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Brain Injury
Post brain damage recovery involves two processes,
Spontaneous: it is related to repairing of the central nervous system soon after the brain injury and diaschisis regression.
Function-induced: It is geared towards promoting neuroplasticity as a response to environmental stimulation and activity practice for a behavioural therapy, just as for constraint-induced movement therapy protocol.
Physiotherapeutic Interventions for Brain Injury Patients
There are three major categories of physiotherapeutic interventions,
Restorative: It focuses on reactivating diaschisis and penumbra premorbid movement restoration.
Compensatory: It focuses on optimal enhancement of function by employing the therapy for loss compensation, with use of the non hempleigic side
Preventative: It focuses on lowering impairment and enhancing general health, for example, chest health is enhanced by respiratory physiotherapy.
Some treatments for brain injury are,
Therapeutic exercises
Techniques of manual therapy, such as mobilisation
Application and prescription of equipment including prosthetic or orthotic devices, wheelchair and other mobility aids
Techniques for airway clearance
Functional training for home care and self-care
Functional training for school, work, leisure, and play activities, including reintegration into the community
Using physical agents and various different modalities, such as cryotherapy, electrotherapy, and hydrotherapy
Integumentary protective techniques for better tissue viability
In a brain injury intervention’s prescription, some parameters that can be used are,
Frequency and duration
Intensity, load and tempo
Method, mode and device
Progression
Stroke
About 50% of survivors of stroke acquire severe disabilities. But, the brain is extremely adaptable and can recover with therapy. Post a stroke, for the first few months patients recover rapidly, then recovery slows down for several years. It is essential to continue neurophysiotherapy.
Physiotherapy helps patients to regain function and movement to the extent it is possible. Generally, the brain injury and stroke treatment in Hebbal, Bangalore is geared towards,
Acquiring balance while sitting
Acquiring balance while standing
Acquiring balance while standing
Walking
Making use of the affected hand /arm / leg
Managing changes that have occurred in muscle tone
Alleviating pain and / or stiffness
Goal and associated therapies include,
Gait and mobility training
Treadmill Training: Virtual reality, rhythmic cueing, community walking, overground walking, orthotics
Upper Limb Therapy
Constraint induced movement
Bilateral arm training
Stimulation by using electricity
Robot assisted arm training
Mirror therapy
Virtual reality
Splinting
Mental practice
Strength training
Hydrotherapy
Circuit class
Cardiorespiratory training
Fatigue management
Contracture management
Spasticity management
Botulinum toxin
Stretch
Electrotherapy
Neurological stroke physiotherapy can help,
Improve balance and walking
Increase ability to roll / move in bed / sit / stand
Reduce muscle spasms, pain and stiffness
Increase strength
Retrain normal patterns of movement
Increase affected arm and leg function
Increase energy levels
Increase independence and quality of life
Reduce the risk of falls
Book an apppointment at Manipal Hospitals to know more about treatments with the help of best doctors in Bangalore.
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