Recovery and Rehabilitation-- A Lifelong Journey Developed By: Mark Mañago PT, DPT, NCS Board Certified Neurologic Physical Therapist University of Colorado.

Slides:



Advertisements
Similar presentations
Restore to an appropriate level of competitive fitness Each program must be individualized Programs influenced by Severity of injury Stage of tissue healing.
Advertisements

HIGHER PE SWIMMING PREPERATION OF THE BODY Lecture 2.
Exercise- a prescription for all or not? Susan Edwards FCSP SRP.
Copyright © 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 54 Motor Function and Occupational Performance Glen Gillen.
David Smith MS ATC Sports Medicine 1  Define Athletic Training and its subcomponents  Describe the roles of the certified athletic trainer  Illustrate.
Phases of Rehabilitation. Rehabilitation Rehabilitation~ process of recovering from an injury Treatment and education to regain maximum function and high.
T HERAPEUTIC E XERCISE KNR 164. W HAT IS T HERAPEUTIC E XERCISE ? Therapeutic Exercise: is the systematic and scientific application of exercise and movement.
REHABILITATION OF THE STROKE SURVIVOR Elliot J. Roth, M.D. Rehabilitation Institute of Chicago Northwestern University Feinberg School of Medicine.
Physical Therapy A Guide for Aspiring College Students Created by: Kyle Norman.
Physical Therapy Treatment Plans also called
Upper extremity Physiotherapy
Beyond TEDS and Meds: Mobility Strategies for Prevention of Post-Stroke DVT and Other Complications Dori Tooke, MHA, PT, CSCS Aurora St. Luke’s Medical.
The Use of Meaningful Activity in Neurological Rehabilitation
Stroke Rehabilitation Engineering: Robotic Therapy By: Dana Demers.
Appendix B: Restorative Care Training Presentation Audience: All Staff Release date: December
School Based occupational Therapy Mazyad Alotaibi.
Motor control, motor Learning and recovery of function
Plyometric Training Sports med 2.
Resistance Training: Maintaining an Independent and Active Lifestyle.
Physical Therapy for Hemiplegia Patients
Chapter 12 - Basics of Injury Rehabilitation
Background Participants: Six participants have been recruited to date and placed into bilateral and unilateral task retraining groups using computer randomization.
Manual Handling STAFF BRIEFING – No 3
Designing a Personal Fitness Program
Post-Stroke and Aphasia Friendly Workout/Stretches John Reuter.
Post Stroke Transitional Care Program Physical Activity Programs.
Clinical Procedures in Prosthetics 3: Techniques and Strategies Mark David S. Basco, PTRP Faculty Department of Physical Therapy College of Allied Medical.
Constraint-Induced Movement Therapy and its Application to Physical and Occupational Therapy Nicole M. Boyko, PT/s.
Course Objectives Demonstrate proficiency in complex motor skills (i.e. various weight-lifting techniques) Develop an individualized fitness program using.
 Introduction  Approach to patient evaluation and program development (SOAP)  Posture.
Gerilynn Gobuyan, OTS Touro University Nevada.  Limited treatment strategies for patients with decrease arm/hand function  Inability to integrate the.
Meeting the standards Marisa Rose Acute Stroke Lead NEL Cardiac and stroke network Sue Winnall Head Occupational therapist – Rehabilitation.
Introduction to physiotherapy
 also known as human kinetics  scientific study of human movement  addresses physiological, mechanical, and psychological mechanisms Kinesiology means.
Stroke is a Medical Emergency. Face Arm Speech Test Helps public recognise symptoms of stroke; Can they smile? Does one side droop? Can they lift both.
Hickory House Nursing Home By: Mercedes Shelcusky.
Personal Fitness Regular exercise: Reduces your risk of premature death Helps you maintain a healthy weight Helps you build & maintain healthy muscles,
Fall Prevention Principles in Action: The Birmingham/Atlanta GRECC Fall Prevention Clinic Cynthia J. Brown, MD, MSPH October 26, 2006.
Patient Mobility - Ambulation
Muscular Strength and Endurance
Structuring Team Conference to Justify Medical Necessity Lisa Bazemore, MBA, MS, CCC-SLP.
A long time ago in the fall of 2013…. Physical therapy assisting AQUATIC Therapy EPISODE VII Created by: Darren Pain, Alyssa Day, Bill Naylor, Edwin Flohr.
Certificate in Fitness Instructing Models of physical fitness Principles of Exercise Fitness & Health Level 2.
Concepts of Rehabilitation ATHT 333. Who is on the team? The injured person Clinician Physician Parents Athletic Training Student Coach.
Aquatic exercise นิภาพร ทองหลอม. Hydrotherapy vs. Aquatic exercise Treatment Rehabilitation ▫Flexibility ▫Muscle re-education ▫Increase ROM ▫Strengthening.
Sit to Stand Training in Stroke Patients
Careers Therapy and Rehabilitation STANDARD 2 Investigate and compare the range of skills, competencies, and professional traits required for careers.
SANA BATOOL LECTURER IPM&R, DUHS CONSTRAINT INDUCED MOVEMENT THERAPY.
School Based Therapy.
Rehabilitation.
Customizing stroke rehabilitation using a 'Rehabilitation Problem-Solving Form' for a home-based therapy model in India Abstract Category: Innovations.
Therapeutic Exercise in Rehabilitation
CHAPTER 31 REHABILITATIVE CAREERS Lesson 1
Related Service Providers
FSH Society Family Day SF FSHD Exercise
Establishing Goals for a Weight Training Program & Working Toward Achieving Those Goals Glazier Clinic March 5, 2011.
The Athletic Health Care Team
A Patient’s Guide to Inpatient Rehabilitation at Mount Sinai
Flexibility Power Co-ordination Reaction Time/ Timing
Gait Training For the Non-Physical Therapist
Motor control, motor Learning and recovery of function
Rehabilitative Careers
Improving Quality Indicators with NeuroGym®
Rehabilitation.
Rehabilitation.
Muscular Strength & Endurance
DANC 1 Components of Fitness.
Recovery and Rehabilitation– A Lifelong Journey
School Based Therapy.
Unit 1: Rehabilitation and Restorative Care
Presentation transcript:

Recovery and Rehabilitation-- A Lifelong Journey Developed By: Mark Mañago PT, DPT, NCS Board Certified Neurologic Physical Therapist University of Colorado Health Aurora, CO

Objectives Rehabilitation as a lifelong journey Rehabilitation goals and success factors Physical therapy interventions Sample interventions and examples Review main points Questions

Rehabilitation: A Lifelong Journey Important for everyone yet different for everyone Does not undo damage caused by stroke Helps restore optimal health and function

Rehabilitation: A Lifelong Journey Goals of rehabilitation: –Prevent complications –Reduce disability –Maximize function –Improve independence –Build strength and endurance –Teach compensatory strategies

Rehabilitation Team Physical Therapist Speech Therapist Occupational Therapist Physician Nurse Social Worker Dietician

Successful Rehabilitation Amount of damage and location of damage Skill of rehabilitation team Cooperation and support of family and friends Commitment to rehab program

Physical Therapy Interventions Wide variety of strategies, technologies and techniques Not every intervention is appropriate for every person Skilled evaluation and customized treatment plans are essential for maximizing benefits

Physical Therapy Interventions Basic principles: –High repetition: Practice, practice, practice! –Goal-oriented action (vs. isolated movement) –Lifelong practice and commitment –Early intervention is key BUT important changes can be made years after stroke –Plateau in progress is normal and continuous therapy is not always necessary

Physical Therapy Interventions Body weight-supported treadmill training (BWSTT) –Part of body weight is supported in a harness system –Shown to improve walking speed in chronic stroke

Physical Therapy Interventions BWSTT –Walk as fast as possible, 2 mph is ideal –Up to 3 people help control legs, feet and hips –Best 2-3x week, 20 min/ session, 12 total sessions –Best if can already walk 30 ft without assistance –Can use robotic arm to control limb but no more effective than therapist control

Physical Therapy Interventions Hydrotherapy –Pool therapy also unweights body for easier stepping, balance and control –Better than BWSTT for those not able to stand or walk without assist –Can also help with muscle and joint pain

Physical Therapy Interventions “Forced Use” of affected limb –“Force” the use of the affected limb by limiting use of unaffected limb –Skilled therapist can set up tasks that increase weight bearing of affected leg or use of affected arm –With high repetition and goal-directed tasks, can lead to improvements in function, balance and walking

Physical Therapy Interventions Constraint-induced Movement Therapy (CIMT) –“Force” use of affected arm by restraining unaffected arm with mitt and/ or sling –Intense, “massed” practice, with specific tasks –2 weeks, 90% of waking hours –2 weeks, 6 hours a day of therapy

Physical Therapy Interventions Constraint-induced Movement Therapy (CIMT) –Best to have wrist and finger extension > 10° –Be able to walk without assistive device –Have minimal spasticity –Shows improvement in chronic stroke up to 2 yrs after treatment –Difficult to implement at times in clinic because of time and billing but different protocols being tested

Rehabilitation Summary Important for everyone yet different for everyone Does not undo damage caused by stroke Reduce disability, maximize function/ independence Build strength and endurance Lifelong journey that depends on: –Amount of damage and location of damage –Skill of rehabilitation team –Cooperation and support of family and friends –Commitment to rehab program

Questions?