Sorry, this entry is only available in European Spanish.

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
Hours: 9-15h
Place: Neurorehabilitation Clinic (c / Asturias 1, Sant Cugat del Vallés)
Price: 60 €
Number of places: 20 (min. 8 students)

Course Objectives:
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

Contents:

Theoretical class of neurophysiology
Theoretical-practical class of the procediminetos of action in mirror therapy with neurological patients
Exposure of current scientific evidence

Program:
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
12H00: ​​Pause
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 formacion@bobath-es.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.