About Me

My photo
DR. GAJANAN BHALERAO (PT) MPTh Neuro, MIACP, MIFNR, MIAP SENIOR LECTURE Masters in physiotherapy, Neurosciences Sancheti Institute College of physiotherapy, Shivajinagar, Pune. Mobile : 9822623701 Email:Gajanan_bhalerao@yahoo.com, gajanan.neurophysio@gmail.com PUBLICATIONS:- Comparison of Motor Relearning program versus Bobath Approach in acute stroke rehabilitation: Journal of Orthopedics And Rehabilitation, India, 2011 RESEARCH PAPER PRESENTATIONS & AWARDS:- INTERNATIONAL 1.Winner Of Young Presenters Scholarship From Epilepsy Foundation India, in the conference of“International congress on neurology and rehabilitation Goa April 2010”, STATE LEVEL: 1. Winner of best paper award in engeering and technology category In Avishkar 201o of Maharashtra university of health sciences (MUHS), Nashik India. 2.WINNER OF BEST PAPER FOR scientific paper presentation in AVISHKAR 2010 of Maharashtra University of Health Sciences (MUHS), AURANGABAD, India. REESOURCE PERSON/COURSE INSTRUCTOR:- I have conducted Conducted workshop on 1. 2D & 3D Gait Analysis and its Management 2. MOTOR RELEARNING PROGRAM- for stroke rehab 3.Spinal Cord Injury Rehabilitation

Sunday 13 November 2011

ANY SENSORY STIMULUS WHICH IS NON PURPOSELESS IS USELESS


During sensory facilitation in neuro rehabilitation we use tapping, weight bearing, and joint compression to facilitate the motor control in upper limb. Most of the time therapist use weight bearing through upper limb either in prone on elbows, quadruped, or in sitting weight bearing through upper limb with hand kept either sideways or backward. Most of the time we don’t even think what is our objective of this exercise and which purpose it is used. Even we don’t plan that, are we trying to do heavy joint compression or light joint compression. What is the purpose of the joint? Is it heavy joint compression or light joint compression? Wrist and elbows are not meant for heavy joint compression. Wrist and elbows are for the purpose is for light activity and skillful activity. By doing this heavy joint compression in the lengthened range of ling flexors, we overstretch the long flexors. This increases the movement arm of flexor tendons and this cause’s excessive flexion force and flexion attitude of the flexors in every movement of wrist and hand and skillful movements. Already it is difficult to activate finger flexors and teach release of fist and this over action of flexors makes it more difficult. So we should avoid weight bearing through hand in fully extended fingers.

Instead of giving sensory stimulation in functional positions we need to give sensory feedback during functional activity & task specific position. This helps in sensory integration of sensory feedback with motor control in given task, given task parameters and contextual factors.

No comments:

Post a Comment