Interactive Visuo Motor Therapy Essay

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

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.

Angelo is a 65-year-old male who has left-sided hemiparesis because of a right cerebrovascular accident that occurred 7 years ago. Though he has left upper extremity weakness, it does not affect his right upper extremity, which is his dominant side. Angelo uses a cane to ambulate between locations, yet he needs to use a rail in order to climb up stairs, and he uses an ankle-foot-orthosis to support his left foot. Although Angelo has no visual and/or perceptual deficits, Angelo struggles to flex his shoulder, extend his elbow, and both flex and extend his fingers. Angelo experiences diminished sensation on his left upper extremity, but it depends on the time of day. When Angelo sits down on a chair next to the table, he places his left upper extremity on the top of the table to support it, using his right upper extremity. In addition, Angelo is able to articulate

The lack of technology in the past has left multiple stroke patients struggling with physical and mental impairments. However, due to the constant change and improvements made to technology, patients are now getting more help with their physical and mental needs. Nowadays, the odds of a patient gaining full function and ability back after a traumatic brain injury are much more favorable than not. Advanced technology such as robotic gloves, interactive video games, and electrical stimulators are effective tools in the treatment of strokes because they stimulate the brain to help regain ability and motor functions.

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.

By using a mirror it can trick the brain into believing that a limb is actually

Occupational Therapy is a growing field; one that is constantly changing as technology becomes more advanced. There are different techniques and methods used in this field, as well as the field of physical therapy, in order assist in client advancement and growth. The traditional method being discussed is Proprioceptive Neuromuscular Facilitation also known as PNF and the contemporary technique is Kinesio Taping. These techniques and methods came about for the same purpose, and that is to ultimately help both the Practitioners and of course clients they work with.

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,

Like the first article above, the purpose of this study was to determine the efficacy of mental practice use on upper-extremity impairment and functional outcomes on stroke patients, but also to see if mental practice plus physical practice would yield better results. This study took place in a licensed university-affiliated rehabilitation hospital. The design of this experiment was a case study, which consisted of only four total participants. Participants were chosen randomly; three men and one woman with moderate upper-limb hemiparesis post-stroke. Two subjects received mental practice and constraint-induced movement therapy (CIMT), one subject received only mental practice, and one received only CIMT. The main outcomes measures were the Wolf Motor Function Test (WMFT) and the Motor Activity Log (MAL). The WMFT is a validated test that measures time (15 tasks) or strength (2 tasks) in completing upper-extremity joint specific or multiple joint movements or functions. The MAL is an upper-extremity disability measure. It is a semi-structured interview during which participants are asked to rate how much and how well (6-point scale; range, 0 worst to 5 best) they use their more affected arm for 30 ADL items in the home environment over a specified period. The participant who received only mental practice showed slight

2), is the cortical changes in the brain. When the cortical areas at the site of amputation become overcome reorganization in the somatosensory and motor cortex occur. The sensation felt in the missing limb can be explained by afferent nociceptive stimulation of neurons. The awareness of our self and illusory perceptions might be related to PLP. Because mirror therapy has shown to be beneficial in the treatment of PLP, it shows that cortical deafferentation plays a key role in phantom generation. The mirroring and stretching movements of opposite extremity can compensate for the lack of the other (Ramachandran & Hirstein, 1998, pg.

Mirrors are being used in places like Iraq by Doctor Jack Tsoa to treat wounded war veterans. The doctor uses the mirror to try and get rid of phantom limb pain. Phantom limb pain can happen when some gets there leg amputated and the nerve endings send messages to the brain telling them that their leg is there and that it hurts.

Physical therapists working at these large hospitals throughout the Midwest where recruitment will occur will be formally trained how on how to perform MT so that therapists will be consistent within and between patients. Both groups will receive 1 hour of MT of the upper extremity 5 days a week for 4 weeks. In addition to this treatment, the physical therapist will also work with patients in both groups on limb activation for 1 hour 5 days a week for 4 weeks and provide the more traditional physical therapy given to stroke patients, such as doing exercises to improve strength in the upper and lower extremity on the affected side involving neuromuscular re-education, pre-walking functional activities, weight shifts in sitting or standing, or the maintenance of unassisted

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.

People often relate the loss of arm mobility to stroke patients because it is so noticeable when a person cannot use one of their arms properly. Statistics show, “motor deficits are common following stroke. Approximately 43% to 69% of people suffering from a stroke have upper-extremity impairment, 1, 2 and 4 years after a stroke, 67% still experience non-use of the affected arm as a major problem” (Siebers et al., 389). In these cases, CIMT can be more beneficial than less invasive therapies. CIMT looks to force movement and use of the affected side of the body after a stroke in order to promote rehabilitation while limiting the unaffected limb. However, this type of therapy does not come easily as CIMT is a very rigorous therapy. In the article, Stroke patients ' and therapists ' opinions of constraint-induced movement therapy, it was stated this therapy is intense because the unaffected arm is restrained while the patient participates in about 6 hours