Neurological treatment

Question 1

What should the exercises be based on for neuro patients?

Answer 1

Exercises should be aimed at functional tasks and rebuilding movement skills

Question 2

What does motor learning require?

Answer 2

• Task specificity
• Practice/ intensity (1000 reps)
• Feedback
• Transferability
• Modeling
• Mental practice

Question 3

What do the guidelines for exercise prescription for stroke patients say?

Answer 3

150 mins of moderate-intensity activity every week
Muscle strengthening exercises twice a week
Balance and coordination activities twice a week

Question 4

What do the guidelines for exercise prescription for MS patients say?

Answer 4

Physio treatments should be aimed at improving gait

Progressive resistance training and aerobic exercise for those with motor weakness

Question 5

What do the guidelines for exercise prescription for brain injury rehabilitation patients say?

Answer 5

Repetitive task-orientated activities are recommended - sit to stand
Higher intensity rehabilitation encouraged (1000 reps)

Question 6

How can muscles change with disuse?

Answer 6

• Reduced cross-sectional area
• Atrophy (muscle wastage) in antigravity muscles - postural muscles
• Changes in length-tension relationship
• Increased tendon stiffness

Question 7

How do muscle fibres change with spasticity?

Answer 7

• With disuse, type 1 atrophies fastest
• Type 1 is slowest to conduct
• Type 1 fibres are smallest and preferentially recruited
• Increase in collagen
• Increase in muscle stiffness
• Inferior mechanical strength of extracellular matrix