was required to practice a serial response time task with the lower limb in three distinct training phases over a period of five weeks: two weeks of physical practice, one week of combined physical and mental practice, and then two weeks of mental practice alone (Jackson et al., 2004). The main outcome measure included the Kinesthetic and Visual Imagery Questionnaire (KVIQ). The KVIQ includes a series of 10 gestures and is adapted for older patients and patients with motor deficits. In this assessment, the patients rate their ability to elicit mental images of the action on two 5-point scales (5 = high imagery; 1 = low imagery). One scale rates the clarity of the image, and the other rates the intensity at which they can feel themselves performing the movement. Utilizing physical practice alone, the patient’s average response time did improve during the first five days, but then failed to show further improvement during the remaining days of physical practice. The combination of mental and physical practice yielded additional improvement; whereas, the following two weeks of mental practice alone resulted in minimal improvement in performance (Jackson et al., 2004). The findings from this case-study showed that when mental and physical practices are combined,

Through the completion of the study, the results may show that there is greater cognitive improvement for individuals with strokes if a specific intervention type is used through occupational therapy. This would benefit the occupational therapy profession because it would provide evidence through research for using a specific intervention type. Occupational therapy is grounded in evidence based practice, so this study could guide therapists as they choose treatments for their patients, with research to show that there is a benefit in their treatment choices. This would also benefit individuals recovering from strokes. If therapists have research showing a larger benefit through using a specific intervention type, and subsequently use the intervention type, there is a higher likelihood that the stroke patients will show greater improvements. While there are economic, physical, and psychological risks for the study participants, the risks are minimal for the participants. There is no outstanding risks anticipated, but there are professional gains anticipated, which rationalizes moving forward with the proposed

My research addresses rehabilitation post-stroke, primarily improving lower extremity function. I study factors contributing to compensation, which involves greater than normal use of the non-impaired limb compared to the impaired limb. Compensation can be detrimental to rehabilitation as the impaired limb is underutilized and function cannot be restored. This may lead to weakness and impaired mobility/gait.