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Fading the Help: How to Hand the Movement Back to Your Client
At the end of The Threshold Is the Therapy I said that raising the stimulation triggering threshold is one step in a longer sequence of handing more of the conscious limb movement back to the client. This article is about the whole sequence of how to do this with Stim2Go from Pajunk.
When stimulation is used to help someone practise a movement, it is like scaffolding. Scaffolding goes up to support the structure so the building can be built, and the plan always includes taking it down when the job is complete. The trouble with electrical stimulation is that sometimes a session with the scaffolding fully up looks very good. The hand opens, the arm reaches, the client stands, so it is easy to leave everything as it is, because nothing seems to need changing. Of course in many cases there is always going to be a need for ongoing support and we might need a physical orthosis or have to use stimulation in that way.
Goal setting in rehabilitation is always difficult and client expectations have to be balanced by what can be achieved in practice. In this article we are focusing on a situation in which functional recovery might be expected. This is relevant to stroke, incomplete spinal cord injury, and MS in our case load. The plan for "taking the help away" should be made at the first session, carried out and revised one step at a time, and judged by what the client can do with the stimulator switched off.
Elite Athlete Training Principles can Benefit Neurological Rehabilitation
At Anatomical Concepts, we look to other fields for insight and inspiration that we can bring to rehabilitation. For example, elite athletes like our rehabiliation clients will set training goals, undergo rigorous physical training and adhere to strict plans to achieve peak performance. This article explores the potential benefits of applying the principles of elite athlete training to help individuals recover from neurological conditions.
Bridging the Gap: Using Elite Athlete Principles for Neurological Rehabilitation
In this first article in the “Bridging the Gap” series of articles, I want to encourage you and I to start thinking about motor training for physical rehabilitation as if we were training an elite athlete.
Rehab & Training - Part 3 Recovery
In these articles, we have looked at strength and conditioning training to see if this more familiar territory might give us a structure with which we might approach training for neurorehabilitation. In this final article we have introduced the important of rest and recovery. The best results from training are achieved when there is an optimal balance between the training dose and rest and recovery. This has many unknowns but we can rely on the vital importance of sleep hygene, nutritional status and maintaining. as far as possible, low levels of negative stress.
Rehab & Training Part 2 - The Dose
In this article, we explore the second most important training principle from strength and conditioning which considers the “Dose” of training - in other words the Volume, Intensity and Frequency of training. We look at how these factors relate to neurorehabilitation and learning.
Rehab & Training Part 1 - The Importance of Adherence.
Neuroplasticity and neurogenesis are topics that inspire hope of recovery for many following a neurological condition. How do we bring hope into reality? Forms of movement, technology, and frequent, intensive exercise promise to assist recovery even if goal setting remains a challenge. This article looks at all of this as another form of training and suggests that adherence to a programme must be fundamental to success.