NEUROLOGICAL PHYSICAL THERAPY

ASSIGNMENT:
NEUROLOGICAL PHYSICAL THERAPY

SUBMITTED TO:
DR. ZARMEEN ZERISH

SUBMITTED BY:
AYESHA MUBASHAR

DPT-FA17-056

THE DOCTOR OF PHYSICAL THERAPY

SESSION 2017-2022

DATE:
FRIDAY, APRIL 30, 2021

SCHOOL OF REHABILITATION SCIENCES

THE UNIVERSITY OF FAISALABAD

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1- CONSTRUCT TREATMENT STRATEGIES TO

IMPROVE, STRENGTH, BALANCE, COORDINATION,
LOCOMOTION AND GAIT, SKILL ACQUISITION,
POSTURAL CONTROL, MOBILITY FUNCTIONS:
Balance training is the act of utilizing activities to improve soundness. This
incorporates practices that fortify the muscles that help keep you upstanding,
including your legs and center.

 It is included in most treatment plans of geriatric patients, as it prevents

falls; the second leading cause of accidental or unintentional injury deaths
worldwide.
 In some cases, balance training exercises are recommended to patients with
debilitating ailments affecting vestibular inputs, and muscle strength.
Another illustration of the use of equilibrium preparing practices is in a
beneath knee removal. The modification in the focal point of gravity and
base of help influences practical harmony in unique exercises. Equilibrium
preparing is additionally utilized during amusement, competitors, who wish
to improve pose, strength, coordination, and steadiness. This is on the
grounds that it is compelling for postural and neuromuscular control
enhancements.

INDICATIONS:
Balance training practices are incorporated across a few treatment plans. This is on
the grounds that equilibrium is set up as an imperative piece of the human energy.
Coming up next indicate Balance preparing works out.

 Lower limb amputatee rehabilitation

 Stroke rehabilitation
 Fracture rehabilitation
 Parkinson's diseases
 Multiple sclerosis
 Neuropathies
 Vestibular Disorders
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 Postural dysfunction
 Head trauma

ASSESMENT OF BALANCE:
Balance Training practices are reviewed. Contingent upon the size and inconstancy
of postural influence. These activities could be classified in simple, mid, and hard.
This suggests that the force of the activity is subject to the thought of the patients'
capacities, handicaps, and treatment objectives.

 An evaluation of the visual system

 An evaluation of the somatosensory system
 An evaluation of the vestibular sytem
 An assessment of musculoskeletal element
 Balance Evaluation Systems Test
 Special tests such as Rombergs test

FUNCTIONAL SEQUENCE OF BALANCE TRAINING:

In the recovery of crippling cases, balance preparing exercises start from
misleading stooping to sitting and afterward advances to static and dynamic
standing and strolling. Movement from less to additional requesting undertakings
is proposed.

 Lying to Kneeling
 Kneeling to Sitting
 Sit to standing
 Sit to stand
 Stand to Walk

2- ROLE OF SENSORY SYSTEM IN IMPROVING MOTOR

CONTROL AND SENSORY REHABILITATION:
A sensory system is a part of the nervous system responsible for processing
sensory information. A sensory system consists of sensory receptors, neural
pathways, and parts of the brain involved in sensory perception.

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The fundamental capacity of the tangible sensory system is to illuminate the

focal sensory system about upgrades impinging on us from an external
perspective or inside us. Thusly, it educates us about any progressions in the
inside and outside climate.

WHAT IS SENSORY MOTOR CONTROL:

Sensorimotor control is best thought of as a complex, highly integrated process
involving thousands of ensembles of sensory information from the periphery that
are processed by a network of neurons, interneurons, and CNS centers that use an
equally complex system of pathways and neurons to activate muscles and produce.

HOW DOES IT WORK?

 The task that needs to be completed is identified→ body gathers sensory
information from the environment→ perceives the information→ chooses a
movement plan appropriate plan to meet the goal of the task,
 Plan is coordinated within the CNS → executed through motor neurons in the
brain stem and spinal cord → outcome communicated to the muscles in postural
and limb synergies, and in the head and neck→ motor units timed to fire in a
specific manner.
 Sensory feedback supplied to the CNS by the movement → decision taken to
(1) modify the plan during execution, (2) acknowledge the goal of the task to be
achieved, and (3) store the information for future performance of the same task-
goal combination

3- TASK-RELATED TRAINING APPROACH:

Task related training (TRT) is a rehabilitation strategy that involves the practice
of goal-directed, functional movements in a natural environment to help
patients derive optimal control strategies for alleviating movement disorders.
In this process we train a patient about activities of daily living (ADL’s) to
improve their ability for increasing the quality of life.
We give tasks to the patients and also clinically we try to improving their
ranges of motion just by suggesting them the activities we do in daily life in
which movements of limbs are involved completely.
These activities are;
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 Combing
 Grasping
 Reaching
 Dressing
 Brushing
 Walking or moving around
 Eating
 Bathing
 Toileting
 Functional Mobility
 Transferring
 Personal device care

THANK YOU

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