THE IMPORTANCE OF MUSCLE WORK TO TREAT MUSCLE ATROPHY

Muscular atrophy is a disorder that involves the wasting, loss or decrease of skeletal muscle. It is produced by an imbalance between protein synthesis and its degradation. Nerve cells of the skeletal muscles are affected, generating partial or total paralysis. This disorder causes loss of muscle strength. It is a progressive process gradually affecting the functionality of everyday movements.This process of atrophy can occur due to different circumstances. One of them would be the lack of muscular activity due to disuse (decrease in physical activity in our daily life due to a change in routine, due to immobility due to alterations in the locomotor system or sedative states …) another cause may be aging in which the capacity for muscular contraction decreases and the muscular capacities (elasticity, contractility, excitability, flexibility) are diminished. And another cause may be due to damage to the central nervous system (brain, brain stem, cerebellum, spinal cord) such as stroke, traumatic brain injury, spinal cord injury, or the peripheral nervous system (motor nerves).

At the Neurorehabilitation Clinic we focus our physiotherapy and occupational therapy treatments on the recovery of functional movement that requires tone and muscle strength. Muscle tone is necessary for maintaining posture, joint stability, giving proprioceptive information to the nervous system, stimulating the movement of lymphatic and blood vessels, etc …To work muscle atrophy, we carry out active and assisted exercises with certain repetitions to increase the nervous stimulus that activates muscle fibers, necessary to reverse muscle atrophy.It is very important to stop the atrophy and regain muscle strength that the affected person remains active both in the sessions and in their daily life. For this reason, therapists always give guidelines for exercises and functional activities that stimulate and motivate the person to move and use their body to achieve their functional objectives.

 

Reopening

We open the Neurorehabilitation Clinic next Monday, May 11.

Appointments will be given 15 minutes apart to ensure proper compliance with disinfection protocols for all surfaces used by patients.

We ask patients to be punctual.

We will carry out disinfection of the footwear and supervision of hand washing (with soap and water or with hydroalcoholic gel) of the patients, who must also wear a surgical mask during the sessions.

In order to guarantee the distance of 2 meters between people, the waiting room is disabled, the companions must wait in the garden.

Companions cannot access the treatment room.

We ask patients and companions that if they have had contact with patients with Covid-19 in the last weeks, or have had a cough, fever, feeling of suffocation or any other symptom susceptible to Coronavirus in the last week, cancel the treatment session and do not go to the Neurorehabilitation Clinic

The staff and therapists have been informed of the protocol developed by the Neurorehabilitation Clinic and have trained in the correct use of Personal Protective Equipment.

Neurorehabilitation service: preventive measures

Knowing how important the process of rehabilitation of neurological patients is, the Neurorehabilitation Clinic reopens its doors fully respecting the health recommendations.

Neurological patients affected by diseases such as a stroke, Parkinson’s disease, traumatic brain injury, etc., must continue their rehabilitative process to restore mobility, increase functionality, prevent deterioration, among others. In some cases, physiotherapy, speech therapy or psychology treatment is essential to improve participation in daily activities, including domestic activities, which are so important in these last days of confinement.

The treatment sessions will develop naturally with the necessary protections such as the 15-minute separation between appointments for disinfection, ventilation and change of protective material for the therapists. On the other hand, we have also reduced the maximum capacity of the facilities to 30% and the time adjustment for the most vulnerable patients.

The new measures for both patients, therapists and adaptation of the facilities have been individually disclosed and can be consulted on our social networks. We are also available by phone and e-mail for more detailed explanations and clarification of doubts that may arise among users.

Apart from the inexcusable and more urgent treatments of patients affected by a neurological disease, we also carry out virtual sessions by video call to non-urgent cases or in case of displacement viability.

Neurological patient and coronavirus (COVID-19)

We are currently affected by the coronavirus pandemic (COVID 19). Apart from the very evident affectations of the respiratory system and the main problem of patients with COVID-19 that can lead to death, it has been observed that patients severely affected by this disease can also present neurological symptoms.

Scientific research concludes that neurological disorders can be found in about 35% of severely affected patients with COVID19, the most frequent symptom being loss of smell. Other known symptoms related to the central nervous system may be headaches, dizziness, changes in level of consciousness, ataxia, epilepsy and stroke. Relative to the peripheral nervous system, the best known symptoms are hyposmia and neuralgia. And finally, muscle weakness and muscle pain are the most common musculoskeletal disorders.

It is also known that the previous situation of the patient with COVID-19 must be taken into account, especially in cases of neurological disease. Patients with Parkinson’s Disease, Stroke, Multiple Sclerosis among others should have special attention. Even if they do not suffer from COVID19, these patients are indirectly affected by confinement since they do not follow their routine and rehabilitation care.

Faced with the large number of cases of COVID 19 in our country, the Spanish Neurology Society has addressed the issue and has transmitted a message of reassurance to neurological patients, since up to now it has not been proven that they are a more vulnerable group than the others (except in cases of depression of the immune system such as Multiple Sclerosis).

Many health centers have had to take urgent measures to be able to monitor patients, especially in cases of possible deterioration and degeneration. These measures are supported by the Spanish Neurology Society, which recommends that “In no case, neurological patients should abandon their treatment, as this could have serious consequences on their health.” The most frequent measures have been telephone consultations, consultations by video calls, publication of videos of therapeutic advice and use of softwares and app of rehabilitation guidelines.

The Neurorehabilitation Clinic has not been left behind and has maintained contact with its patients via telematics (phone calls, whatsapp, video call by Skype and zoom), has published video tips suitable for patients with neurological disorders and has carried out free classes of focused therapeutic exercises to the base alterations of neurological patients.

Thanks to all the Neurorehabilitation Clinic team for actively collaborating in all initiatives.

Physical therapy sesion online

As we see that this situation of confinement is going to last, starting next week the Neurorehabilitation Clinic offers online and live sessions.

In this case, the intervention of the physical therapist is not direct or individualized since the session will be open to several people. However, the class will be aimed at people with impaired mobility due to neurological diseases such as stroke, cerebral palsy, multiple sclerosis, Parkinson’s disease and others.

When will the class be?
Monday, April 6 from 11:30 a.m. to 12:00 p.m.

What materials do I need?
You only need a chair or stool so you can sit down

How will the class be done?
You can follow the class with your mobile, tablet or computer

What program should I use?
We give you several options
You can follow us on instagram:
clinicaneurorehab_santcugat

You can see us live on youtube

You can join the video conference by skype

You can join the video conference by zoom

Do I have to have a camera and a microphone?
The option to turn your camera and microphone on or off is up to you, we will not record you.

How can I register?
If you follow us on instagram or youtube it is only to enter our section of live videos. If you prefer to use Skype or Zoom, tell us by mail or by WhatsApp and we will send you the link in advance so that you can connect

Do I have to be punctual?
You must be as punctual as possible since the session is live. We will have everything prepared in advance in case you want to check your connection before

Who will give the class?
Physiotherapist Carina Salgueiro

Why do you do it?
Because we continue to think about our patients and how we can help them from our homes.