Aphasia Treatment

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Griswold Home Care

Join Ellayne S. Ganzfried, M.S.,CCC-SLP, ASHA Fellow and Executive Director of the National Aphasia Association, Chris Kelly, MEd Director of Learning and Development with Griswold Home Care, and a person living with Aphasia, for this exciting presentation recognizing National Aphasia Awareness Month. This engaging presentation will highlight innovative assistive technologies while also providing a Fight Aphasia Toolkit with tools and resources for people living with Aphasia and the family/professional caregivers who support them.

Aphasia Treatment

Aphasia Treatment

Aphasia Treatment

Aphasia Treatment

Aphasia Treatment

Aphasia Treatment

Aphasia Treatment

Aphasia Treatment

Aphasia Treatment

Aphasia Treatment

Aphasia Treatment

Aphasia Treatment

Aphasia Treatment

Aphasia Treatment

Aphasia Treatment

Aphasia Treatment

Aphasia Treatment

Aphasia Treatment

Aphasia Treatment

Aphasia Treatment

Aphasia Treatment

Aphasia Treatment

Aphasia Treatment

Aphasia Treatment

Aphasia Treatment

Aphasia Treatment

Aphasia Treatment

Aphasia Treatment

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Constraint induced movement therapy Dr. Quazi Ibtesaam Huma (MPT) Dr. Suvarna Ganvir (Phd, Prof & HOD) Dept. of Neurophysiotherapy DVVPF’s College of Physiotherapy Content Introduction History of CIMT Components of CIMT Population for CIMT Advantages of CIMT Recent advances Introduction History of CIMT CIMT is based on research by Edward Taub ,his hypothesize that the non use was a learning mechanism and calls this behavior “Learned non-use”. It was observed that patients with hemiparesis did not use their affected extremity . Overcoming learned non use Mechanisms of CIMT Population for CIMT Stroke Traumatic Brain Injury Spinal Cord Injury Multiple Sclerosis Cerebral Palsy Brachial Plexus Injury Advantages of CIMT Overall greater improvement in function than traditional treatment. Highly researched and credible treatment approach. There are brain activity and observed gray matter reorganization in primary motor, cortices and hippocampus. Increase social participation Components Of CIMT Types of CIMT Restraining Tools for CIMT Minimal Requirement of hand function for CIMT Recent Advances The EXCITE Trial: Retention of Improved Upper Extremity Function Among Stroke Survivors Receiving CI Movement Therapy.(2008) The Extremity Constraint Induced Movement Therapy Evaluation (EXCITE) demonstrated that CIMT administered 3-9 months post-stroke, resulted in statistically significant and clinically relevant improvement in upper extremity function during the first year compared to those achieved by participants undergoing usual and customary care. This study was the first randomized clinical trial to examine retention and improvements for the 24 month period following CIMT therapy in a subacute sample. Study design - single masked cross-over design, with participants undergoing adaptive randomization to balance ,gender, prestroke dominant side, side of stroke, and level of paretic arm function across sites. CIMT was delivered up to 6 hours per day, 5 days per week for 2 weeks. Subsequent evaluations were made after the two week period, and at 4, 8, and 12 months. Because the control group was crossed over to receive CIMT after one year. Primary outcome measures – Wolf Motor Function Test Motor Activity Log Secondary outcome measure - Stroke Impact Scale (SIS) were assessed at each of these time intervals, was administered only at baseline, 4, 12, 16 and 24 month evaluations. Result :There was no observed regression from the treatment effects observed at 12 months after treatment during the next 12 months for the primary outcome measures of WMFT and MAL. In fact, the additional changes were in the direction of increased therapeutic effect. For the strength components of the WMFT the changes were significant (P < .05) Secondary outcome variables, including the SIS, exhibited a similar pattern. Conclusion: Mild to moderately impaired patients who are 3-9 months post-stroke demonstrate

constraint induced movement therapy.pptx

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constraint induced movement therapy.pptx

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Orthotics used in Neurological dysfunction -Dr. Quazi Ibtesaam Huma (MPT) Dr. Suvarna Ganvir (PhD, Prof & HOD) Dept. of Neurophysiotherapy DVVPF’s College of Physiotherapy Orthotics used in Neurological dysfunction objectives At the end of this seminar the students would have understood Principle of orthosis and its function Types of orthosis Different types of orthosis used in neurological disorder. Recent advances. Principle of orthosis Three point pressure principle: 1) forms the mechanical basis for orthosis correction 2) single force is applied at the area of deformity or angulation 3) two additional counter forces act in the opposing direction. Functions of orthosis Prevent deformity Assist function of a weak limb Maintain proper alignment of the joints Inhibit tone Protect against injury of a weak joint Allow for maximal functional independence Facilitates motion Lower limb orthosis ANKLE FOOT ORTHOSIS (AFO) It consist of shoe attachment, ankle control, uprights and a proximal leg band. Ankle Control Ankle control – 1) by assisting motion 2) by limiting motion Weak dorsiflexor dorsiflexion assistance Posterior leaf spring Ankle control Limited motion ankle control Anterior Stop (dorsiflexion stop): determines the limits of ankle dorsiflexion. Posterior Stop (plantarflexion stop): determines the limits of ankle plantarflexion. Robinson et al (2008) carried out a randomised controlled trial (RCT) to compare the effectiveness of a temporary night splint with prolonged standing on a tilt table to prevent loss of ankle movement early after stroke in 30 people. Results suggest that a night splint in this cohort of people was as effective as the tilt table in maintaining range of movement. Compliance was 87% in the people who used the tilt table and 73% in the people who wore splints. It is suggested that an ankle splint can be used for preventing the loss of range of movement at the ankle joint (in people with stroke) when positioned at plantar grade. Knee-Ankle-Foot Orthoses Individuals with more extensive paralysis or limb deformity may benefit from KAFOs, which consist of a shoe attachment, foundation, ankle control, knee control, and superstructure. Recent advances An active knee orthosis for the physical therapy of neurological disorders -Elena Garcia, Daniel Sanz-Merodio et al This paper presents the design of a new robotic orthotic solution aimed at improving the rehabilitation of a number of neurological disorders (Multiple Sclerosis, Post-Polio Stroke and Spinal cord injury) A KAFO with electronic knee control enables some patients with stroke and other neuropathies to walk. Hip knee ankle foot orthosis Specialized thkafo Contains a trunk band added to a HKAFO Reciprocating gait orthosis: The hips are connected by steel cables which allow for reciprocal gait pattern. When the patient leans on the supporting

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