Techniques for UL Rehab after ABI

Question 1

CIMT

Answer 1

= Constraint induced movement therapy
- principe of forced use of impaired limb by affecting non affected limb 90% of the waking hours
- task oriented training w/ Lot of repetitions
- top down approach
-> create a exercise where the patient choose himself to use his injured limb
- release of BDNF

Question 2

MVF

Answer 2

= Mirror visual feedback
- complementary form of motor learning strategy Mental practice/training method
- observation in mirror of mvt of non-affected limb -> mentally build a mvt => help activation of lesioned cortical areas (M1, S1) -> repeat mvt by affected limb
-> reduce pain
-> impr. motor control

For patient with very little to none mvt in the arm/leg

Question 3

AO

Answer 3

= Action observation (of an action before execution)
=>Mental practice training
- complementary form of motor learning strategy
-> facilitate imitation
- Facilitate the activity in SMA & M1
Mental Practice/Training method

Question 4

MI

Answer 4

= Motor imagery
- Dvlp motor strategy
- visualize the action before execution
- Facilitate activity in SMA, M1, psPC, aCC, dlPFC
Mental practice/training method

Question 5

VR

Answer 5

= Virtual Reality

Question 6

What are the techniques for Unilateral Visuospatial Neglect in acute stage?

Answer 6

1. Education of care givers
2. Prism adaptation

Question 7

What are the techniques for Unilateral Visuospatial Neglect in subacute & chronic stage?

Answer 7

1. Mirror therapy
   2. VST = Visual scanning training
   3. LAT = Limb activation treatment

Question 8

What are the 4 techniques for mental practice/training

Answer 8

1. Action observation
2. Motor imagery
3. Visual feedback & mirror visual feedback (MVF)
4. Neurofeedback training (NFT)