A Comparative Study Between the Immediate Effects of Tendinous Pressure Technique Versus Myofascial Release in the Reduction of Spasticity: A Cross Over Study

Marathe, Dhanashri N.; Kunde, Chetana; Ganvir, Suvarna

doi:10.46858/vimsjpt.2105

Cited by 3 publications

(8 citation statements)

References 12 publications

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“…Therefore, the internal focus-dominant group may have increased superficial sensory processing when internal focus is used and may have higher attentional control when directing attention to the inside of the body. In contrast, high theta wave activity in the frontal lobe has been reported to be associated with error detection [52] and cognitive control [53]. Therefore, the external focus-dominant group is more likely to selectively pay attention to the outside of the body when external focus is used and may perform postural control by error detection based on visual information.…”

Section: Figurementioning

confidence: 97%

“…Many previous studies in which motor imagery and rTMS were combined have verified the therapeutic effects on upper limb function in stroke victims [53,54]. For example, Pan et al [54] investigated the effects of motor imagery and LF rTMS on upper limb motor function during stroke rehabilitation.…”

Section: Motor Imagery and Rtmsmentioning

confidence: 99%

“…Rood's approach is one of several of the neurophysiological approaches created at that time and is centered upon four fundamental concepts to consider amid treatment: duality, the ontogenetic sequence, manipulation of the autonomic nervous system, and the level of sensitivity of the front horn cell [51,52]. Following proprioceptive facilitatory techniques are used: heavy joint compression, stretch, intrinsic stretch, secondary ending stretch, stretch pressure, resistance, tapping, vestibular stimulation, inversion, therapeutic vibration and osteopressure [45,53]. Finally, she developed following spasticity; inhibitory technique: gentle shaking or rocking, slow stroking, slow rolling, light joint compression, tendinous pressure, maintained stretch and rocking in developmental stages [53].…”

Section: Rood's Approach Techniquesmentioning

confidence: 99%

“…Following proprioceptive facilitatory techniques are used: heavy joint compression, stretch, intrinsic stretch, secondary ending stretch, stretch pressure, resistance, tapping, vestibular stimulation, inversion, therapeutic vibration and osteopressure [45,53]. Finally, she developed following spasticity; inhibitory technique: gentle shaking or rocking, slow stroking, slow rolling, light joint compression, tendinous pressure, maintained stretch and rocking in developmental stages [53].…”

Section: Rood's Approach Techniquesmentioning

confidence: 99%

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Neurorehabilitation and Physical Therapy

2023

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Attention focus plays an essential role in promoting motor performance and motor learning. There are two types of attention focus: internal focus and external focus. Internal focus refers to direct attention inside the body while external focus refers to direct attention outside the body. Several studies have reported that external focus positively affects motor performance and motor learning by promoting automatic control. The mechanisms of attention focus have been examined using electromyography (EMG), electroencephalography (EEG), and functional magnetic resonance imaging (fMRI). During rehabilitation, therapists promote patients' movement acquisition and motor learning. This chapter reviews the application of attention focus in rehabilitation to promote motor performance and motor learning in patients.

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Section: Figurementioning

confidence: 97%

Section: Motor Imagery and Rtmsmentioning

confidence: 99%

Section: Rood's Approach Techniquesmentioning

confidence: 99%

Section: Rood's Approach Techniquesmentioning

confidence: 99%

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Neurorehabilitation and Physical Therapy

2023

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Section: Rood's Approach Techniquesmentioning

confidence: 99%

Neurofunctional Intervention Approaches

Nshimiyimana¹,

Uwihoreye²,

Muhigirwa³

et al. 2023

Neurorehabilitation and Physical Therapy

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Neurofunctional approaches play the paramount functions in management of neurological disorders to improve the functional capability after impairments and activity limitations. These interventional approaches aligned with the neuroplasticity theories and all rely on repetition matters to build up engrams for the change of the brain function and activity performance. Affolter approach guides cognitive perceptual interaction through tactile-kinesthetic inputs. Neuromuscular facilitation relays the periphery information to the central nervous system by joint and muscle stimulus by using different techniques such stretching, irradiation, traction and approximation. Neurodevelopmental therapy manages the abnormal movement and postures through hands on facilitation of normal movement and inhibiting abnormal patterns movement. Roods approaches focus on the primitive reflexes through sensory stimuli to the targeted sensory receptors to initiate the appropriate motor pattern development. Brunnstrom approaches build on the synergies to provoke the engagement of the affected limbs. Task-oriented approaches are based on motor learning and involve repeat training with task-oriented activities. It is effective for improvement of the functional performance. It is a training method for encouraging functional movement with an interesting task. And also it improved the dexterity when applied using mixed interventions in hemiplegic.

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Enhanced Gait Recovery in Chronic Post-COVID-19 Stroke: The Role of Combined Physical Rehabilitation

Fodor,

Dávid,

Czont

et al. 2023

Reports

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Background: Rehabilitation programs applied in cases of COVID-19-related stroke should counteract not only the effects of the stroke but also the effects of long-term COVID-19. As the molecular processes underlying these cases are still not fully understood, and evidence-based clinical outcomes are scarcely documented, there is a valid need to gather information and develop rehabilitation strategies for these patients. The risks, already clarified in the case of stroke, need to be assessed taking into account the coincidence of the two diseases. Endothelial injuries and emboli that develop after the hypercoagulable state of COVID-19 may take longer to heal, and complications may occur during exercise. This case study attempts to determine what the rehabilitation of a COVID-19-related stroke patient should include. The participant was a 64-year-old male with ischemic right middle cerebral artery stroke, left-side hemiplegia, and middle cerebral artery stenosis, and the CT showed a well-defined area of hypoattenuation in the basal ganglia territory involving the right lentiform nucleus, the anterior and posterior limbs of the internal capsule, and the dorsal part of the external capsule. His NIHSS score was 14, and he registered 15 points on the Barthel index. The patient had a COVID-19 infection two weeks before the stroke event. Methods: Conventional physical therapy was combined with adaptive ballistic strength training, a high-intensity interval training regimen, and manual treatment for myofascial release throughout the chronic recovery phase. Our primary goals were gait rehabilitation, muscle strengthening, weakness management, as well as spasticity reduction, while three different rehabilitation approaches were adopted in a single rehabilitation program to improve the outcome and long-term functional recovery of the patient. Results: The patient progressed in almost every aspect of the assessment criteria. This combined approach’s main success was improved gait speed, gait quality, and improved cardiovascular fitness. Take-away message: In the case of a stroke caused by COVID-19, where the endothelium cells are compromised, HIIT may be questionable due to the poor vascular condition. Based on our results, the low-volume HIIT approach proved appropriate and effective.

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A Comparative Study Between the Immediate Effects of Tendinous Pressure Technique Versus Myofascial Release in the Reduction of Spasticity: A Cross Over Study

Cited by 3 publications

References 12 publications

Neurorehabilitation and Physical Therapy

Neurorehabilitation and Physical Therapy

Neurofunctional Intervention Approaches

Enhanced Gait Recovery in Chronic Post-COVID-19 Stroke: The Role of Combined Physical Rehabilitation

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