Motor imagery in neurorehabilitation. - An introductory workshop - Imagery-Publications. Welcome. Workshop goals. Corina Schuster-Amft (PT, PhD)
|
|
- Sybil Flynn
- 5 years ago
- Views:
Transcription
1 Welcome Motor imagery in neurorehabilitation - An introductory workshop - Corina Schuster-Amft (PT, PhD) Reha Rheinfelden, Bern University of Applied Sciences, University of Basel Workshop goals Main goal: Participants try to use motor imagery with their patients. Subgoals: Participants are able to describe what is motor imagery and how it works. Participants know outcome measures to evaluate motor imagery ability in their patients. Participants developed an understanding for motor imagery by practical experience. Corina Schuster 3 PubMed search: Imagery-Publications mental imagery 240 motor imagery
2 German treatment guideline: upper extremity German treatment guideline 5.13: mental training uex Mentales Training Ähnlich wie bei der Spiegeltherapie, bei der der Patient scheinbar die gelähmte Hand sich bewegen sieht (im Spiegel), gibt es auch die Möglichkeit, dass wir uns die Bewegung des gelähmten Armes vor unserem geistigen Auge vorstellen. Beispielsweise können Patienten sich vorstellen, wie sie den gelähmten Arm bei Alltagsverrichtungen benutzen. Auch das kann die motorische Erholung fördern (Page et al. 2005). Zusätzlich zur sonstigen motorischen Therapie sollte ein über mehrere Wochen durchgeführtes tägliches mentales Training (10 30 Minuten) mit vorgestelltem Gebrauch des betroffenen Armes im Alltag bei subakuten und chronischen Schlaganfall-Patienten mit vorhandener Restfunktion der Hand erwogen werden, wenn eine Verbesserung der Armfunktion angestrebt wird (Klassifikation S2k, Evidenz mittel (3 Studien), Einschätzung der Effekte: mittlere Qualität; Empfehlungsgrad B) Leitlinie Rehabilitation von sensomotorischen Corina Störungen; Schuster 5. überarbeitete Auflage 2012, S. 7, gültig bis Leitlinie der Deutschen Gesellschaft für Neurologische Rehabilitation: Motorische Therapien für die obere Extremität zur Behandlung des Schlaganfalls, Stand: , gültig Corina bis , Schuster aktuell überarbeitet 6 Overview Sensible input External stimulation TMS Electrodes Brain plasticity Context factors Active practice Mental simulation External focus Goals WHAT is motor imagery? Meaningful context Motor learning Repetitions. Person-specific factors Competence Autonomy Social integration Learning stage Corina Schuster 8 2
3 Definition Motor imagery What is motor imagery? Motor imagery (MI) may be defined as a dynamic state during which the representation of a given motor act is internally rehearsed within working memory without any overt motor output. Decety & Grèzes, 1999 Corina Schuster 9 Adjunct method Increase therapy amount / repetitions Safe and cheap therapy method Independent from therapist, location, time of the day, exercise/movement selection (complex, challenging) Influence on Motor function / activities Cognitive function (self-confidence, concentration, memory, motivation) Corina Schuster 10 Mechanism of action Bio-informational theory Reinforcement of representation of the movement in the memory (stimulus, answer, meaning) Access / retrieval of a movement answer, facilitation the meaning of the movement Neurophysiological arousal Similar for MI & PP (brain areas, cortico-spinal excitability) Neuro-muscular mechanism Subliminal arousal or too less inhibition Schack T.Essig K.Frank C.Koester D. Mental representation Corina and motor Schuster imagery training. Front Hum Neurosci 2014;8: Objective measurement Blood flow, metabolism (fmri / PET / SPECT / NIRS) Corina Schuster Baseline, whole body vs. upper extremity movements Cortical areas (bilateral lateral and medial premotor cortices, medial frontal gyrus including supplementary motor area (SMA) and pre SMA, precentral gyri of both hemispheres, primary motor cortex, left frontal operculum and insula) Parietal areas (only left hemisphere, superior and inferior parietal lobe) Subcortical areas (right basal ganglia including putamen, pallidum and caudate nucleus) (Szameitat et al. 2007) 3
4 Objective measurement M. gastrocnemius left Physiological Changes Muscle fibre activity M. rectus femoris - Electromyography left (EMG) M. gastrocnemius right M. rectus femoris right Metronom Objective measurement Eye movements - Electrooculography (EOG) MI: 89% participants Eyes open MI: 84% participants Eyes closed Task-related eye movements => Amount & extent of eye movements were almost similar Dickstein R.Gazit Grunwald M.Plax M.Dunsky A.Marcovitz E. EMG activity in selected target muscles during imagery rising on tiptoes in healthy adults and poststroke hemiparetic patients. J Mot Behav Corina 2005;37(6): Schuster 13 Corina Schuster 14 Objective measurement Electrical brain activity Electroencephalography (EEG) Objective measurement Autonomic nervous system (skin resistance, temperature, heart rate, breathing frequency) Corina Schuster 15 Corina Schuster 16 4
5 MI-quality and external simulus Eye movements Patient > healthy individuals (MI, PP) External stimulus MI-qualityé (MI-duration ê) Spatial MI-accuracy é Visual > auditive Objective measurement MI ability Folding paper Cut cubes mental rotation Rotate objects Heremans et al. Cued motor imagery in patients with multiple Corina sclerosis. Schuster Neuroscience. 2012;206: Corina Schuster 18 Mental chronometry Temporal congruency of mental and physical execution of a movement Ratio = time needed to imagine Ratio 1 time needed to perform Malouin F, Richards CL, Desrosiers J, Doyon J. Bilateral slowing of mentally simulated actions after stroke. NeuroReport, 2004;15(8): Corina Schuster 19 Subjective measurement Imagery vividness or clarity Galton (1880) Breakfast Table Inquiry (Questionnaire) Bett (1909) Bett s Questionnaire upon Mental Imagery (QMI) Singer (1966) Imaginal Processes Inventory (IPI) Sheehan (1967) A shortened form of Bett s questionnaire upon MI Marks (1973) Vividness of Visual Imagery Questionnaire (VVIQ) Switras (1978) "An alternate-form instrument to assess vividness and controllability of mental imagery in seven modalities" Hall (1985) Movement Imagery Questionnaire (MIQ) Isaac (1986) The vividness of movement imagery questionnaire (VMIQ) Hall (1997) rev. Movement Imagery Questionnaire (MIQ-R) Kwekkeboom (2000) The imaging ability questionnaire Blajenkova (2006) "Object-spatial imagery questionnaire (OSIQ) Malouin (2007) Kinesthetic and visual imagery questionnaire (KVIQ) Roberts (2008) rev. The vividness of movement imagery questionnaire (VMIQ) 5
6 KVIQ-G Group work 1: Mental rotation Movements KVIQ-G-20 Bend/extent neck Shrug shoulders Arm elevation* Elbow flexion* Move thumb to finger tips* Bend trunk forward Extent knee* Move leg sideward Tap foot* Move foot outward* Visual imagery scale Kinaesthetic imagery scale With partner identify 10 foot and hand cards (right / left) View every card max. 5 seconds Record errors Time: 3min per person Corina Schuster 21 Corina Schuster 22 Group work 2: Mental chronometry Perform 2 movements with partner: 1x active, 1x mental Sit-to-stand movement Extent / bend lower leg Record time needed for all movements (stopp watch) Partner indicates start and stopp of a mental movement with a hand / finger movement If possible, calculate the ratio between time needed to imagine and time needed to physically perform Time: 3min per person Group work 3: KVIQ-G With partner perform tasks/movements 3, 4, and 5 based on the standardised description First, evaluate all tasks/movments on the visual scale Second, evaluate all tasks/movments on the kinaesthetic scale Record scores on the questionnaire Time: 3min per person Corina Schuster 23 Corina Schuster 24 6
7 Application of MI CRPS Anterior After surgical after Joint cruciate Shoulder flexor tendon Amputation wrist Osteo- Burn replace- ligament impingement Stroke MS PD SCI TBI repair fracture arthritis injury ment surgery ADL-function x x x x motor function x x ROM x x x x movements x x Finger x x Arm movements x x Foot movements x x x Spastizität / Dehnung x x Gewichtsübernahme x Sit to stand x Proprioception Sensibility Walking / walking speed x x x Pain x x x x x x Speech x Neglect x x Muscle activation x Strength x x Perception UE function x Postural balance x Tremor x HOW to imagine / visualise movements? Corina Schuster 26 How to do MI? What should patients imagine? How should patients perform MI? How should MI and PP be combined? How long should patients imagine a movement? How frequently should patients imagine a movement? Corina Schuster 27 Literature reviews 1. Machado et al. (2015). Is mental practice an effective adjunct therapeutic strategy for upper limb motor restoration after stroke? A systematic review and meta- analysis. CNS Neurol Disord Drug Targets, 14(5), Harris & Hebert. (2015). Utilization of motor imagery in upper limb rehabilitation: A systematic scoping review. Clin Rehabil, Malouin et al. (2013) Towards the integration of mental practice in rehabilitation programs. A critical review. Front Hum Neurosci, 7: Braun et al. (2013) The effect of mental practice in neurlogical rehabilitation: a systematic review and metaanalysis. Front Hum Neurosci, Carrasco et al. (2013) Effectiveness of motor imagery or mental practice in functional recovery after stroke: a systematic review. Neurologia. 6. Schuster et al. (2011) Best practice for motor imagery: A systematic literature review on motor imagery training elements in five different disciplines. BMC Med, 9: Wang et al. (2011) Efficacy of mental practice on rehabilitation of hand function in patients with post-stroke: A systematic review. Chin J Evid-Based Med, 11: Nilsen et al. (2010) Use of mental practice to improve upper-limb recovery after stroke: A systematic review. Am J Occup Ther, 64: Calayan & Dizon (2009) A Systematic Review on the Effectiveness of Mental Practice with Motor Imagery in the Neurologic Rehabilitation of Stroke Patients. Internet J Allied Health Sci Pract, Zimmermann-Schlatter, Schuster et al. (2008) Efficacy of motor imagery in post-stroke rehabilitation: a systematic review. J Neuroeng Rehabil, Ziemainz et al. (2008) The Application of Mental Training in the Rehabilitation of Stroke Patients Review and Calculating Effect Sizes. Phys Med Rehab Kuror, 18: Kossert & Munroe-Chandler (2007) Exercise Imagery: A Systematic Review of the Empirical Literature. J Imagery Res Sport Phys Activity, Braun et al. (2006) The effects of mental practice in stroke rehabilitation: a systematic review. Arch Phys Med Rehabil 2006, 87: Taktek (2004) The effects of mental imagery on the acquisition of motor skills and performance: A literature review with theoretical implications. J Ment Imagery, 28:
8 Literature reviews Literature reviews Barclay-Goddard RE, Stevenson TJ, Poluha W, Thalman L. Mental practice for treating upper extremity deficits in individuals with hemiparesis after stroke. Cochrane Database Syst Rev 2011;5:CD Braun S, Kleynen M, van Heel T, Kruithof N, Wade D, Beurskens A: The effect of mental practice in neurlogical rehabilitation: a systematic 24. review August and 2018 meta-analysis. Front Hum Neurosci 2013, Corina 7. Schuster 30 PETTLEP-Principle MI perspective Abk. Engl. Begriff Dt. Begriff P Physical Körperlicher Zustand E Environment Umgebung T Task Bewegungsaufgabe T Timing Dauer L Learning Lernen und Anpassen E Emotion Gefühl und Zustand P Perspective Perspektive und Modus Holmes & Collins: The PETTLEP approach to motor imagery: A functional equivalence model for sport psychologists. J Appl Sport Psychol 2001, 13: Pat.: 25 STR, 25 MS, 5 PD: Patients selected both perspectives spontaneously: internal & external during visual and kinaesthetic motor imagery External perspective used for axial & proximal movements Patients aged 64+ selected external perspective more frequently Chronic patients more consistent in perspective selection ÞExact MI ability evaluation is important for effective MI training in clinical routine Koppel, Gerber, Schuster-Amft. Which perspective is selected? The evaluation of motor imagery perspectives in patients with sensorimotor impairments. Submitted. Corina Schuster 32 8
9 Recommendations for MI practice Group work: Practical experience - See working sheet - 1. What knowledge has the patient regarding MI? 2. How well can he/she imagine movements (MI ability)? 3. How well is the patients compliance? 4. Does he/she know the movement to be imagined? 5. What is the temporal ratio of MI and PP of the movement? 6. Create MI for one movement (1-4 repetitions, do not predefine perspective, mode) 7. Test MI content (questions) 8. Modify / extent MI Corina Schuster 33 Corina Schuster 34 Summary I MI for re-learning / improvement of movements MI always in combination with PP Before MI start evaluate your patient MI ability (1+ Assessments) to generate and modulate mental images Know the movement to be imagined (complete and detailed imagination of the movement) (Working-) memory, attention Corina Schuster 35 Summary II Almost no recommendations for practical implementation of MI Duration of MI and PP should be similar Evaluate patients compliance Start with less repetitions Do not predefine mode and perspective Unclear: what patients, what dosage, what technique External stimuli might help to improve MI quality (vis>auditive) Corina Schuster 36 9
10 Summary III Workshop goals Main goal: Participants try to use motor imagery with their patients. Subgoals: Participants are able to describe what is motor imagery and how it works. Participants know outcome measures to evaluate motor imagery ability in their patients. Participants developed an understanding for motor imagery by practical experience. Corina Schuster 37 Corina Schuster 38 Take home message Thank you very much for your attention! Corina Schuster-Amft 1) Motor Imagery in theory and practice 21. Mar & 20. Sep 2019 at the Reha Rheinfelden Corina Schuster 39 2) Focused symposium: Motor imagery in neurorehabilitation May 2019 at the WCPT World Congress in Geneva 10
Kinesthetic and Visual Imagery Questionnaire (KVIQ) Administration procedures
(KVIQ) Administration procedures The aim of this questionnaire is to determine the extent to which individuals are able to visualize and feel imagined movements. There is no right or wrong answer. This
More informationTwo assessments to evaluate imagery ability: translation, test-retest reliability and concurrent validity of the German KVIQ and Imaprax
Schuster et al. BMC Medical Research Methodology 2012, 12:127 RESEARCH ARTICLE Open Access Two assessments to evaluate imagery ability: translation, test-retest reliability and concurrent validity of the
More informationMaria Polaczuk Occupational Therapist Wellington Regional Pain Management Service Graded Motor Imagery
Maria Polaczuk Occupational Therapist Wellington Regional Pain Management Service 2014 Graded Motor Imagery Introduction Whenever we get a referral for a patient with a unilateral or neuropathic pain condition,
More informationGLOSSARY. Active assisted movement: movement where the actions are assisted by an outside force.
GLOSSARY The technical words used in this guide are listed here in alphabetic order. The first time one of these words is used in the guide, it is written in italics. Sometimes there is reference to a
More informationClinical Learning Exercise #1
Clinical Learning Exercise #1 Exercise: We are going to assume nothing is wrong with the peripheral nervous system and attempt to identify the central nervous system anatomical location for the following
More informationNeurophysiology of systems
Neurophysiology of systems Motor cortex (voluntary movements) Dana Cohen, Room 410, tel: 7138 danacoh@gmail.com Voluntary movements vs. reflexes Same stimulus yields a different movement depending on context
More informationWater immersion modulates sensory and motor cortical excitability
Water immersion modulates sensory and motor cortical excitability Daisuke Sato, PhD Department of Health and Sports Niigata University of Health and Welfare Topics Neurophysiological changes during water
More informationThe Use Of Motor Imagery In A Stage 4 Hoehn and Yahr Parkinson's Disease Patient
University of New Mexico UNM Digital Repository Doctor of Physical Therapy Capstones Health Sciences Center Student Scholarship 6-25-2014 The Use Of Motor Imagery In A Stage 4 Hoehn and Yahr Parkinson's
More informationWhat goes wrong with balance in Parkinson s Disease? Fay B Horak, PhD, PT Professor of Neurology Oregon Health and Science. CoM
What goes wrong with balance in Parkinson s Disease? Fay B Horak, PhD, PT Professor of Neurology Oregon Health and Science CoM CoM Course Objectives Understand different types of balance systems affected
More information1. Which part of the brain is responsible for planning and initiating movements?
Section: Chapter 10: Multiple Choice 1. Which part of the brain is responsible for planning and initiating movements? p.358 frontal lobe hippocampus basal ganglia cerebellum 2. The prefrontal cortex is
More informationChapter 8. Control of movement
Chapter 8 Control of movement 1st Type: Skeletal Muscle Skeletal Muscle: Ones that moves us Muscles contract, limb flex Flexion: a movement of a limb that tends to bend its joints, contraction of a flexor
More informationMotor Functions of Cerebral Cortex
Motor Functions of Cerebral Cortex I: To list the functions of different cortical laminae II: To describe the four motor areas of the cerebral cortex. III: To discuss the functions and dysfunctions of
More informationCortical Control of Movement
Strick Lecture 2 March 24, 2006 Page 1 Cortical Control of Movement Four parts of this lecture: I) Anatomical Framework, II) Physiological Framework, III) Primary Motor Cortex Function and IV) Premotor
More informationA Study of the Effects of a Video-Observed Home Exercise Program on Improving the Motor Skills of Chronic Stroke Patients
NEUROTHERAPY 2 0 1 6 Ho-Jin Lee, Woo-Nam 대한신경치료학회지 Jang, Eun-Ja 제20권제Kim 1호 A Study of the Effects of a Video-Observed Home Exercise Program on Improving the Motor Skills of Chronic Stroke Patients Ho-Jin
More informationRehabilitative Qigong & Tai Chi Fundamentals. The Science of Vision and Mental Imagery
Rehabilitative Qigong & Tai Chi Fundamentals The Science of Vision and Mental Imagery!" Introduction! Body, Breath, Vision Focus! We think in images! Body and brain can t tell the difference between what
More informationFunctional Electrical Stimulation (FES): Neurorehabilitation of the Upper Limb and Trunk
Functional Electrical Stimulation (FES): Neurorehabilitation of the Presented by the Occupational Therapy Department - Health Sciences Centre Winnipeg Dr. Kristin Musselman Sunday, June 3, 2018 Winnipeg,
More informationNEUROPLASTICITY. Implications for rehabilitation. Genevieve Kennedy
NEUROPLASTICITY Implications for rehabilitation Genevieve Kennedy Outline What is neuroplasticity? Evidence Impact on stroke recovery and rehabilitation Human brain Human brain is the most complex and
More informationSupplementary Online Material Supplementary Table S1 to S5 Supplementary Figure S1 to S4
Supplementary Online Material Supplementary Table S1 to S5 Supplementary Figure S1 to S4 Table S1: Brain regions involved in the adapted classification learning task Brain Regions x y z Z Anterior Cingulate
More informationHuman Paleoneurology and the Evolution of the Parietal Cortex
PARIETAL LOBE The Parietal Lobes develop at about the age of 5 years. They function to give the individual perspective and to help them understand space, touch, and volume. The location of the parietal
More informationThe device for upper limb rehabilitation that supports patients during all the phases of neuromotor recovery A COMFORTABLE AND LIGHTWEIGHT GLOVE
SINFONIA The device for upper limb rehabilitation that supports patients during all the phases of neuromotor recovery A COMFORTABLE AND LIGHTWEIGHT GLOVE The key feature of Gloreha Sinfonia is a rehabilitation
More informationPeripheral facial paralysis (right side). The patient is asked to close her eyes and to retract their mouth (From Heimer) Hemiplegia of the left side. Note the characteristic position of the arm with
More informationKristine M. Oostra, MD 1, Anne Oomen, MD 1, Guy Vanderstraeten, MD, PhD 1 and Guy Vingerhoets, PhD 2
J Rehabil Med 2015; 47: 204 209 ORIGINAL REPORT Influence of motor imagery training on gait rehabilitation in sub-acute stroke: a randomized controlled trial Kristine M. Oostra, MD 1, Anne Oomen, MD 1,
More informationDoes your spasticity...
QUESTIONS Does your spasticity... help or limit your walking? make it difficult to breathe or take a deep breath? help or hinder your ability to get in and out of bed? cause pain? Affect your posture in
More informationRUNNING GUIDE. Technique & Stretching
RUNNING GUIDE Technique & Stretching TECHNIQUE PERFECT POSTURE Good running posture is very important in helping you to maintain good form for the whole run and therefore adding to efficient running style,
More informationTwo 85 year olds enjoying their life on a Horseless Carriage tour - 3 years post stroke
Stroke Rehabilitation: New Strategies for Recovery Gary Abrams MD UCSF/San Francisco VAMC U.S. Stroke Facts Stroke is 3 rd leading cause of death and leading cause of disability 730,000 new strokes/year
More informationHome Exercise Program Progression and Components of the LTP Intervention. HEP Activities at Every Session Vital signs monitoring
Home Exercise Program Progression and Components of the LTP Intervention HEP Activities at Every Session Vital signs monitoring Blood pressure, heart rate, Borg Rate of Perceived Exertion (RPE) and oxygen
More informationChapter 8: Visual Imagery & Spatial Cognition
1 Chapter 8: Visual Imagery & Spatial Cognition Intro Memory Empirical Studies Interf MR Scan LTM Codes DCT Imagery & Spatial Cognition Rel Org Principles ImplEnc SpatEq Neuro Imaging Critique StruEq Prop
More informationNeck Rehabilitation programme for Rugby players.
Neck Rehabilitation programme for Rugby players. The programme consists of two parts, first the Therapeutic Exercise Programme to improve biomechanical function and secondly the Rehabilitation programme
More informationLever system. Rigid bar. Fulcrum. Force (effort) Resistance (load)
Lever system lever is any elongated, rigid (bar) object that move or rotates around a fixed point called the fulcrum when force is applied to overcome resistance. Force (effort) Resistance (load) R Rigid
More informationThe device for upper limb rehabilitation that supports patients during all the phases of neuromotor recovery A COMFORTABLE AND LIGHTWEIGHT GLOVE
GLOREHA SINFONIA The device for upper limb rehabilitation that supports patients during all the phases of neuromotor recovery A COMFORTABLE AND LIGHTWEIGHT GLOVE The key feature of Gloreha Sinfonia is
More informationSpinal Hygiene Exercise
Spinal Hygiene Exercise Incorporate your Spinal Hygiene exercises (AHC, Y/W/T/L, and R.O.M.) into your daily routine (during breaks at the office, whenever you get up to go to the washroom, in the morning
More informationMotor Systems I Cortex. Reading: BCP Chapter 14
Motor Systems I Cortex Reading: BCP Chapter 14 Principles of Sensorimotor Function Hierarchical Organization association cortex at the highest level, muscles at the lowest signals flow between levels over
More informationThe Nervous System: Sensory and Motor Tracts of the Spinal Cord
15 The Nervous System: Sensory and Motor Tracts of the Spinal Cord PowerPoint Lecture Presentations prepared by Steven Bassett Southeast Community College Lincoln, Nebraska Introduction Millions of sensory
More informationEXERCISE PRESCRIPTION PART 1
EXERCISE PRESCRIPTION PART 1 Michael McMurray, PT, DPT, OCS, FAAOMPT Orthopaedic Manual Physical Therapy Series Charlottesville 2017-2018 What is MET? An active rehabilitation system based in the biopsychosocial
More informationHow To Achieve Your Best Plumb Line
How To Achieve Your Best Plumb Line Created by Allison Oswald DPT, WCS, CPT Doctor of Physical Therapy Women s Certified Specialist Certified Pilates Teacher & Owner of Plumb Line Pilates and Physical
More informationEssentials of Human Anatomy & Physiology. Seventh Edition. The Nervous System. Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings
Essentials of Human Anatomy & Physiology Seventh Edition The Nervous System Copyright 2003 Pearson Education, Inc. publishing as Benjamin Cummings Functions of the Nervous System 1. Sensory input gathering
More informationMEDICAL POLICY SUBJECT: COGNITIVE REHABILITATION. POLICY NUMBER: CATEGORY: Therapy/Rehabilitation
MEDICAL POLICY SUBJECT: COGNITIVE REHABILITATION PAGE: 1 OF: 5 If a product excludes coverage for a service, it is not covered, and medical policy criteria do not apply. If a commercial product (including
More informationVoluntary Movement. Ch. 14: Supplemental Images
Voluntary Movement Ch. 14: Supplemental Images Skeletal Motor Unit: The basics Upper motor neuron: Neurons that supply input to lower motor neurons. Lower motor neuron: neuron that innervates muscles,
More informationThe Proprioceptive Lumbar Spine & The role of manual therapy. Dr Neil Langridge DClinP MSc MMACP BSc (Hons) Consultant Physiotherapist
The Proprioceptive Lumbar Spine & The role of manual therapy Dr Neil Langridge DClinP MSc MMACP BSc (Hons) Consultant Physiotherapist What do we do? Manual therapy Pain control Movement Re-educate Muscular
More informationStretching - At the Workstation Why is stretching important?
Stretching - At the Workstation Why is stretching important? No matter how well a workstation is designed, problems may arise if attention is not paid to the way the work is done. Working at a computer
More informationMuscle Energy Technique
PRACTICE SESSION: Muscle Energy Technique BE AN ARTIST and work out the best way for you to use the Muscle Energy Technique (MET). This technique works best when muscles are shortened. If you try MET on
More informationHandling Skills Used in the Management of Adult Hemiplegia: A Lab Manual
Handling Skills Used in the Management of Adult Hemiplegia: A Lab Manual 2nd Edition Isabelle M. Bohman, M.S., P.T., NDT Coordinator Instructor TM Published by Clinician s View Albuquerque, NM 505-880-0058
More informationThe Motor Systems. What s the motor system? Plan
The Motor Systems What s the motor system? Parts of CNS and PNS specialized for control of limb, trunk, and eye movements Also holds us together From simple reflexes (knee jerk) to voluntary movements
More informationPerformance improvement through motor imagery study of the case in artistic gymnastics
Proceeding 6th ISPAS International Workshop, 22-23 March 2016. International Society of Performance Analysis of Sport. Carlow, Ireland. Performance improvement through motor imagery study of the case in
More informationTo Study the Effects of Forced Used Training and Capsular Stretching To Improve the Movement of the Shoulder Joint in Chronic Stroke Patients
International Journal of Science and Healthcare Research Vol.3; Issue: 4; Oct.-Dec. 2018 Website: www.ijshr.com Original Research Article ISSN: 2455-7587 To Study the Effects of Forced Used Training and
More informationAnnouncement. Danny to schedule a time if you are interested.
Announcement If you need more experiments to participate in, contact Danny Sanchez (dsanchez@ucsd.edu) make sure to tell him that you are from LIGN171, so he will let me know about your credit (1 point).
More informationSlide 1. Slide 2. Slide 3. Intro to Physical Therapy for Neuromuscular Conditions. PT Evaluation. PT Evaluation
Slide 1 Intro to Physical Therapy for Neuromuscular Conditions PTA 103 Introduction to Clinical Practice 2 Slide 2 Mental status: consciousness, attention, orientation, cognition Communication: speech
More informationThalamus and Sensory Functions of Cerebral Cortex
Thalamus and Sensory Functions of Cerebral Cortex I: To describe the functional divisions of thalamus. II: To state the functions of thalamus and the thalamic syndrome. III: To define the somatic sensory
More informationAn Overview of BMIs. Luca Rossini. Workshop on Brain Machine Interfaces for Space Applications
An Overview of BMIs Luca Rossini Workshop on Brain Machine Interfaces for Space Applications European Space Research and Technology Centre, European Space Agency Noordvijk, 30 th November 2009 Definition
More informationThe Frontal Lobes. Anatomy of the Frontal Lobes. Anatomy of the Frontal Lobes 3/2/2011. Portrait: Losing Frontal-Lobe Functions. Readings: KW Ch.
The Frontal Lobes Readings: KW Ch. 16 Portrait: Losing Frontal-Lobe Functions E.L. Highly organized college professor Became disorganized, showed little emotion, and began to miss deadlines Scores on intelligence
More informationCORE MEASURE: CORE MEASURE: BERG BALANCE SCALE (BBS)
OVERVIEW NUMBER OF TEST ITEMS SCORING EQUIPMENT TIME (NEW CLINICIAN) TIME (EXPERIENCED CLINICIAN) COST o The BBS is a widely-used, clinician-rated scale used to assess sitting and standing, static and
More informationPhase 1 Initiating Normal Spinal Motion. Activities to Avoid or Minimize. Good choices to make
Phase 1 Initiating Normal Spinal Motion Activities to Avoid or Minimize 1. Sitting 2. Standing with weight on one foot 3. Reading on back with head flexed forward 4. One sided sports (always practice both
More informationOverview of Brain Structures
First Overview of Brain Structures Psychology 470 Introduction to Chemical Additions Steven E. Meier, Ph.D. All parts are interrelated. You need all parts to function normally. Neurons = Nerve cells Listen
More informationCerebellum: little brain. Cerebellum. gross divisions
Cerebellum The anatomy of the cerebellum and its gross divisions Its principal input and output pathways The organization of the cerebellar cortex Role of climbing vs. mossy fibre input The parallel-fibre/
More informationMovement Disorders. Psychology 372 Physiological Psychology. Background. Myasthenia Gravis. Many Types
Background Movement Disorders Psychology 372 Physiological Psychology Steven E. Meier, Ph.D. Listen to the audio lecture while viewing these slides Early Studies Found some patients with progressive weakness
More informationCRITICALLY APPRAISED PAPER (CAP)
CRITICALLY APPRAISED PAPER (CAP) FOCUSED QUESTION Is the combination of occupational therapy (OT) and mental practice (MP), from either an internal or an external perspective, an effective intervention
More informationBrain and behaviour (Wk 6 + 7)
Brain and behaviour (Wk 6 + 7) What is a neuron? What is the cell body? What is the axon? The basic building block of the nervous system, the individual nerve cell that receives, processes and transmits
More informationDave Juehring DC, DACRB Director Rehabilitation and Sport Injury Department and Rehabilitation Residency Palmer Chiropractic Clinics Davenport IA
Dave Juehring DC, DACRB Director Rehabilitation and Sport Injury Department and Rehabilitation Residency Palmer Chiropractic Clinics Davenport IA Dynamic Neuromuscular Stability the Czech Approach to Stability
More informationCerebrum-Cerebral Hemispheres. Cuneyt Mirzanli Istanbul Gelisim University
Cerebrum-Cerebral Hemispheres Cuneyt Mirzanli Istanbul Gelisim University The largest part of the brain. Ovoid shape. Two incompletely separated cerebral hemispheres. The outer surface of the cerebral
More informationUPPER BODY STANDING 12. March in place (hand to opposite knee) For more intensity raise arms above head if your balance is GOOD. 13.
LOW IMPACT EXERCISES SITTING 1. Breathe 2. Half circles with head 3. Neck movements (Chin to chest, ear to shoulder) 4. Neck Stretch Sitting in your chair, reach down and grab the side of the chair with
More informationNeocortex. Hemispheres 9/22/2010. Psychology 472 Pharmacology of Psychoactive Drugs. Structures are divided into several section or lobes.
Neocortex Psychology 472 Pharmacology of Psychoactive Drugs 1 Is the most developed in Humans Has many folds and fissures The folds of tissue are called gyri or a gyrus (single) The fissures or valleys
More informationOverview The BBS is a widely-used, clinician-rated scale used to assess sitting and standing, static and dynamic balance.
Core Measure: Berg Balance Scale (BBS) Overview The BBS is a widely-used, clinician-rated scale used to assess sitting and standing, static and dynamic balance. Number of Test Items The BBS consists of
More informationBenefits of Weight bearing increased awareness of the involved side decreased fear improved symmetry regulation of muscle tone
From the information we have gathered during our Evaluation, the Clinical Reasoning we used to identify key problem areas and the Goals Established with functional outcomes we now have enough information
More informationDevelopment of a New Rehabilitation System Based on a Brain-Computer Interface Using Near-Infrared Spectroscopy
Development of a New Rehabilitation System Based on a Brain-Computer Interface Using Near-Infrared Spectroscopy Takafumi Nagaoka, Kaoru Sakatani, Takayuki Awano, Noriaki Yokose, Tatsuya Hoshino, Yoshihiro
More informationBrunel balance assessment (BBA)
Brunel balance assessment (BBA) Tyson, S Title Authors Type URL Brunel balance assessment (BBA) Tyson, S Published Date 2004 Monograph This version is available at: http://usir.salford.ac.uk/4886/ USIR
More informationThe Change of Mu Rhythm during Action Observation in People with Stroke. Tae-won Yun, PT, MSc, Moon-Kyu Lee, PT, PhD
1) 동작관찰시뇌졸중환자의뮤리듬변화 The Change of Mu Rhythm during Action Observation in People with Stroke Tae-won Yun PT MSc Moon-Kyu Lee PT PhD Department of Rehab Center Gwangju City Rehabilitation Hospital
More information3 MINUTES TO YOUR NEXT PR
3 MINUTES TO YOUR NEXT PR Z-HEALTH JOINT MOBILITY FOR STRENGTH & POWER THE CHALLENGE Over the next hour, we will be exploring the basic neuroscience of performance specifically the arthrokinetic reflex
More informationRestoration of Reaching and Grasping Functions in Hemiplegic Patients with Severe Arm Paralysis
Restoration of Reaching and Grasping Functions in Hemiplegic Patients with Severe Arm Paralysis Milos R. Popovic* 1,2, Vlasta Hajek 2, Jenifer Takaki 2, AbdulKadir Bulsen 2 and Vera Zivanovic 1,2 1 Institute
More informationAt the highest levels of motor control, the brain represents actions as desired trajectories of end-effector
At the highest levels of motor control, the brain represents actions as desired trajectories of end-effector Normal condition, using fingers and wrist Using elbow as folcrum Using shoulder as folcrum (outstretched
More informationEFFECIVENESS OF THE WILLIAMS EXCERCISE IN MECHANICAL LOW BACK PAIN
EFFECIVENESS OF THE WILLIAMS EXCERCISE IN MECHANICAL LOW BACK PAIN Dr.U.Ganapathy Sankar, Ph.D Dean I/C, SRM College of Occupational Therapy, SRMUniversity, Kattankulathur, KancheepuramDistrict, Tamil
More informationAre randomised controlled trials telling us what rehabilitation interventions work?
Are randomised controlled trials telling us what rehabilitation interventions work? Focus on stroke Jane Burridge March 6 th 2014 Neurorehabilitation: facts, fears and the future Overview Stroke recovery
More informationRecovery of function after stroke: principles of motor rehabilitation
Recovery of function after stroke: principles of motor rehabilitation Horst Hummelsheim NRZ Neurologisches Rehabilitationszentrum Leipzig Universität Leipzig Berlin, 13.11.2009 1 Target symptoms in motor
More informationLecture 35 Association Cortices and Hemispheric Asymmetries -- M. Goldberg
Lecture 35 Association Cortices and Hemispheric Asymmetries -- M. Goldberg The concept that different parts of the brain did different things started with Spurzheim and Gall, whose phrenology became quite
More informationSTRETCHES. Diyako Sheikh Mohammadi Sport student at Kajaani University of Applied Sciences, Finland. 25 July 2012
STRETCHES Diyako Sheikh Mohammadi Sport student at Kajaani University of Applied Sciences, Finland. 25 July 2012 H@p://www.diyako.eu Email: Diyako.sm@me.com Stretching! 3 Ballistic Stretching! 3 Dynamic
More informationAnatomy, Biomechanics, Work Physiology, and Anthropometry. After completing and understanding of the current chapter students should be able to:
Chapter 2 Anatomy, Biomechanics, Work Physiology, and Anthropometry Learning outcomes: After completing and understanding of the current chapter students should be able to: Describe the anatomical structure
More informationFoundational Spine Exercises
These exercises should only be used as a starting point to strengthen the muscles that support your back. Your physical therapist will tailor a program that fits your needs and activity level, using exercises
More informationPlease demonstrate each task and/or give instructions as written. When scoring, please record the lowest response category that applies for each item.
Berg Balance Test Name Date Location Rater GENERAL INSTRUCTIONS Please demonstrate each task and/or give instructions as written. When scoring, please record the lowest response category that applies for
More informationTechnical Progression Workshop. Throws Shot Put, Discus and Javelin
Technical Progression Workshop Throws Shot Put, Discus and Javelin Position & Context of Workshop Position Sits after Athletics Coach and Coaching in Running Fitness You will hopefully have attended the
More informationHow Often to Perform Each Exercise: Mirror Box Setup: Make sure you can see the full reflection of your arm in the mirror
Mirror Therapy Author: Michelle Rodriguez, OTR/L Purpose: The purpose of mirror therapy is to increase the brain s activity and to increase the brain s ability to reorganize in the affected area of the
More informationLECTURE 8: OPTIMISING UPPER LIMB FUNCTION FOLLOWING STROKE. Understand the factors that can inhibit optimal recovery of arm function.
LECTURE 8: OPTIMISING UPPER LIMB FUNCTION FOLLOWING STROKE Understand the factors that can inhibit optimal recovery of arm function. o Shoulder subluxation Incidence as high as 81% Downward traction leads
More informationRole of brainstem in somatomotor (postural) functions
Role of brainstem in somatomotor (postural) functions (vestibular apparatus) The muscle tone and its regulation VESTIBULAR SYSTEM (Equilibrium) Receptors: Otolith organs Semicircular canals Sensation (information):
More informationThe Lost Skill Syndrome (LSS)
Definitions Lost Move Syndrome (LMS) can be described as a psychological condition in which athletes find themselves unable to perform a skill that was previously automatic. Day et al. (2006) Specifically,
More informationCan group singing help long term aphasia?
PRIORITY BRIEFING The purpose of this briefing paper is to aid Stakeholders in prioritising topics to be taken further by PenCLAHRC as the basis for a specific evaluation or implementation research project.
More informationTable of Contents Treatment Guides Basic Activities of Daily Living Basic and Instrumental Activities of Daily Living 11 Bathing and Showering 13 Dres
Treatment Guides Basic Activities of Daily Living Basic and Instrumental Activities of Daily Living 11 Bathing and Showering 13 Dressing 15 Feeding 18 Functional Communication 20 Functional Mobility 22
More informationSTROKE POSITIONING, TRANSFERRING & SHOULDER MANAGEMENT IN ACUTE AND REHAB
STROKE POSITIONING, TRANSFERRING & SHOULDER MANAGEMENT IN ACUTE AND REHAB PRESENTED BY: Francine Carrier-Stevens, PT. Natasha Uens, PT. Chelsea Foster, RN. OVERVIEW Objectives Factors affecting mobility
More informationWhat is Hippotherapy
HIPPOTHERAPY Mission Statement Angel Paths mission is to improve the body, mind and spirits of individuals with physical and mental disabilities through high-quality therapeutic programs, specializing
More informationChapter 10: Flexibility
Chapter 10: Flexibility Lesson 10.1: Flexibility Facts Self-Assessment 10: Arm, Leg, and Trunk Flexibility Lesson Objectives: Describe the characteristics of flexibility. Explain how you benefit from good
More informationshows syntax in his language. has a large neocortex, which explains his language abilities. shows remarkable cognitive abilities. all of the above.
Section: Chapter 14: Multiple Choice 1. Alex the parrot: pp.529-530 shows syntax in his language. has a large neocortex, which explains his language abilities. shows remarkable cognitive abilities. all
More information34 Pictures That Show You Exactly What Muscles You re Stretching
By DailyHealthPostJanuary 27, 2016 34 Pictures That Show You Exactly What Muscles You re Stretching Stretching before and after a workout is a great way to promote blood flow to the muscles and increase
More informationTABLE OF CONTINENTS. PSYC1002 Notes. Neuroscience.2. Cognitive Processes Learning and Motivation. 37. Perception Mental Abilities..
TABLE OF CONTINENTS Neuroscience.2 Cognitive Processes...21 Learning and Motivation. 37 Perception.....54 Mental Abilities.. 83 Abnormal Psychology....103 1 Topic 1: Neuroscience Outline 1. Gross anatomy
More information1. Processes nutrients and provides energy for the neuron to function; contains the cell's nucleus; also called the soma.
1. Base of brainstem; controls heartbeat and breathing 2. tissue destruction; a brain lesion is a naturally or experimentally caused destruction of brain tissue 3. A thick band of axons that connects the
More informationChapter 14, Part 2! Chapter 14 Part 2 Brain/Cranial Nerves! The Cerebrum and Cranial Nerves! pp !
Chapter 14, Part 2! The Cerebrum and Cranial pp. 482 505! SECTION 14-9! The cerebrum, the largest region of the brain, contains motor, sensory, and association areas! 2! White Matter of the Cerebrum! 1.
More informationHomework Week 2. PreLab 2 HW #2 Synapses (Page 1 in the HW Section)
Homework Week 2 Due in Lab PreLab 2 HW #2 Synapses (Page 1 in the HW Section) Reminders No class next Monday Quiz 1 is @ 5:30pm on Tuesday, 1/22/13 Study guide posted under Study Aids section of website
More informationRN(EC) ENC(C) GNC(C) MN ACNP *** MECHANISM OF INJURY.. MOST IMPORTANT *** - Useful in determining mechanism of injury / overuse
HISTORY *** MECHANISM OF INJURY.. MOST IMPORTANT *** Age of patient Sport / Occupation - Certain conditions are more prevalent in particular age groups (Osgood Schlaters in youth / Degenerative Joint Disease
More informationStretching. Back (Latissimus dorsi) "Chicken Wings" Chest (Pec. major + Ant. deltoid) "Superman" Method: Method: 1) Stand tall and maintain proper
Chest (Pec. major + Ant. deltoid) "Chicken Wings" Back (Latissimus dorsi) "Superman" 1) Stand tall and maintain proper 1) Reach hands overhead and lumbar curve. grasp one wrist. 2) Place palms on lower
More informationPSYC& 100: Biological Psychology (Lilienfeld Chap 3) 1
PSYC& 100: Biological Psychology (Lilienfeld Chap 3) 1 1 What is a neuron? 2 Name and describe the functions of the three main parts of the neuron. 3 What do glial cells do? 4 Describe the three basic
More information-Zeina Assaf. -Omar Odeh. - Maha Beltagy
-3 -Zeina Assaf -Omar Odeh - Maha Beltagy 1 P a g e The Inferior Surface Of The Brain The inferior surface of the brain is divide by the stem of the lateral fissure into 2 parts : The orbital surface and
More informationLodges and motor units
THE MYOFASCIAL (MF) UNIT BIOMECHANICAL MODEL in FASCIAL MANIPULATION MYOFASCIAL UNIT CENTRES OF COORDINATION CENTRES OF PERCEPTION CENTRES OF FUSION MYOFASCIAL DIAGONALS AND SPIRALS www.fascialmanipulation.com
More informationRehabilitation 2. The Exercises
Rehabilitation 2 This is the next level from rehabilitation 1. You should have spent time mastering the previous exercises and be ready to move on. If you are unsure about any of the previous exercises
More informationThe effectiveness of transcranial direct current stimulation on ambulation in persons with Parkinson s Disease: A Systematic Review
The effectiveness of transcranial direct current stimulation on ambulation in persons with Parkinson s Disease: A Systematic Review Caitlin Liberatore, SPT Melissa McEnroe, SPT Brian Esterle, SPT Lindsay
More information