In case of comparing isometric muscle strengthening in comparison to the functional rehabilitation exercises like wearing a shirt, pressing a ball or combing one's hairs one will prefer functional rehabilitation. It is noticed rehabilitation using functional exercises is more advantageous than pure muscle strengthening alone like evaluation between combing hairs and an isolated bicep curl. Since combing hairs involve more muscles during exercise at a moment in comparison to isolated bicep curl.
The physiotherapy management program for Mrs. B who is 29 years old woman and is suffering from cerebro-vascular accident is being classified into 2 subdivisions, which are:
Post acute rehabilitation
Physical Therapy Assessment
It is very important for the physiotherapist to assess first of all Mrs. B's mental status, her level of consciousness, memory level and her ability to follow instructions. The physiotherapist should also investigate her emotional and behavioral responses.
As Mrs. B is also suffering from aphasia so physiotherapist must evaluate her status about aphasia and collaborate it with speech pathologist. The therapist should carefully examine the functional deficits of dysarthria and dysphagia. A sensory examination should include superficial proprioceptives and combined sensations. (Nathan, 2004) The physiotherapist should evaluate her sensory and perceptual deficits of right side of her body with the left side of the body. Significant information on sensory and perceptual deficits will be provided by close collaboration of occupational therapist. The physiotherapist will also assess her range of motion, joint play and soft tissue compliance. The...
This paper shows acute rehabilitation plan, positioning of Mrs. B, exercises for Mrs. B, postacute rehabilitation, further exercises for Mrs. B.
According to the paper physical therapy training for Mrs. B in post acute period should be focusing on improving her motor control by stressing selective (out of synergy) movement patterns. Movement combinations that allows success in functional tasks e.g. feeding, dressing, gait should be emphasized. Weak muscles should be activated first in unidirectional patterns and then challenged by activities that stress slow reciprocal movements. This emphasis on balanced interaction of both agonists and antagonists is crucial for normal co ordination and effective function.
Tu sum up, this report says that activities begun during early training that focus on upright static control and balance should be continued and extended. Sit to stand transitions should be practiced with an emphasis on symmetrical weight bearing and controlled responses on her hemiplegic’s side. Making her stand up and shift her pelvis to one side or the other before sitting down can increase trunk rotation.
This paper says that proper counseling of Mrs. B and her family by the physiotherapist throughout the rehabilitation program will play a very vital role for her recovery. She may feel depressed, isolated, irritable and demanding. The physiotherapist should motivate and educate her. The physiotherapist should provide actual facts and proper information of her disease to her as well as to her family. The physiotherapist should be supportive, sensitive and he has to maintain a hopeful attitude.