NEURO PHYSIO AFTER BRAIN INJURY
FITNESS, FUNCTION AND
QUALITY OF LIFE
NEURO PHYSIO SCOTLAND - FITNESS, FUNCTION & QUALITY OF LIFE
CONTENTS
▸ Brain injury
▸ Disability
▸ Neuro Physio
▸ What is it?
▸ What is the process?
▸ Treatment approaches
▸ Questions
NEURO PHYSIO SCOTLAND - FITNESS, FUNCTION & QUALITY OF LIFE
BRAIN INJURIES - TERMINOLOGY
▸ Disability
▸ Impairments
▸ Activities limitations
▸ Participation restrictions
NEURO PHYSIO SCOTLAND - FITNESS, FUNCTION & QUALITY OF LIFE
COMMON PHYSICAL IMPAIRMENTS
▸ Weakness
▸ Spasticity, tightness, stiffness,
contracture
▸ Co-ordination & Balance problems
▸ Sensory problems including pain
▸ Reduced fitness levels
NEURO PHYSIO SCOTLAND - FITNESS, FUNCTION & QUALITY OF LIFE
ACTIVITIES & PARTICIPATION
▸ Picking something up
▸ Transferring from bed to chair
▸ Getting dressed
▸ Walking
▸ Driving
▸ Doing the housework
▸ Employment
NEURO PHYSIO SCOTLAND - FITNESS, FUNCTION & QUALITY OF LIFE
NEURO PHYSIO
▸ What is it?
▸ Can the brain recover after injury?
▸ What does neuro physio involve?
ASSESSMENT
NEURO PHYSIO SCOTLAND - FITNESS, FUNCTION & QUALITY OF LIFE
ASSESSMENT
▸ Clinical history
▸ Physical examination
▸ Discussion
AGREE YOUR GOALS
NEURO PHYSIO SCOTLAND - FITNESS, FUNCTION & QUALITY OF LIFE
DEVISE A TREATMENT PLAN
▸ Target impairments
▸ Strength training
▸ Stretching
▸ Balance and co-ordination
exercises
▸ Sensory stimulation
▸ Fitness training
NEURO PHYSIO SCOTLAND - FITNESS, FUNCTION & QUALITY OF LIFE
STRENGTHEN WEAK MUSCLES
▸ Graded exercise progressions
▸ Weight bearing exercise to access automatic activation
▸ Functional exercises
▸ Electrical muscle stimulation
▸ Feedback
▸ Focus and motivation
NEURO PHYSIO SCOTLAND - FITNESS, FUNCTION & QUALITY OF LIFE
MANAGE TIGHTNESS, STIFFNESS, CONTRACTURE
▸ Stretching - active and passive
▸ Exercise
▸ Splinting
▸ Electrical muscle stimulation
▸ Standing frames
▸ Exercise bikes
NEURO PHYSIO SCOTLAND - FITNESS, FUNCTION & QUALITY OF LIFE
MAXIMISE CO-ORDINATION AND BALANCE
▸ Core stability
▸ Graded balance exercises
▸ Saving reactions
NEURO PHYSIO SCOTLAND - FITNESS, FUNCTION & QUALITY OF LIFE
IMPROVE SENSATION
▸ Sensory stimulation
▸ Kinesiotaping
▸ Sensory dynamic orthoses (lycra garments)
▸ Hydrotherapy
NEURO PHYSIO SCOTLAND - FITNESS, FUNCTION & QUALITY OF LIFE
MAXIMISE FITNESS
▸ Large muscle groups
▸ Cardio-vascular system
▸ Cognitive benefits
NEURO PHYSIO SCOTLAND - FITNESS, FUNCTION & QUALITY OF LIFE
DEVISE A TREATMENT PLAN
▸ Target activity limitations
▸ Sitting up in a chair
▸ Drinking from a cup
▸ Transferring
▸ Walking
NEURO PHYSIO SCOTLAND - FITNESS, FUNCTION & QUALITY OF LIFE
RETURN TO ACTIVITIES
▸ Functional task practice
▸ Repetition
▸ Varied and challenging
▸ Rehabilitation technologies to assist
NOT QUITE ON THE
WINE YET. SOON!
Richard
NEURO PHYSIO SCOTLAND - FITNESS, FUNCTION & QUALITY OF LIFE
TARGET PARTICIPATION
▸ Live at home
▸ Be able to sit and keep head up to watch TV
▸ Fulfil a family role
▸ Engage in local community
▸ Work
▸ Leisure
NEURO PHYSIO SCOTLAND - FITNESS, FUNCTION & QUALITY OF LIFE
MAXIMISE PARTICIPATION
▸ Goal setting
▸ Facilitate participation
▸ Consider compensation
▸ Alternatives
NEURO PHYSIO SCOTLAND - FITNESS, FUNCTION & QUALITY OF LIFE
DEVISE A TREATMENT PLAN
▸ Consider rehabilitation
technologies to augment
treatment
▸ Functional Electrical Stimulation
▸ Saebo splints
▸ Sensory Dynamic Orthoses
(Lycra garments)
▸ Contracture management
braces
GOOD TO BE BACK
OUT WALKING
SPLINT FREE!
Richard
MEASURE PROGRESS
CELEBRATE
SUCCESS!
NEURO PHYSIO SCOTLAND - FITNESS, FUNCTION & QUALITY OF LIFE
SUMMARY
▸ The brain can improve after injury due to neuroplasticity.
▸ Seek specialist help.
▸ Physio process uses a problem solving approach.
▸ Rehabilitation technologies can assist that process.
▸ NeuroPhysio can help you achieve your maximum fitness,
function and quality of life.
QUESTIONS?
COMMENTS?
SHARE AN EXPERIENCE?
NEURO PHYSIO SCOTLAND - FITNESS, FUNCTION & QUALITY OF LIFE
CONTACT DETAILS
▸ Kenny Thoms
▸ 0141 255 0304
▸ [email protected]
▸ www.neurophysioscotland.co.uk