Saturday News

Contents of This Week Saturday News ▶︎ January 16th / 2016

• Definition: Bobath (Neuro-Developmental Treatment)

The Bobath concept is an approach to neurological rehabilitation that is applied in patient assessment and treatment (such as with adults after stroke, or children with cerebral palsy). The goal of applying the Bobath concept is to promote motor learning for efficient motor control in various environments, thereby improving participation and function. This is done through specific patient handling skills to guide patients through initiation and completion of intended tasks. This approach to neurological rehabilitation is multidisciplinary, primarily involving physiotherapists, but may also include occupational therapists and speech and language therapists. In the United States, the Bobath concept is also known as 'Neuro-Developmental Treatment' (NDT). A longer definition comes from Wikipedia.

• Video: Bobath (Neuro-Developmental Treatment)
• Manchester Neurotherapy Centre
• NDT Facilitation of Sit to Stand
• Hemiplegia Treatment Bobath PNF Stroke Therapy and Physiotherapy Motor Relearning
• NDT Supine to Sit
• NDT Scooting
• Post-Stroke Exercises (Part 1: Upper Limb)
• Post-Stroke Exercises (Part 2: Lower Limb)
• Tapping
• Trunk Rotation
• Facilitation of Lateral Weight Shift
• Introduction to NDT
• YOGA Bobath et Hémiplégie
• Bobath's Dance 2013
• Bobath Dragon Boat Race 2015

• Headline Blog: Bobath (Neuro-Developmental Treatment)
• Bobath NDT: The Bashing Continues!
• NDT
• The Flexion Synergy Can Be Good
• Function

• Weekly Columnists
• Musing: NDT-Bobath Method in Post-Stroke Rehabilitation in Adults Aged 42–55 Years – Preliminary Findings
• Sunday Stroke Survival: Updates and Therapy
• Caregiver: Brunnstrom's Stages of Stroke & Other Things the Doctors Don't Tell You
• Jester: Homesick Snowbird Gets Help !!
• TED Talks - Roberto D'Angelo + Francesca Fedeli: In Our Baby's Illness, a Life Lesson
• Rick Mercer Report: Rick and CF-18 Jets & Eatz Diner
• Laid-Back Admin: Google changes xyz.com to xyz.ca...!

• XKCD: A Webcomic Of Romance, Sarcasm, Math, And Language

• Eclectic Stuff on Wednesday
• Stroke Risk Following Mental Disorders
• Why Some People with Aphasia Fail to Regain Speech
• How Would You Cope With Saying Just Two Words?
• Days of My Life… As My World Turns
• Errata

• Future Topics in SSTattler

     Saturday News | Future Topic
     --------------+---------------------------------------------

     Feb/13/2016   | Learning Disability
     Feb/06/2016   | Reading Comprehension
     Jan/30/2016   | Neuroregeneration
     Jan/23/2016   | Global Warming

Definition: Bobath (NDT - Neuro-Developmental Treatment)

Bobath Concept From Wikipedia, the free encyclopedia 

This article's tone or style may not reflect the encyclopedic tone used on Wikipedia. See Wikipedia's guide to writing better articles for suggestions. (October 2012)

SSTattler: This note above, Bobath Concept From Wikipedia, it is biased and negative. Please look at the Neuro-Developmental Treatment Association as well - it is, at least, positive. Look at Peter G. Levine, Stronger After Stroke, has very professional opinion about Bobath but, for me, I used Bobath for 4 years and functional I used about 6 years - and I think it is positive both Bobath/functional (my opinion, one person, is statistical useless but at least I made my point :-).

The Bobath concept is an approach to neurological rehabilitation that is applied in patient assessment and treatment (such as with adults after stroke, or children with cerebral palsy). The goal of applying the Bobath concept is to promote motor learning for efficient motor control in various environments, thereby improving participation and function. This is done through specific patient handling skills to guide patients through initiation and completion of intended tasks. This approach to neurological rehabilitation is multidisciplinary, primarily involving physiotherapists, but may also include occupational therapists and speech and language therapists. In the United States, the Bobath concept is also known as 'neuro-developmental treatment' (NDT).

The concept and its international tutors / instructors, have embraced neuroscience and the developments in understanding motor control, motor learning, neuroplasticity and human movement science. They believe that this approach continues to develop.

Recent Criticism of the Bobath Appoach

Video: Bobath (NDT - Neuro-Developmental Treatment)

SSTattler: There is, at least hundreds, of YouTube videos of Bobath & NDT! And, be aware, there is a type of stroke treatment and there are very different between them - Bobath, functional, electrical, ..., etc. Some it is very good and some times is not - at least you can decide the best stroke treatment for you.

Manchester Neurotherapy Centre

Published on Jul 28, 2012

Stroke physiotherapy at Manchester Neurotherapy uses the Bobath concept where assessment of postural control and knowledge of normal movement is an integral part of treatment planning for stroke rehabilitation.


Standard YouTube License @ Manchester Neurotherapy

Headline Blog: Bobath (Neuro-Developmental Treatment)

Definition: Blog (noun). Add new material to or regularly update to a blog. (≃1990s: blog shortening of weblog)

Bobath NDT: The Bashing Continues!

Peter G. Levine
Stronger After Stroke

Saturday, February 7, 2015

I know, I know, I bash NDT and Bobath a lot. I bash bloodletting too because it doesn't, whatchamacallit... work. That's it, work. It has the problem of not working. It is ineffective. It is devoid of efficacy. It is incapable of helping.

For a long time me and some colleagues in research got a ton o' backlash when we pointed out that the bird was dead. But more recently, PTs and OTs have generally got the message that its so dead, its starting to stank.

You know things are bad when Wikipedia turns on you! When you read this, have a look at two things: 1: The opening paragraph.

Its almost like the million Wile E. Cayote cartoons where he runs off the cliff and tries midair to run back to the cliff. 2: the rest of the page. Scath. Ing.

More reading on NDT here.

See the original article:

Bobath NDT: The Bashing Continues!

in

Stronger After Stroke

NDT

Amy Shissler
My Cerebellar Stroke Recovery

December 6, 2014

Neurodevelopmental treatment is a certification you can get as a physical therapist that a whole lot of people use when treating stroke patients.  I don’t agree with the approach.  NDT is all about inhibiting improper movements. If you get trained in NDT, the basic premise – I think, I’m not trained in NDT so I can’t say for sure – is that if you allow the bad movements it will lead to even more bad movements.  Nope.  I think that you need to let your movements be weird and then try to gain more control over them and make them better.  If you don’t let the movements be all weird, how on earth will they get better?  Just inhibiting the weird movement from the get-go will not work.  I had a stroke – I know what I’m talking about.  I’m a physical therapist – I know what I’m talking about.

Peter G. Levine also knows what he’s talking about…… NDT

The Flexion Synergy Can Be Good

Rebecca Dutton
Home After a Stroke

January 3, 2012

At first a hemiplegic arm is limp (Brunnstrom Stage 1). Stage 2 is exciting because stroke survivors see small limb movements. In Stage 2 my shoulder could fling my hand onto my thigh, but my hand slid off because my elbow muscles were weak. Small movements turn into a synergy (Stage 3). Synergy means muscles work together, but a stroke creates abnormal synergies that produce one movement pattern. The photo shows a version of the flexion synergy that affects the arm. There are many versions of this synergy so your movement may look different from other stroke survivors. A trait everyone shares is that to move one joint you have to move the whole limb whether you want to or not. This is exhausting. When the flexion synergy is full blown it keeps the hand fisted and the arm close to the body.

I made Stage 3 functional by doing home exercises with a spring-loaded splint called SaeboFlex. Being able to open my hand a few inches so it can receive an object from my sound hand is very useful. Hand-to-hand transfers let my hand hold objects while my sound hand manipulates them. Hand-to-hand transfers are useful because many basic ADLs take place close to the body. 

Function

Steven H. Cornelius
Music and Stroke

Posted on May 22, 2012

At the end of yesterday’s post I wrote, “Functional music helps get things done—as in a wedding processional, a funeral dirge, or the song “Happy Birthday.”

Not all music is designed to be functional, of course. But even if functionality was not a composer’s goal, from a listener’s perspective any piece can be engaged with functional intent. After my stroke all musical experience (whether slowly tapping a rhythm, trying to push the keys on a piano, or simply listening) could have been approached with the goal of functionality. In what way? I could have been using every musical experience heal myself.

Unfortunately, my approach, while utilitarian, was relatively one dimensional. I developed simple rhythmic exercises to get my left hand and foot moving. I sat at a piano using my right arm to hold my left hand in place so I could work on moving individual fingers. (I didn’t need a keyboard to do that, of course, but pushing a piano key requires a certain amount of velocity to trigger the hammer mechanism. Just making a sound was my measure of successful movement.)

But while I used music functionally by “playing” it, I didn’t think to use it so by listening. That was a huge  opportunity missed. Although about a week into my stay at Spaulding I asked my wife to bring in her iPod so I could listen to something, the main reason I wanted it was to try to block out the incessant soundtrack from my roommate’s television. (A friend even brought in noise cancelling headphones with the idea that wearing them might help, even if I didn’t use the iPod.)

Weekly Columnists

Definition: Columnist |ˈkäləmnist| (noun). A blogger or a journalist contributing regularly to a blog or newspaper

Musing: NDT-Bobath Method in Post-Stroke Rehabilitation in Adults Aged 42–55 Years – Preliminary Findings

Dean Reinke
Deans' Stroke Musing

Saturday, April 25, 2015

I can't see how they can refute these earlier findings unless this is just to confuse the issue. Why the hell are we still writing about NDT/Bobath? It has been proven multiple times to not be effective.

• Comparison Of Two Physiotherapy Approaches InAcute Stroke Rehabilitation: Motor RelearningProgram Versus Bobath Approach.
• Motor Relearning Program vs. Bobath.
• And here is Peter Levines take on NDT.

NDT-bobath Method in Post-stroke Rehabilitation in Adults Aged 42–55 Years – Preliminary Findings
Emilia Mikołajewskaa
doi:10.1016/j.poamed.2015.03.001

Abstract

Introduction

Stroke is among the leading causes of death in both developed and developing countries. Although stroke is perceived predominantly as a disease of middle aged and older people, its occurrence in younger people is not rare, influencing all aspects of young people's lives, including the ability to work.

Sunday Stroke Survival: Updates and Therapy

Jo Murphey
The Murphey Saga

Monday, January 4, 2016

So I'm a day late and a dollar short this week, sue me because you can't get blood out of a stone. You will understand after you read this. I've had a week from hell.

First of all, my father survived his heart attack has now been moved out of the CCU. He's still on heavy doses of Heparin to reduce the chance of another heart attack and the possibility of having a stroke. Physical therapy has been in and they are walking him short distances. Needless to say, that the blockage and the subsequent death of part of his heart muscle limits what he can do. It's a rough adjustment he'll have to make and he doesn't like it at all.

This past weekend (Friday through Sunday) felt like it was ten days worth of activity for me. In between visits to the hospital, I have been the go between for my father and his condition for the rest of the family. Although I didn't see them at Christmas, this weekend made up for it. I saw and talked with each one of my brothers and sisters, my children and everyone's children and grandchildren that are old enough to be on their own. Not to mention my aunts, uncles and cousins. That's a passel of of phone calls, text messages, and emails. My unlimited cell phone plan got a work out for sure.

Caregiver: Brunnstrom's Stages of Stroke & Other Things the Doctors Don't Tell You

Diane
The Pink House On The Corner

Sunday, April 3, 2011

I recently picked up a book called Stronger After Stroke by Peter Levine. The author is a researcher in the field of "neuromotor recovery" and I am amazed at the stuff in this book that was never explained to me by any of the doctors that treated Bob. One of those things is Brunnstrom's Six Stages of stroke recovery and just to know this and know that every stroke survivor goes through these stages is so enlightening that I thought I'd share it with you. I mean, this something everyone should know! Here they are:

Stage 1: Immediately after a stroke. The whole "bad" side of the body is limp. Everything including torso, face, mouth and tongue, arm and leg are limp.

Stage 2: Spasticity (muscle tightness) creeps in. This is a good thing! (I was under the impression it was bad, at least that's how the doctors acted...) Spasticity means that "messages" are getting through to the affected side from the nervous system. Involuntary movements are seen in this stage (one doctor in the ICU told me that Bob's involuntary movements were "posturing" and it meant he was close to death!!!!)

Jester: Homesick Snowbird Gets Help !!

Jackie Poff
Stroke Survivors Tattler

In Naples, Florida the other day, there was a bumper sticker on a parked car that read:

"I miss Chicago."

Someone broke the windows, stole the radio, shot out all four of the tires, added an Obama bumper sticker and left a note that read:

 "Hope this helps!!!"

TED Talks - Roberto D'Angelo + Francesca Fedeli: In Our Baby's Illness, a Life Lesson

TED.com

Published on Jul 24, 2013

Roberto D'Angelo and Francesca Fedeli thought their baby boy Mario was healthy -- until at 10 days old, they discovered he'd had a perinatal stroke. With Mario unable to control the left side of his body, they grappled with tough questions: Would he be "normal?" Could he live a full life? The poignant story of parents facing their fears -- and how they turned them around.


Standard YouTube License @ TED

Rick Mercer Report: Rick and CF-18 Jets & Eatz Diner

http://www.rickmercer.com/

Rick and CF-18 Jets

Uploaded on Mar 17, 2010


Rick takes to the skies at over 2000 km/hour. 


Standard YouTube License @ Rick Mercer Report

Good Eatz Diner

Published on Nov 18, 2015

New menu compliant with World Health Organization standards.


Standard YouTube License @ Rick Mercer Report

Laid-Back Admin: Google changes xyz.com to xyz.ca...!

Dr. Beagle C. Cranium
Stroke Survivors Tattler

Google changes xyz.com to xyz.ca where xyz is any site on the blogspot for people who live in Canada -- watch out! For example, you can use ▶ Advanced Search in SSTattler  to type:

All these words: stroke
Site or domain: http://barbpolansrecovery.blogspot.ca 
I guess it is OK -- Google gives you 4 hits (results)

Then try instead the other domain .com:

All these words: stroke
Site or domain: http://barbpolansrecovery.blogspot.com
It is great -- Google gives you 259 hits (results)

 When you look for using the local domain, for example in Canada uses .ca and for local news, it is great but you have to look for using the global domain, for example the "world" uses .com, it is much better! For me, I use, consistently, .com unless I want to find local stuff about Canada, I use .ca (or .uk or ...).

From Apple dictionary: Domain - Part of the domain name of a computer that’s connected to the Internet. The name “www.example.com” consists of the subdomain or host name “www,” the domain “example,” and the top-level domain “com.”

XKCD: A Webcomic Of Romance, Sarcasm, Math, And Language

|<        < Prev        Random       Next >        >| Judgment Day                                |<        < Prev        Random       Next >        >| Warning: this comic occasionally contains strong language (which may be unsuitable for children), unusual humor (which may be unsuitable for adults), and advanced mathematics (which may be unsuitable for liberal-arts majors). http://xkcd.com -- This work is licensed under a Creative Commons Attribution-NonCommercial 2.5 License.

Eclectic Stuff on Wednesday

Definition - Eclectic (noun). A person who derives ideas, style, or taste from a broad and diverse range of sources

Stroke Risk Following Mental Disorders

Bill Yates
Brain Posts

Tuesday, January 5, 2016

An important recent manuscript published in JAMA Psychiatry looked at medical illnesses rates following diagnosis of a brain (mental) disorder.

This very large international study examined over 47,000 subjects followed between 2001 and 2011.

Baseline psychiatric assessment was completed using the Composite International Diagnostic Interview. Physical illness was assessed using a self-report of physician's diagnosis.

The manuscript is not free but I was able to obtain a professional courtesy copy of the manuscript from the lead author.

The study found that a diagnosis of a mental disorder increased rates for a variety of later physical conditions.

I have put together a graph of the mental disorders associated with higher rates of later stroke (above).

Why Some People with Aphasia Fail to Regain Speech

Mark A. Ittleman
Teaching of Talking

January 11 / 2016

Why do some people with aphasia fail to regain speech. Is it due to the therapist? Is it the method? Is it because therapy was terminated too soon?

The answer to these questions may be all of the above. Often we are looking for a reason why our client or loved one failed to make the progress we wanted.

Let’s add the FAMILY MEMBER OR LOVED ONE into the mix. A person who for years has been almost non-existent in the therapy equation. It is not that the caregiver or loved one hasn’t wanted to be involved, only hasn’t really been invited to participate actively with the therapy.

I’m going to introduce another FACTOR that of course influences the success of any endeavor. It is DISCIPLINE.