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  • Introduction of Physiotherapy For Neurological Conditions

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    Neurophysiotherapy focuses on enabling patients with neurological disorders through a comprehensive rehabilitation approach involving physical, cognitive, social, and psychological therapies. The role of the physiotherapist is to analyze normal and abnormal movement, address impairments, restore muscle function, and improve quality of life through evidence-based techniques. Effective neurorehabilitation requires an integrated team approach and follows steps of assessment, planning, intervention, and re-evaluation to achieve functional goals.

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    Introduction of Physiotherapy for Neurological Conditions

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    Neurophysiotherapy focuses on enabling patients with neurological disorders through a comprehensive rehabilitation approach involving physical, cognitive, social, and psychological therapies. The role of the physiotherapist is to analyze normal and abnormal movement, address impairments, restore muscle function, and improve quality of life through evidence-based techniques. Effective neurorehabilitation requires an integrated team approach and follows steps of assessment, planning, intervention, and re-evaluation to achieve functional goals.

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    39 views12 pages

    Introduction of Physiotherapy For Neurological Conditions

    Uploaded by

    SURAJ
    Neurophysiotherapy focuses on enabling patients with neurological disorders through a comprehensive rehabilitation approach involving physical, cognitive, social, and psychological therapies. The role of the physiotherapist is to analyze normal and abnormal movement, address impairments, restore muscle function, and improve quality of life through evidence-based techniques. Effective neurorehabilitation requires an integrated team approach and follows steps of assessment, planning, intervention, and re-evaluation to achieve functional goals.

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    of 12

    Introduction To Physiotherapy In

    Neurological Conditions

    Dr Suraj B.Kanase
    HOD Dep of Neurophysiotherapy
    Krishna college of physiotherapy
    • The field of neurology deals with the central and peripheral nervous
    system and impairments in other systems related to the nervous
    system disorders.
    • Neurophysiotherapy has changed the face of rehabilitation.
    • Historically, patients with neurological disorders were dealt with
    compensatory approach by trying to use the unaffected parts.
    • WHO developed the ICF, as an illness model to redefine the
    rehabilitation approaches and shift the perspective from disablement
    to enablement.
    HISTORY PRINCIPLE TECHNIQUE
    20th Century – Rampant polio Focus – structural anatomy Corrective exercise and muscle
    cases and principles of exercises reeducation directed at
    individual muscles

    1950s Focus – non muscle elements Origin of neuromuscular


    World war- brain injury neurophysiology facilitation exercises.
    Bobath Encouraging developmental NDT
    movement patterns
    Kabat, Knott and Voss second Stimulation of nervous system PNF
    half of 20th century
    Rood, Ayres and brunnstrom Stimulation of nervous system Techniques based on
    originator
    1980s Developing research skills Techniques using knowledge
    on human movement
    Last few decades • technological developments •Greater understanding of
    in motion analysis and EMG. brain reorganization and the
    •New brain imaging methods mechanisms of motor control,
    motor performance,
    impairments and adaptions
    •Examination of organizational
    changes occuring within the
    brain.
    ROLE OF A PHYSIOTHERAPIST
    Goals of Neuro-physiotherapist includes:
    1. To analyze normal and abnormal movements.
    2. To address wide range of impairments
    3. To retard and prevent atrophy
    4. To restore muscle mass and strength
    5. Prevention and risk reduction training
    6. providing rehabilitation services
    7. Improving quality of life.
    • Neurophysiotherapist needs sound knowledge of the following :

    1. Basics of neuroanatomy and the functioning of the nervous system.

    2. An overview of investigations and the drugs used.

    3. Assessment techniques.

    4. Knowledge of techniques used in physiotherapy.

    5. Particular techniques needed for particular conditions.

    6. Overall rehabilitation of neurological patient.


    PHYSCIAL
    SOCIAL COGNITIVE

    COMPREHENSIVE
    REHABILITATION
    PROGRAM

    CULTURAL PSYCHOLOGICAL
    NEUROREHABILITATION TEAM

    • PHYSICIAN •PHYSIOTHERAPIST •PATIENT

    •NEUROLOGIST •OCCUPATIONAL •FAMILY

    •NEUROSURGEON THERAPIST •SOCIAL WORKER

    •PSYCHOLOGIST •SPEECH THERAPIST

    •NURSE

    •ORTHOTIST

    •DIETICIAN
    NEED FOR EVIDENCE BASED PRACTICE

    • There is need for appropriate and comprehensive assessment using

    relevant outcome measures that are important to a patient from

    quality of life perspective of the patient.

    • Physiotherapists need to embrace the responsibility of using evidence

    based , or at least scientifically acceptable , methods of intervention.


    INTEGRATED FRAMEWORK

    Physiotherapists should be able to :

     Identify the problem.

     Determine factors that may affect the solution.

     Synthesize the information.

     Predict outcomes.

     Plan a management strategy for the said problem.


    • Management of neurological patient can be divided into following

    phases:

    1. History and interview

    2. Examination

    3. Evaluation

    4. Planning

    5. Intervention

    6. Re- examination or follow up.


    QUESTIONS

    1. Describe role of physiotherapist in neurological conditions.

    2. What are steps of neurorehabilitation.

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