Proposition for the Innovation of the Rehabilitation Medicine -Retrospection and Reflection Related to Mechanism of Proprioceptive Neuromuscular Facilitation-

Abstract

The priority of Proprioceptive Neuromuscular Facilitation (PNF) to hemiplegic patients on the affected side must be reconsidered due to a lack of effect in its procedure. By the improvement of the theory and techniques of PNF, the improvement of therapeutic effects on hemiplegia patients could be expected in connection with their progress, however the outcome of medical examination has hardly been changed on hemiplegia patients at the clinical aspect over the last 40 years. Although PNF is thought to be more suitable for the normalization of a movement pattern to perform synthetic coordinated movements by affected side priority, it takes too long to lead to the active contraction of the peripheral muscles. Sometimes, even the atrophy of an unaffected side and the trunk can be seen. In considering the PNF of unaffected side priority the effect of facilitation is larger than that of affected side priority. Therefore, if the unaffected priority is used a smaller number of patients will be bedridden by atrophy and contracture. From the recent research on new born power of a neural stem cell (NSC), the elucidation of the mechanism for the effectiveness of the kinetic rehabilitation by the unaffected side priority enables us to expect the functional recovery of a damaged area. The NSC would also affect to the rehabilitation in the realm of the nervous system. It's recommended to try to use and get the evidence of PNF by unaffected side priority.

Construction of Community Biophilia Rehabilitation Network for the Disabled Elderly

“…Although the statistical improvement was not found about change of the contracture, we analyzed for every joint and the tendency of the improvement was seen about the leg joint and the shoulder joint. It shows that the view of in the report of Fukui and others 11 ) which were effective in the improvement of contracture has been reinforced.…”

<b>To Establish the Rehabilitation Medical Treatment by the Motivative Exercise from Physiotherapist's Point of View, Who Works at the Day care and Outpatient Rehabilitation Service Facility</b>

“…Rika Wada Day care and outpatient rehabilitation service facility of the Medical corporation Tachibana orthopedics After I Joined the Biophilia Rehabilitation Academy, I studied the following matters; we can serve the homogeneous rehabilitation service to a lot of people by the simplified program, even the chronic term bedridden inpatients with a diagnosis of disuse syndrome could stand and re-acquire walk 1) , the self-kinetic rehabilitation which led to unaffected side extremity and exercise affected side in one direction with a device (the motivative exercise) can expect a kind of effect of Proprioceptive Neuromuscular Facilitation 2) , Due to Making muscle activity and range of motion excise by the motivative exercise, we can expect to inhibit the disuse syndrome 3) , and although a super-aged society is imminent close at hand and baby boomers will be oldest old elderly in 2025, which will not be become a negative inheritance if elderly people are fine and live independent 4) . I learned and carried out the Takizawa method and got the opportunity to participate in many types of research.…”

<b>Effect of Motivative Exercise Studied by fNIRS: Introduction to the Rehabilitation Day Care Users </b>

“…When the situation regarding rehabilitation medicine is examined, Fukui and the author reported clear problems with the current rehabilitation medicine 5) . It is pointed out that there were seldom any beneficial effects to the disabled elderly, and the importance of the autonomous rehabilitation exercise and the influence of exercise on the brain function in order to overcome the dysfunction caused by disuse syndrome.…”