neuro physio after brain injury - fitness, function and ... · fitness, function and quality of...

FITNESS, FUNCTION AND QUALITY OF LIFE

NEURO PHYSIO AFTER BRAIN INJURY

NEURO PHYSIO SCOTLAND - FITNESS, FUNCTION & QUALITY OF LIFE

CONTENTS

▸ Brain injury

▸ Disability

▸ Neuro Physio

▸ What is it?

▸ What is the process?

▸ Treatment approaches

▸ Questions


BRAIN INJURIES - TERMINOLOGY

▸ Disability

▸ Impairments

▸ Activities limitations

▸ Participation restrictions


COMMON PHYSICAL IMPAIRMENTS

▸ Weakness

▸ Spasticity, tightness, stiffness, contracture

▸ Co-ordination & Balance problems

▸ Sensory problems including pain

▸ Reduced fitness levels


ACTIVITIES & PARTICIPATION

▸ Picking something up

▸ Transferring from bed to chair

▸ Getting dressed

▸ Walking

▸ Driving

▸ Doing the housework

▸ Employment


NEURO PHYSIO

▸ What is it?

▸ Can the brain recover after injury?

▸ What does neuro physio involve?

ASSESSMENT


ASSESSMENT

▸ Clinical history

▸ Physical examination

▸ Discussion

AGREE YOUR GOALS


DEVISE A TREATMENT PLAN

▸ Target impairments

▸ Strength training

▸ Stretching

▸ Balance and co-ordination exercises

▸ Sensory stimulation

▸ Fitness training


STRENGTHEN WEAK MUSCLES

▸ Graded exercise progressions

▸ Weight bearing exercise to access automatic activation

▸ Functional exercises

▸ Electrical muscle stimulation

▸ Feedback

▸ Focus and motivation


MANAGE TIGHTNESS, STIFFNESS, CONTRACTURE

▸ Stretching - active and passive

▸ Exercise

▸ Splinting

▸ Electrical muscle stimulation

▸ Standing frames

▸ Exercise bikes


MAXIMISE CO-ORDINATION AND BALANCE

▸ Core stability

▸ Graded balance exercises

▸ Saving reactions


IMPROVE SENSATION

▸ Sensory stimulation

▸ Kinesiotaping

▸ Sensory dynamic orthoses (lycra garments)

▸ Hydrotherapy


MAXIMISE FITNESS

▸ Large muscle groups

▸ Cardio-vascular system

▸ Cognitive benefits



▸ Target activity limitations

▸ Sitting up in a chair

▸ Drinking from a cup

▸ Transferring

▸ Walking


RETURN TO ACTIVITIES

▸ Functional task practice

▸ Repetition

▸ Varied and challenging

▸ Rehabilitation technologies to assist

NOT QUITE ON THE WINE YET. SOON!

Richard


TARGET PARTICIPATION

▸ Live at home

▸ Be able to sit and keep head up to watch TV

▸ Fulfil a family role

▸ Engage in local community

▸ Work

▸ Leisure


MAXIMISE PARTICIPATION

▸ Goal setting

▸ Facilitate participation

▸ Consider compensation

▸ Alternatives



▸ Consider rehabilitation technologies to augment treatment

▸ Functional Electrical Stimulation

▸ Saebo splints

▸ Sensory Dynamic Orthoses (Lycra garments)

▸ Contracture management braces

GOOD TO BE BACK OUT WALKING SPLINT FREE!

Richard

CELEBRATE SUCCESS!

MEASURE PROGRESS


SUMMARY

▸ The brain can improve after injury due to neuroplasticity.

▸ Seek specialist help.

▸ Physio process uses a problem solving approach.

▸ Rehabilitation technologies can assist that process.

▸ NeuroPhysio can help you achieve your maximum fitness, function and quality of life.

QUESTIONS?COMMENTS?SHARE AN EXPERIENCE?


CONTACT DETAILS

▸ Kenny Thoms

▸ 0141 255 0304

▸ [email protected]

▸ www.neurophysioscotland.co.uk

neuro physio after brain injury - fitness, function and ... · fitness, function and quality of...

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