Sensitive and motor exercise for the arm and hand

To take advantage of time at home and in addition to the initiatives #yomequedoencasa and #yomemuevoencasa, the staff of the neurorehabilitation clinic, both physical therapists, speech therapists, psychologists and ergotherapists have wanted to collaborate with the publication of small videos, therapeutic video tips for home. Today we are with the physiotherapist Carina Salgueiro who gives us some ideas of exercises to do at home with the help of our companion, in case you are alone you can try to do them using the healthy or unaffected hand. These exercises are aimed at people with involvement of the upper limb, arm and hand, both spasticity, hypertonia or stiffness, as well as flaccidity, lack of movement and lack of sensitivity. We are available to help and advise you during confinement due to the coronavirus [corvid-19]. Follow us on our social networks, write us by WhatsApp or call us directly at the cell phone number 609 078 509

Trunk exercises

In these exercises the main objective is trunk work. Regular exercises in physiotherapy consultations that you can now continue doing at home if you want to improve coordination and muscle tone. We hope you find them useful and add them to your routines.

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Therapeutic yoga

On these days of confinement, performing exercises that help keep body and mind in balance is essential. This is why our yoga instructor and therapist Bobath Marina, has created this sample of some yoga exercises that can be performed at home.

If you want more sessions do not hesitate to contact us. We stay home but we stay connected.

PHYSICAL EXERCICIES STIMULATES NEUROPLASTICITY

We know that physical exercise is favorable for our health. Physical health by improving all our systems, the circulatory, respiratory, digestive, our muscles and joints. And also our brain since in several studies the effect of physical exercise on our mental health and our cognitive abilities has been evidenced. All this thanks to its influence on synaptic plasticity.

Neuroplasticity is understood as the ability of the nervous system to change its morphology or functionality through development, due to experience or after being affected by an injury (Kandel, Schwartz and Jessell, 2001).

Resultat d'imatges per a "neurona"

The brain has several mechanisms to guarantee this plasticity. Among them are the growth of dentrites and axons (parts of neurons), regulation of neurotransmitters (substances that are transmitted between neurons), activation of neuronal connections that were inhibited, regeneration, which corresponds to denervated branches that grow back and join with other cells and long-term potentiation.

The latter is thanks to the BDNF protein (brain-derived neurotrophic factor) that is linked to synaptic plasticity and can be generated by stimulating physical exercise.

Continuous aerobic physical exercise activates neurogenesis, the creation of neurons, in the hippocampus, an essential area for memory and learning.

Physical activity helps to modulate stress and reduce levels of anxiety that can influence our daily lives. We can react better to stressful situations. With physical exercise we release a series of hormones and neurotransmitters that facilitate us to experience a feeling of well-being and satisfaction. Physical exercise improves executive functions in patients who have suffered brain damage.

At the Neurorehabilitation Clinic we include the practice of physical exercise in all our treatments. It not only makes the patient more involved in their recovery but also as a stimulus to facilitate the neuroplasticity processes necessary to recover mobility, balance, neurocognitive and language abilities.

Among our recommendations is the practice of a moderate aerobic physical exercise adapted to the patient’s abilities through the practice of gait, on treadmill or surface and the use of static bicycles of legs or arms.

Therapeutic exercise in physiotherapy

Many of the neurological patients, whether due to cerebellar ataxia, stroke, Parkinson’s disease or other, have impaired balance and postural control. The rehabilitation and treatment of these disorders and alterations is essential for the patient to regain control of his movement and independence and functional autonomy. In some cases, we not only talk about recovery, but also in maintenance, since within neurological diseases we also include neurodegenerative diseases, with which the objective is not always to recover but also to prevent the deterioration and progression of the motor sequelae of the disease.
In therapy sessions aimed at recovery of balance, the factors that provide stability and body orientation should be influenced. That is why we incorporate therapeutic exercises in physiotherapy sessions that promote the correction of the alignment of the different parts of the body and these in space.
It is important to select the correct exercises that encourage the patient to maintain the position of the body within stability limits and always thinking about the patient’s motor needs. In other words, find out which muscle groups should be strengthened (e.g., enhance back extensors in a patient with multiple sclerosis presenting a predominance of the flexor posture), which motor strategies should be encouraged and design an appropriate task (eg, extension of everything the body). Once each sensitive, motor and perceptive component of the task has been worked on (eg trunk extension, arm extension, ability to keep the body in an upright position etc.), a motivating activity for the treatment session must be incorporated into the treatment session. patient at the end of the session (ex .: organize a high shelf).

ejercicio de extensión corporal

Healthy nutrition. Healthy brain

This weekend, the Neurorehabilitation Clinic has offered its patients an activity to promote healthy eating habits. Nina Izquierdo, a nutritionist with extensive experience has made a talk in which she has updated us on the basis of healthy eating, tips such as: avoid sugary drinks, a source of calories usually with little nutritional value; use healthy oils, extra virgin olive oil in our meals; Prioritize fresh plant foods over those of animal origin; Eat naturally low-fat foods such as fruits and vegetables instead of ultra-processed foods that are usually full of unhealthy ingredients.

We have also been able to deepen important aspects to improve the management of some neurological diseases. If you suffer from Parkinson’s disease you should eat foods rich in calcium, magnesium and vitamins D and K. Apart from general dietary recommendations, patients with multiple sclerosis should know that the microbiota is part of the development and functioning of the human immune system. Recently it has been proven the importance of certain bacteria of the intestinal flora, in modulating immunity. So the feeding and intake of probiotics plays an important role in the therapy of these patients.

If you have suffered an Stroke and take anticoagulants, you should be especially careful with your diet, try not to consume foods rich in vitamin K such as vegetables with green pigmentation (broccoli, lettuce and spinach) garlic and avocado (among other foods) since alter the effect of anticoagulants. We recommend that you consult your nutritionist or referring doctor and that they develop the best diet for you.

At the end of the talk we have tasted and prepared healthy and very appetizing options to vary and improve our diet. We have all come out very motivated to explore new foods and make changes in our diet.

Assessment in neurological physiotherapy

Most neurological conditions, such as stroke, multiple sclerosis, Parkinson’s disease or spinal cord injury, have as a consequence sensitive and motor involvement of your physical condition. For the rehabilitation of the alterations that the patient presents, it is advisable to carry out a previous assessment that provides information to the clinical diagnosis, helps to classify, graduate and measure the evolution of the patient as well as the results of the therapies proposed by the physiotherapy and occupational therapy service from the neurological rehabilitation center.
In the process of assessment in physiotherapy and occupational therapy, there are usually tests, tests and scales developed by experts in neurological rehabilitation. There are also some technological and robotics devices that provide objectivity to the assessment of the neurological patient.
The robotic evaluation is defined as the evaluation of the physical condition (sensorimotor function) of the patient by the interpretation of kinematic and kinetic data of sensors integrated in robotic mechanisms. These sensors provide information related to trajectory, speed, time, accuracy, etc. At the Barcelona Neurorehabilitation Clinic, we perform complete measurements using specific methods with clinical scales such as the use of new technology such as pressure platforms, motion analysis and video posture and sensors among other robotic systems.