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The Neurorehabilitation Clinic of Sant Cugat del Vallés, Barcelona, apart from being specialized in the treatment of patients with neurological diseases, is also a Training Center for Healthcare Professionals.
As a training center for professionals in the area of neurological rehabilitation (physiotherapy, occupational therapy, speech therapy and psychology), the Neurorehabilitation Clinic ensures quality training accredited and controlled by the Commission for Continuing Education of the Health System of the Ministry of Health.
Controlled and well-planned training favors scientific progress in the field of neurorehabilitation, providing not only scientific knowledge but also new technical skills to the professionals in question, be they physiotherapists, occupational therapists, speech therapists or psychologists.
With the training service, courses, seminars and workshops for therapists, the Neurorehabilitation Clinic aims to provide conditions to update the knowledge of professionals, improve the qualifications of the staff of health institutions that receive patients with neurological diseases or pathologies (Stroke, Sclerosis Multiple, Parkinson’s disease, etc.). Apart from taking into account the theoretical knowledge and application of techniques and treatment approaches, the organization of the Neurorehabilitation Clinic seeks to provide professionals with skills for the correct recognition and assessment of patients and the development of clinical reasoning.
The Neurorehabilitation Clinic looks for specialized training and for that it organizes courses of special interest to the rehabilitation professions such as:
- Training courses in the Bobath Concept for physiotherapists and occupational therapists
- Scapular motor control course for physiotherapists and occupational therapists
- Upper limb rehabilitation training course in neurological patients
- Neuropsychology workshop for physiotherapists, occupational therapists and speech therapists
- Mirror therapy workshop in the neurological patient
- Course of postural control and balance in the neurological patient
- Course of manual therapy for neurological patients addressed to physiotherapists
- Workshop on the use of accessible technology in neurorehabilitation
- Among others
If you are active in neurological rehabilitation or have special interest in this area, consult our training programs or contact us.
It consists in the accomplishment of the march on a treadmill with the possibility of diminishing the corporal weight with a harness. The march can be assisted manually or robotic. The intense repetition of the cycle of the march is the main sensational impulse to promote motor activity. For someone who has difficulty maintaining the equalizer and therefore performing a steady pace, the tape allows you to maintain a rhythm and speed and thanks to the holders or the suspension system do not worry about the balance. The therapist, while the patient walks, can: Maintain trunk stability and pelvic alignment. Guide the displacement of weight. Control the foot in the support phase and in the oscillation phase. Control the knee during the loading phase. It is very important to practice an activity to improve the execution of the activity. That is why it is important that the march is carried out daily and at different times of the day. In the neurorehabilitation clinic we focus on improving the functional capacity of the walk, working the necessary skills to be able to walk safely and with the best possible quality. And from there practice the march as much as we can and in different situations (interior by land, by treadmill, by outside in different types of terrain …) The treadmill allows us to do a more complete practice of the cycle of the march. We have the opportunity to increase the speed and the resistance and optimize the aerobic capacity. Thanks to the maintenance of a constant activity, the nervous system activates the postural musculature that will help us improve stability, increases the tone of the weakened muscles and reduces that of the muscular spasticity. At the neurophysiological level it is proven that repeating a constant activity on the tape allows the activation of a neuronal group that we have innately in the spinal cord (lumbar region) responsible for activating autonomously the muscles needed to make the movements of the step during the march. These are named Central Power Generators (Central Power Generators) The treadmill can be made with body weight supported or without:
If we analyze the pros and cons of its use we can say that the harness facilitates the load on the affected bed, the straight and aligned position of the trunk, allows us to do an early training of the march, increases the person’s safety at the time. It’s time to start walking, discharge body weight to the legs and allow more time to walk as it reduces fatigue.
On the contrary, the harness can cause a diminution of the work of balance of trunk, and the situation of disastrous suspension that moves away of the march in the daily life.
To conclude, we can say that we believe that it is very important to have a treadmill in neurorehabilitation centers in order to increase the practice of walking, perform aerobic work difficult to achieve in daily life and improve the functional capacity of patients.
The Neurorehabilitation clinic from its origins in the year 1994 as a neurological physiotherapy clinic, has as a priority the conduct of individual treatment sessions, relationship 1:1 between the therapist and the patient. This applies in all disciplines that we offer, both physiotherapy, occupational therapy, neuropsychology, psychology and speech.
This aspect is one of our fundamental pillars since the fact of working only with a patient can help us to be very analytical in our evaluations and to be able to mark some really personalized therapeutic objectives. It is also important for the personalization of the treatments, that is, to adapt the therapeutic exercises to the needs of the patient, for example, a patient after a stroke with equine foot, in the sessions of physiotherapy reduces the spasticity causing Of the deviation and we promote the opposite movement so you can walk more easily.
Within the physiotherapy sessions we can focus part of the session on performing a manual therapy necessary to correct possible joint limitations, alterations of muscle tone (spasticity) or sensitivity alterations. A second part in which we devise exercises and functional activities, guided and facilitated continuously by the therapist. According to how each user responds we can adapt the difficulty or propose variations to be able to work the therapeutic objectives and maintain the motivation and active participation of the patient in the Neurorehabilitation sessions.
By having the help of the therapist we can perform an intensive and well oriented practice looking for the maximum potential of each patient after suffering a brain damage, medullary, or other damage of the nervous system.
After a brain damage is very normal to have variacines at the level of control over movements and balance. So it is very important to be able to adapt the therapy to the state of the person.
Aquatic therapy is based on the realization of physical therapy in an aquatic environment, in such a way that the mechanical properties of water associated with the forms of intervention of physiotherapy are used in order to improve the function, activity and participation of the patients. One of the main fields in which we can apply this form of treatment is neurorehabilitation, directed, among others, to adult patients suffering from neurological processes, such as stroke, multiple sclerosis, Parkinson’s disease, brain damage, tumors cerebral, muscular dystrophy, spinal cord injuries, etc. or children with motor disorders for brain damage from birth or acquired.
Thus, we can intervene in a rehabilitative way, in a preventive way, of treatment, as a physical or sport activity or, simply, with the aim of providing a moment of well-being to the patient. Water provides us with a medium where the body acquires a large amount of freedom of movement and where it can carry out exercises and activities that are difficult to perform on firm ground, being able to act on balance, coordination, dexterity, walking, postural control, physical conditioning, lung function, etc.
Within many and diverse types of aquatic therapy, one of the most known and used is the Halliwick Concept. Its main objective is to give everyone freedom and independence to perform in the water. The idea is, then, to teach anyone, regardless of their pathology, to swim, providing the physical and mental foundations for that purpose. One of the characteristics that best define this concept is that one works with respect to the abilities that the person possesses in the water and not taking into account the disability that presents in “land”.
Even if one of the priorities is that the patient can swim independently, it is not the only thing that stands out within this concept. In Halliwick great importance is given to the relational aspect of the pool. For this reason, we work frequently in groups, mainly in the case of children, to encourage group stimulation, the demand for concentration of the participants and cooperation among them, also creating links between the members. Despite this, sessions can also be developed individually, often in the case of adults.
In the Clínica de Neurorehabilitación we have therapists trained in this Concept. Thus, the sessions will be adapted to the personal needs of each patient, either individually or in groups, counting with the help of family or friends who will also participate in the session in the water. Our objective will always be that the person becomes independent in the water as quickly as possible, so that he can even go to the pool as a physical activity or sport independently. Although we will always be willing to take a dip!
Author: Jesús Márquez Neila
One more year, the Spanish Neurological Society celebrates the LXIX Annual Meeting in the city of Valencia. From 21 to 25 November 2017, experts from various branches of neurology and neurorehabilitation (physicians, psychologists, physiotherapists, etc.) will gather at the Congress Palace in Valencia. This international event will address current issues and the latest developments in this sector will be exposed.
The meeting, which will last several days, will feature presentations, workshops, exhibition of scientific studies and material among other activities. The neurophysiotherapy section, by Carolina Fernández (Madrid), Estela Diges (Zaragoza), Carina Salgueiro (Sant Cugat del Vallés) and Cristina Puig (Manresa) will present a program focused on movement disorders, a consequence of brain damage such as Parkinson’s disease or, less well known, Huntington’s. On that day will also be approached topics related to clinical cases of Friedreich’s Ataxia and his approach in physiotherapy. As a novelty, this year, the board of directors brings to the participants a Kinaesthetics workshop, a therapeutic approach oriented to the learning of sensitive and motor skills. This workshop will be taught by our well-known Mercedes Fernández (occupational therapist, Zaragoza).
In addition to the neurological physiotherapy section, the occupational therapy and neuropsychology study group also present very encouraging programs to the professionals of the Neurorehabilitation Clinic.
See you in Valencia!
For: Physical Therapists and Occupational Therapists
Trainer: Jesus Marquez and Carina Salgueiro
Hours: 6 hours face-to-face
Dates: Saturday, April 14, 2018
Place: Neurorehabilitation Clinic (c / Asturias 1, Sant Cugat del Vallés)
Price: 60 €
Number of places: 20 (min. 8 students)
To expand the knowledge of the motor imagination and mirror therapy approach in patients affected by Central Nervous System patologies
To deepen knowledge on the physiology of the nervous system involved in the mirror therapy
To know several methods and procedures of the mirror therapy
Know or improve practical treatment procedures
Theoretical class of neurophysiology
Theoretical-practical class of the procediminetos of action in mirror therapy with neurological patients
Exposure of current scientific evidence
9H: Submission of documentation, presentation of trainers and workshop program
9H30: Origins of mirror therapy
10H00: Neurophysiological mechanisms involved in mirror therapy
11H00: Coentificative evidence of mirror therapy in neurological patients
12H30: Theoretical bases of treatment with mirror therapy
13H30: Demonstration and practice of procedures
14H30: Exhibition of alteranativa and complements to the mirror therapy
3PM: Delivery of certificates
Registration open until March 9, 2018. To register send mail to email@example.com with personal data (full name, contact phone, place of work), copy of the academic certificate and copy of the payment certificate (number of account: ES26 2100 2776 3801 0056 6981 Concept: full name + TE)
Neuroplasticity is the ability of the nervous system to modify its functioning and to reorganize itself during the stages of development and after a brain injury through experience and learning in response to the activity.
After suffering an Ictus or a traumatic brain injury, different mechanisms of neuroplasticity are activated that will produce changes in the short and long term.
The initial recovery (early days) is due to phenomena such as the reabsorption of edema, the opening of collateral vessels to the injured that guarantee cerebral irrigation and the awakening of pre-existing neural connections that were latent.
After a few weeks or months, brain plasticity processes like:
– dendritic growth (receptive parts of the neuron that are essential in the transmission of the nerve impulse)
– the formation of new synapses (connections between neurons)
– changes in the functioning of damaged areas
– increased activity of parallel pathways to the injured.
Thanks to these mechanisms the nervous system is reorganized to be able to maintain and recover the gait capabilities, the mobility of arms and legs, the ability to balance, etc.
But we must watch that the ability to reorganize the brain does not lead to problems such as spasticity or neuropathic pain, as these can harm us.
Therefore, it is very important that from the beginning we start with rehabilitation and continue for years to take advantage of these neuroplastic capabilities that will help us regain function and autonomy in the activities of daily living. In addition to curbing the onset of phenomena such as spasticity or neuropathic pain.
This ability that the nervous system has to adapt is infinite, it is known to decrease with age or over time after injury, but it does not run out, so we should not underestimate the capabilities of the nervous system.
As therapists it is very important to take into account where the injury has occurred, how long it has been and how it has worked so far to be able to plan therapeutic goals and practice new ways to achieve these goals in order to stimulate the creation of new connections.
The Spanish Association of Therapists Formed in the Bobath Concept performs each year two training days so that partners and non-members are aware of the evolution of the Bobath Concept and new therapeutic tendencies with neurological patients such as stroke, traumatic brain injury, parkinson’s, ataxias, among others .
In November, specifically on November 11, will be held in the city of Leon one of these meetings with the theme of treatment of the patient with sequelae of traumatic cranioencephalic. For that they have different professionals specialized in the field of neuro-habilitation and neurosciences and who bring to the conference presentations related to the regeneration of the central nervous system against a neurological injury, as is the case of traumatic brain injury, or issues such as function and cerebral dysfunction.
The part will also touch on topics related to the practice of our profession, physiotherapists and occupational therapists, and therefore the treatment and recovery of patients after suffering a traumatic brain injury. Physiotherapy and occupational therapy in patients with cranioencephalic trauma are currently focused on recovering lost abilities, which depend on the location and severity of brain damage (balance, coordination, posture, movement of arms, etc.). In many cases, the neuropsychologist collaborates to deal with cognitive and emotional issues in order to strengthen the capacity for motor learning and the adaptation and management of the relationship between family, friends, school, work and others.