Functional Neurology and the Neurological Approach to Injury/Health
- Approach all issues from the nervous system first perspective
- Create sensory afferent inputs to the brain that will improve motor outputs
- Balance, proprioception, visual sensory information
Nervous System Feedback Loop: Why Should Rehab Focus Here?
- Internal and external inputs, transmission, decision process & output
- Most rehab work is focused on output and conscious processes
- Focus on inputs to create new, improved outputs
- The role of pain as an output
- Change outputs into performance like strength, power, endurance, flexibility
Implement a Functional Neurology Approach & Improve Function from the Inside Out
- ANS function (sympathetic and parasympathetic)
- Decrease protective responses
- Structure vs function: enhance the overall repair process
Tapping into Neuroplasticity to Improve Rehab Outcomes
- Support and stimulation
- Proven Strategies
- Physical Therapy
- Visuomotor Training
- Constraint Therapy
- Robotics
- Novel Strategy: Electrical stimulation for muscle, tissue, nerve activation and blood flow
- Differences in NMES: Direct Current (DC) vs Alternating Current (AC)
Neurological Approaches: Combine NMES and Functional Rehab for Improved Outcomes
- Sensory inputs to improve outputs
- Intentional therapeutic exercises to improve deficits
- Scanning/Mapping process
- Differences in frequencies
- DC & Neuro PT = “more bang for your buck”
- Targeted treatment approaches for specific impairments
- Spasticity
- Weakness
- Balance/Vestibular
- Gait/Functional Activities
- Examples of outcomes:
- Pt with TBI- got off of spasticity meds
- Pt with MS - went from wheelchair/recliner to walking
- Pt with acute Stroke - went from dependent with transfers to walking with a cane in two months
- Tips for billing and documentation