Physical Therapy in Hereditary Spastic Paraplegia...Bobath Concept Perfetti Method Vojta Therapy...
Transcript of Physical Therapy in Hereditary Spastic Paraplegia...Bobath Concept Perfetti Method Vojta Therapy...
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Physical Therapy in Hereditary Spastic
Paraplegia
Christina María CopPhysiotherapist. Neurological
Physiotherapy.Centro Médico de Rehabilitación Monte Alto. Madrid. Spain.
www.rehabilitacionmontealto.com
sábado 12 de noviembre de 2011
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¿What is Neurological Physiotherapy?The part of Physiotherapy focused on people with
neurological conditions, from newborn to elder patients.
Types of treatment:
Bobath Concept
Perfetti Method
Vojta Therapy
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Hereditary Spastic Paraplegia
3 Main problems:
Paresis
Spasticity
Superficial and deep sensibility
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Bobath ConceptKarel Bobath. Born 14-03-1906, Berlin. Medical Doctor: Neurology and psychiatry.
Berta Bobath. Born 5-12-1907, Berlin. Physiotherapist.
Reserved in a first time for Children Palsy, later began adult application.
First-based: Neuroscience knowledge of that time.
Aim: to get the normal movement.
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Bobath ConceptConcept: change, adapted to the knowledge of neurophysiology.
Years ago CNS was considered as a static structure. Now: neuroplasticity.
Bobath proposed that working for normal movement patterns would lead to function
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Bobath ConceptWhat is a normal movement?
Depends on: age, gender, height, weight...
Points in common: objective to move, economical, adapted, voluntary, automated and automatic.
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Bobath Concept
Balance works:
Balance reactions: small adjustments
Straighting reactions
Support reactions: protective reactions
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Bobath Concept
Balance works:
Balance reactions: small adjustments
Straighting reactions
Support reactions: protective reactions
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Bobath Concept
Balance works:
Balance reactions: small adjustments
Straighting reactions
Support reactions: protective reactions
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Bobath Concept
Balance works:
Balance reactions: small adjustments
Straighting reactions
Support reactions: protective reactions
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Bobath ConceptPhysical exam:
Spasticity and paresis: posterior tibialis, triceps suralis, hamstrings, abductors.
Denervation: tibialis anterior, extensor digitorum, peroneus.
Deep and superficial sensibility alteration.
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Bobath ConceptExample:
Low muscular tone: practice in decubitus.
Improve sensibility: use a brush (tooth brush or other) to increase sensibility.
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Bobath Concept
Improve gait
How to stand up and sit down from a chair
How to stand up from the floor when we loose balance and fall
Etc.
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Bobath Concept
Improve gait
How to stand up and sit down from a chair
How to stand up from the floor when we loose balance and fall
Etc.
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Perfetti MethodTherapeutic-cognitive Rehabilitation
Development in Italy by Carlo Perfetti and Co. 1970
Neurologist and rehabilitador medical doctor.
Therapeutic cognoscitive exercise: recuperate the loss or alteration of movement because a injure or a condition.
Based in the neurocognitive theory of Carlo Perfetti: neurophysioligy, cognitive psycology, and clinical neuropsycology.
Cognitive functions: perception, atención, memory, language… Important for the ability of the movement that we have.
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Perfetti MethodTherapeutic-cognitive Rehabilitation
The movement is much more as a simple muscular contraction.
Complex activation starts in brain
Cognitive process.
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Perfetti MethodTherapeutic-cognitive Rehabilitation
The movement is much more as a simple muscular contraction.
Complex activation starts in brain
Cognitive process.
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Perfetti MethodTherapeutic-cognitive Rehabilitation
Eyes closed
more attention
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Perfetti MethodTherapeutic-cognitive Rehabilitation
Eyes closed
more attention
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Perfetti MethodTherapeutic-cognitive Rehabilitation
Eyes closed
more attention
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Perfetti MethodTherapeutic-cognitive Rehabilitation
Basis of Neurocognitive Rehab:
Body surface as receptor of impulses
Movement as knowledge
Recovery as learning (Neuroplasticity)
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Perfetti MethodTherapeutic-cognitive Rehabilitation
Programming exercise: analysis and interpretation of pathology as well as influence on this exercise.
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Perfetti MethodTherapeutic-cognitive Rehabilitation
Example:
Exercise with rocker table: perception of different elevations.
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Perfetti MethodTherapeutic-cognitive Rehabilitation
Propioception
Problem: difference elevation.
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Perfetti MethodTherapeutic-cognitive Rehabilitation
Superficial sensibility
Problem: different textures
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Vojta Therapy
Created by Vaclav Vojta. neurologist (1917-2000)
Cerebral palsy
Possible to modify central nervious system through postures and movement
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Vojta Therapy
Stimulating by pressing specific points and
Placing the patient in specific postures
Activate muscular chains
Reflex movement of the patient. It,s not a voluntary movement
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Vojta Therapy
Reflex Movements:
Reflex crawling
Reflex rolling
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Vojta Therapy
Reflex crawling
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Vojta TherapyReflex crawling
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Vojta Therapy
Reflex rolling (1st part)
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Vojta Therapy
Reflex rolling (1st part)
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Other Therapies
Hidrotherapy (Beware of temperature)Practice gait exercises.
Practice one foot stand exercise and other balance exercises
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GRAZIE PER LA SUA ATTENZIONE
Christina María CopPhysiotherapist.
Centro Médico de Rehabilitación Monte Alto. Madrid. Spain.
www.rehabilitacionmontealto.com
sábado 12 de noviembre de 2011
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GRAZIE PER LA SUA ATTENZIONE
Christina María CopPhysiotherapist.
Centro Médico de Rehabilitación Monte Alto. Madrid. Spain.
www.rehabilitacionmontealto.com
sábado 12 de noviembre de 2011