Impaired Participation in Activities A measure of one’s independence is their ability to perform activities of daily living (ADLs) and instrumental activities of daily living (IADLs). The term ADL refers to activities of daily self-care i.e. bathing, dressing, and eating. IADLS are not fundamental to healthy living but lend to a more independent livelihood. Those activities include shopping, working, and applying knowledge to use technology. Deficits with these skills can affect one’s self-esteem, their willingness to participate in social activities. All of this can ultimately cause decline in quality of life.
New Therapies in Neuro-Rehabilitation based on NeuroPlasticity:
The brain’s ability to remodel itself forms the basis of its …show more content…
Competent, symmetric movements were restored by immobilizing the unaffected forelimb. Constraint Induced Movement Therapy (CIMT) is a therapeutic strategy that was developed to overcome learned nonuse of the paretic limb. The unaffected arm is restrained in a sling or glove which forces use of the paretic arm. There is repetitive training of the paretic arm through the performance of functionally oriented activities. Candidates for CIMT should have some degree of extension in the paretic extremity. The Extremity Constraint Induced Therapy Evaluation (EXCITE) Trial compared the effects of CIMT with traditional rehabilitation treatment. In the trial, candidates for CIMT had at least 15 degrees of extension in the proximal and distal limbs. A program can run for 3-6 hours a day for 2 weeks. The outcome of treatment is individualized. It is possible that patients with less than a 15 degree baseline to see improvement. The physical therapist would aid in identifying candidates. CIMT patients showed some recovery in 3-9 months out from receiving therapy. Some patients showed progress up to 2 years out from therapy. Theoretically, the repetitive training of the paretic arm and constraint of the non-paretic upper arm used in CIMT might promote neural …show more content…
The neuropsychological battery may include the Cognistat, Screening Instrument for Neuropsychological Impairments in Stroke (SINS) and/ or the Clock Test. Provide input on the management and evaluation of neurobehavioral issues. They provide education to the family, caregivers, and patients (may incorporate peer groups for support and education). Getting input on pharmacologic intervention and environmental modifications, from a neuropsychological standpoint, would be beneficial.
Social Work- Brain rehabilitation services are highly specialized. Knowing where quality and affordable services are located is most important to ensure care. The patient and family will need to know how much of the costs will be covered by Medicare / another insurance plan. If the patient will receive care in an outpatient setting, is there someone readily available to provide that care? If the patient is going to a rehab facility or nursing home, what is the quality of their program?
Occupational Therapy- Programs include structured therapy focusing on appropriate skills and community re-entry activities, equipment-needs assessment and behavior modification. Services can start in an inpatient acute care
New Therapies in Neuro-Rehabilitation based on NeuroPlasticity:
The brain’s ability to remodel itself forms the basis of its …show more content…
Competent, symmetric movements were restored by immobilizing the unaffected forelimb. Constraint Induced Movement Therapy (CIMT) is a therapeutic strategy that was developed to overcome learned nonuse of the paretic limb. The unaffected arm is restrained in a sling or glove which forces use of the paretic arm. There is repetitive training of the paretic arm through the performance of functionally oriented activities. Candidates for CIMT should have some degree of extension in the paretic extremity. The Extremity Constraint Induced Therapy Evaluation (EXCITE) Trial compared the effects of CIMT with traditional rehabilitation treatment. In the trial, candidates for CIMT had at least 15 degrees of extension in the proximal and distal limbs. A program can run for 3-6 hours a day for 2 weeks. The outcome of treatment is individualized. It is possible that patients with less than a 15 degree baseline to see improvement. The physical therapist would aid in identifying candidates. CIMT patients showed some recovery in 3-9 months out from receiving therapy. Some patients showed progress up to 2 years out from therapy. Theoretically, the repetitive training of the paretic arm and constraint of the non-paretic upper arm used in CIMT might promote neural …show more content…
The neuropsychological battery may include the Cognistat, Screening Instrument for Neuropsychological Impairments in Stroke (SINS) and/ or the Clock Test. Provide input on the management and evaluation of neurobehavioral issues. They provide education to the family, caregivers, and patients (may incorporate peer groups for support and education). Getting input on pharmacologic intervention and environmental modifications, from a neuropsychological standpoint, would be beneficial.
Social Work- Brain rehabilitation services are highly specialized. Knowing where quality and affordable services are located is most important to ensure care. The patient and family will need to know how much of the costs will be covered by Medicare / another insurance plan. If the patient will receive care in an outpatient setting, is there someone readily available to provide that care? If the patient is going to a rehab facility or nursing home, what is the quality of their program?
Occupational Therapy- Programs include structured therapy focusing on appropriate skills and community re-entry activities, equipment-needs assessment and behavior modification. Services can start in an inpatient acute care