Neurological rehab lecture notes Flashcards
What is neurological rehabilitation?
Restoration of the individual to the highest feasible functional level physically, psychologically, socially and economically within the constraints of impairments and disabilities, and within the context of cultural milieu
What does the WHO expanded Model of Illness international classification of functions consist of?
Organ
Person
Person in environment
Person in society
Active rehabilitation
To rectify neurology impairments though modification of the neural networks to reawaken, regenerate and reorganise
What are the 3 techniques of active rehabilitation?
Priming
Augmenting
Specific interventions
What is the priming technique?
To make the nervous system more receptive to rehabilitation interventions
Imagery, touch, transcranial direct current stimulation and magnetic stimulation
What is augmenting technique?
Augment the effects of rehab interventions
Robotics and biofeedback
What is task specific practice?
Repeated performance of a specific task facilitates learning and improves performance
What are adaptive strategies?
Facilitate recovery of function through training, use of aids and appliances or modification of environment.
What is preventative rehabilitation
Reduce immobilisation, passive range of motion exercises.
Positioning, turning, therapeutic standing
To avoid pressure sores, UTIs…
What is included in an assessment for rehab?
Identify the needs
Set goals
Decide on setting
Interventions
What does interdisciplinary mean?
Goals are set by the patient and the team, common goals for different discipline sessions
What does transdisciplinary mean?
One or two team members interact directly with the patient (core team)
What is dropped foot?
Inability to activate ankle dorsiflexors in swing phase of gait
Where is the lesion causing dropped food?
Central neurological origin - corticospinal tracts
What drug can help with foot drop?
Dalfampridine
Inhibits potassium channels allowing better conduction along demyelinated axons
