Category: Neurological Physiotherapy

Neurological Physiotherapy

What is Neurological Physiotherapy or Neuro Rehabilitation?

Neurological physiotherapy or neuro rehabilitation is physiotherapy aimed at treating alterations due to the involvement of the central or peripheral nervous system.

Neuro rehabilitation stimulates neuroplasticity; that is, it stimulates the ability of nervous system cells to regenerate morphologically and functionally after a pathological situation, developing an adaptive response to functional demand.

The objective of this therapy will therefore be to maximize the effect of neuroplasticity and cortical functional reorganization.

For this cortical reorganization to occur, learning, acquiring, and retaining specific motor tasks that condition structural changes in the brain is necessary.

Neuro Rehabilitation: Goals And Plan

The therapeutic needs vary in each case, but some of the sequelae that this type of therapy can improve are:

  • Spasticity, spasms, and muscle tension
  • Pain
  • Changes in alignment, body schema, and postural control
  • Changes in balance, proprioception, reach, grip or manipulation.
  • Sensitivity disturbances
  • Physical deconditioning

What Injuries Are Targeted By This Therapy?

As we have previously mentioned, any alteration of the central or peripheral nervous system, such as:

Sudden brain damage

  • Stroke (ischemic or hemorrhagic)
  • head injury
  • Anoxia or Hypoxia
  • Brain tumors
  • Encephalitis of various etiologies

Neurodegenerative diseases

  • Alzheimer’s
  • Multiple sclerosis
  • Parkinson’s
  • Amyotrophic Lateral Sclerosis

It is achieved through the participation of intact primary or secondary motor areas or through the recruitment of perilesional or contralesional networks in which the mirror neuron system is activated.

How Should The Patient Prepare?

The specialist will work with the patient to ensure they are ready for rehabilitation. You likely start with small goals such as sitting or standing.

It must be taken into account that there is a protocol that will gradually prepare the patient for the following phases.

The best thing the patient can do to prepare is simply to do their part. Take care of yourself while you recover and follow the specialist’s instructions. The doctor’s advice should be followed, especially regarding eating and exercise habits.

It is important that, in the event of any eventuality, the professional in charge is immediately informed.

Among the most common activities when carrying out, neurological rehabilitation is: 

  • Exercise strengthens the body, improving balance and mobility safely. Either with or without the help of a support team.
  • New ways of being physically active when suffering from a disability.
  • Counseling and therapy help the patient with their social and emotional challenges.
  • Speech and language therapy. Which helps in speech, swallowing, conjugation of words, and communication.
  • Instructions on how to safely use crutches, walkers, or wheelchairs.

The patient must have someone to assist and support them during the neurological rehabilitation.

In case you go to an outpatient rehabilitation center, that is, outside the hospital, you will need a safe way to get to therapy.

It is helpful to have family and friends to facilitate and cooperate in daily activities and exercises that must be done at home.

Neurological Physiotherapy

What Is Neurological Rehabilitation?

Neurological rehabilitation is a multidisciplinary, physician-supervised program that improves function and alleviates symptoms for people with a variety of conditions. It includes elements of pain management, stress management, and emotional support. In addition, patients participate in individualized programs designed to enhance the quality of their life.

Neurological rehabilitation is a team-based approach that combines the skills of physicians, physical therapists, speech therapists, and other professionals to develop a treatment plan that will be best suited to the needs of the patient. Treatment may be done in a hospital or in an outpatient setting.

The main goal of neurological rehabilitation is to increase the ability to perform daily activities. This may involve cognitive exercises to help patients better their judgment and reading or writing, as well as mobility activities to help control muscle weakness. As with any type of rehabilitation, patients and families should be educated about the program’s goals and expectations.

During the early stages of rehabilitation, patients are often severely impaired. However, as they become more comfortable with their new abilities, the process can slowly advance. Rehabilitation is also appropriate for individuals with other types of conditions, including vascular disorders, brain or spinal cord injuries, and degenerative disorders.

Patients are usually enrolled in the neurological rehabilitation program at a primary care medical center. They may be provided with occupational therapists, physical therapists, a neurologist or a neurosurgeon, a social worker, a case manager, and other specialists. Depending on the nature of the condition, the team will also have a vocational counselor and a psychologist to assist with the patients’ rehabilitation.

Inpatient rehabilitation is a highly structured process. During this period, patients will attend sessions for several hours each day. During these sessions, they will be monitored with EEG electrodes that monitor cerebral activity. This information is used to monitor therapeutic effects. An inpatient rehabilitation program can last as long as two to three weeks. During this time, the patient is encouraged to make progress.

Outpatient treatment is a more flexible option. Patients can choose to receive therapy in a rehabilitation center, a private clinic, or in their own homes. Studies show that community rehabilitation teams are just as effective as hospital-based teams. These teams are typically more affordable and preferable to disabled consumers.

Despite their differences in treatment, all rehabilitation teams work toward a common goal. To achieve this, they must be able to effectively work with all of their stakeholders. For this reason, many neurorehabilitation teams rely on input from lawyers, employment experts, and other professionals to ensure that the team’s treatment plan is comprehensive.

The team’s focus on neuroplasticity allows the brain to change in response to stimuli. New neural connections are formed every time a person learns, experiences, or undergoes a new activity. Neuroplasticity is a natural ability of the brain that enables it to adapt to new situations.

Among the most important elements of a good rehabilitation program are active involvement of patients and their families. By working together, the team will be able to ensure that the patient’s needs are met and that the program is successful.