The role of physiotherapy in the world of neurology

Tratamiento de fisioterapia neurológica de pacientes con Ictus con afectación del lado derecho del cuerpo
Tratamiento de fisioterapia neurológica de pacientes con Ictus con afectación del lado derecho del cuerpo

Physiotherapy is a method of treating some diseases, injuries, and other discomforts that patients may have. Included from the area of ​​neurology.
Physiotherapists are healthcare professionals responsible for conducting assessments, clinical and functional diagnoses. And to apply treatment techniques or plan therapeutic intervention approaches.

Its objective is to reduce and solve the problems and alterations that patients present. In a more summarized way, the physiotherapist is dedicated to the promotion of health and the prevention of disease.

Neurological Physiotherapy:

Specifically, in the area of ​​neurology, treatment of neurological diseases, and neurorehabilitation, physiotherapists play a very important role in recovery. Mostly they talk about physical, sensitive, motor, and functional alterations and disorders.

These problems can range from the loss of strength after a surgical operation, such as the treatment of motor paralysis due to a stroke.

Neurological physiotherapy, although currently in Spain is not officially considered a specialty, is quite established in Catalonia. This allows us to appreciate the work of physiotherapy in neurology and to distinguish physiotherapists with specific training in neurology, neuroscience, and neurorehabilitation. And without forgetting the professional experience in this area of ​​action, which is so diversified and complex.

Training in physiotherapy and neurology:

Physiotherapists, who are exclusively dedicated to the world of neurology. In other words, physiotherapists treat patients with lesions in the nervous system (eg, acquired brain damage, stroke, brain tumor, multiple sclerosis, Parkinson’s disease, among others). They are physiotherapists who usually have extracurricular training (postgraduate, master, doctorate, professional health training in assessment and treatment techniques, etc.) related to neurology.

Some examples of this training can be initial, basic, or advanced training in the Bobath Concept, the Perfetti Method, new technologies in neurorehabilitation, functional electrical stimulation, and many more.

In Catalonia, there are several training offers in neurological physiotherapy. Even the professional association of physiotherapists of Catalonia, recognize the dedication of their physiotherapists and have available to the public, information for professionals and patients seeking help.

Extension of rehabilitation schedule

 

We extend our hours !!

We extend our hours of operation and patient care to improve our services. Neurological rehabilitation treatments, such as physiotherapy, speech therapy or psychology are very important for the recovery of patients who have suffered brain damage, such as stroke, or who have a neurological disease such as Parkinson’s disease, Multiple Sclerosis among others less frequent. That is why we know that the extension of the schedule can help you in your rehabilitation.

Do you have problems managing your schedule to do rehabilitation?

However, physical rehabilitation services, therapy gyms, and rehabilitation centers in Barcelona, ​​Sant Cugat, Cerdanyola del Vallés, Rubí, Terrassa, Sabadell, and other cities, usually operate during the week respecting the most frequent working hours.
This aspect can limit many patients having difficulty in performing treatments and following a continuous rehabilitation routine. Sometimes for not having transportation, not having someone to accompany them, or simply for coinciding with other commitments.

Do you only get transportation after hours? Or can you only bring your family member after work?

Due to the growing demand from patients, it has been decided to extend the operating hours of the Neurorehabilitation Clinic.
We are available from 8:00 a.m. to 7:00 p.m. uninterruptedly from Monday to Friday. So we can adapt to your availability and your companions, in case you depend on them.
We are also available on Saturday mornings in case you cannot attend the treatments during the week.

Book treatment hours during special hours

To carry out treatments in these time slots, prior consultation with the professionals of the neurorehabilitation center is necessary. The extension of the operating hours is subject to modifications depending on the availability of the different collaborated professionals and the availability of the facilities.

 

 

Intermittent fasting

Intermittent fasting to boost health

It seems to be the fad diet. But intermittent fasting is much more than a trend for those who want to lose weight. It is a potential ally in our health.

Apart from knowing about intermittent fasting through the media, it is an effective habit in many cases and has been scientifically studied. The results are not limited to weight loss but are also focused on improving the health condition of those who practice it.
A great example is an aid in regulating blood sugar levels. Therefore, dietary patients, well advised by qualified professionals in the field, can benefit from intermittent fasting.

That is why we reinforce the idea that intermittent fasting is a health enhancer.

Benefits of intermittent fasting

The benefits are not only focused on regulating sugar levels, but also on reducing inflammation. This last aspect is highly sought after in people with inflammatory diseases, and with other diseases in which inflammation plays an important role, such as multiple sclerosis.

In summary, intermittent fasting helps in:

Regulate sugar levels;
Reduce organic inflammation;
Improve some cognitive aspects;
Increase immunity;
Regulate weight problems;
Among others.

Weight problems are very common in neurological patients, mainly due to sudden changes in lifestyle. In these cases, well-regulated intermittent fasting by nutrition and psychoneuroimmunology professionals may be the key to healthy weight loss.

Psychoneuroimmunology

If this is the first time you hear the word psychoneuroimmunology, know that it is a medical science that combines the study of human physiology (psychology, nervous system, immune system, nutrition, among others) to promote health and treat diseases.

Recommended reading

Intermittent fasting must be well regulated. If you want more information, we recommend you consult the book “Intermittent fasting: Gain health, energy, and freedom by enhancing the natural resources of your body” by the authors Carlos Pérez and Néstor Sánchez. The authors insist they give a lot of information about this method, that is, intermittent fasting as a health enhancer.

Telerehabilitation and stroke

Almost a year ago we went into total confinement !!

We remind ourselves how suddenly the need to stay at home has risen. The rehabilitation centers closed their doors. The Neurorehabilitation Clinic has had to reinvent itself to follow up with regular patients. We sent exercise brochures, we talked on the phone, we made video calls, online classes, among other inventions, the closest thing to remote rehabilitation or remote rehabilitation.

While we were living in confinement, the need arose and we had the time to investigate a little more about telerehabilitation in physiotherapy.

As we know, neurological patients are very heterogeneous and unique in their needs, so any telerehabilitation program would not work. We would have to find some virtual method that would allow a personalized follow-up of patients. On the other hand, we know that it should be easy to handle, that it should be simple so that patients with cognitive alterations or unfamiliar with new technologies could easily integrate it into their routine.

Our search for Apps available for the telerehabilitation of stroke patients has been of great interest and that is why we have published it so that everyone can consult the results. This work is of interest to both physiotherapists and occupational therapists who are engaged in the field of neurorehabilitation or neurological rehabilitation.

The work prepared by Carina Salgueiro and collaborators, with the title “Available apps for stroke telerehabilitation during coronavirus disease 2019 confinement in Spain” has been published in the journal “Disability and rehabilitation: assistive technology” with DOI: 10.1080 / 17483107.2021.1883751 . You can consult it at the link: https://www.tandfonline.com/doi/full/10.1080/17483107.2021.1883751

In this work, we can find the methodology that we have followed to carry out the search and analysis of each telerehabilitation App, which has been exhaustive, and the results of a questionnaire carried out anonymously to our patients. This questionnaire has been useful to have a contribution from real patients, that is, from potential users of this type of technology.

We appreciate the collaboration of patients in the creation of scientific material.

Influence of visual training on the balance of patients with stroke

We already know that stroke is one of the most well-known neurological diseases, especially because it usually leads to significant physical and cognitive disability and the dependence of the patient on a caregiver or family member and on social-health rehabilitation and treatment services.

Of the symptoms that patients with stroke may present, the most common is hemiplegia, that is, the loss of movement and / or sensitivity in the half of the body contralateral to the brain injury. However, there are other alterations that affect the patient with stroke, such as speech disturbance, cognitive disturbance and even visual disturbances. Visual alterations affect the functionality of people with stroke and increase the risk of falling compared to people without pathology, even within the same age group.

This increased risk of falling and therefore loss of balance is associated with low quality of life and low participation in daily activities, that is, individuals with poorly balanced stroke tend to be more sedentary and dependent on other people due to the impossibility or insecurity of performing tasks such as dressing, changing from the chair to bed, going to the bathroom, and even other more demanding tasks such as setting the table, heating a glass of milk or going out to buy a loaf of bread.

Our nervous system is responsible for incorporating visual, vestibular (from the ear) and somatosensory (from the body) information so that we can maintain a correct body position against gravity, in other words, maintain balance. Body alteration is well known and worked on in neurological physiotherapy sessions and treatments. Neurological physiotherapists who work with stroke patients already know different techniques to improve balance, however the visual aspects, that is, visual disturbances, must be taken into account.

Of the visual alterations, the most frequent in people with stroke are the reduction of the visual field, double vision or diplopia and problems in the movements of the eyes, oculomotor problems. In this sense, and in the face of possible alterations of the visual system, it seems that visual training favors balance in patients with stroke.

You can consult the following work, carried out in Sant Cugat del Vallés, by colleagues Carina Salgueiro and Jesus Marques on this facet of balance rehabilitation in stroke patients: https://www.elsevier.es/es-revista-fisioterapia-146-articulo-influencia-del-entrenamiento-visual-el-S0211563818300853?referer=buscador

(Español) FORMACIÓN ON-LINE: Razonamiento clínico aplicado a al abordaje de la persona con patología neurológica

We adapt our training proposals to the insecurity experienced during the coronavirus pandemic (COVID-19). Our specific training aimed at physiotherapists, occupational therapists, speech therapists and psychologists who are dedicated to the field of neurorehabilitation and treatment of neurological patients, return in online format.

We present a live on-line training, with theoretical and practical content and very affordable, with the lowest price in the market thinking of those economically affected by the pandemic.