Wednesday, April 25, 2012

Enabling More Patient-Initiated, Active Movement

Dr. Avi Nativ:

    While doing his doctoral and post-doctoral research work in Kinesiology (the science of human movement) at the University of Waterloo, Dr. Nativ's focus was on brain organization, plasticity and rehabilitation. He was intrigued with scientific research findings that indicated the remarkable capacity of the brain to adapt after injury, and envisioned how such plastic changes could be encouraged through inventive ways of enabling more patient-initiated, active movement rather than the more conventional passive therapy approaches.

Research confirms that to regain function after stroke, rehabilitation therapy needs to be functional, intensive, and that the person needs to be mentally engaged in the activity. Range of motion  exercises or passive exercises, where the therapist moves the body part for you may keep your range of motion, but most likely it won’t  help you to regain functional use.

Dr. Nativ has focused on providing evidence based therapy — making therapy:
  • fun so people are mentally engaged,
  • functional – doing real activities like walking, playing soccer, ...,
  • intensive – doing a lot of the planned therapeutic activity.

3 comments:

  1. The functional conundrum, I can walk but its not pretty, but I need some way of identifying exactly which muscles to work on or relax to make walking perfect. The medical world is abdicating their responsibility if they just focus on functional. Passive movement does have research backing it up; http://thomasland.metapress.com/content/016784161j578037/
    Action observation may be the easiest to perform. I'm watching non-functional finger videos.
    This was even on chronic patients;
    http://gradworks.umi.com/34/87/3487903.html

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  2. You are absolutely right. As Avi says you need to focus on strengthening, stretching, and speed. There is some research not only on passive movement but also on mirror box therapy and envisioning movement using your mind. If you want to know about using the right muscles in the right way-- Dr. Milos Popovic in Toronto has some excellent research using Functional Electric Stimulation to stimulate muscles to flex and extend as they should.

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    Replies
    1. I have a 10s unit don't know how to use it. I need to find a rehab that will work me back to rang of motion give me time to get stronger not try to make me do shit I cannot do.
      anyone know someplace near Muskegon, Michigan to get good help?

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