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Compassion Focused Therapy for Neurological Conditions
Published in Giles N. Yeates, Fiona Ashworth, Psychological Therapies in Acquired Brain Injury, 2019
Participants were individually assessed by the physiotherapist to establish their baseline physical abilities and to identify key aspects related to their functional goals. The programme was structured around educating participants about the seven primary movements (bend, squat, lunge, twist, push, pull, walk) and fine motor control, which form the building blocks of all functional movement patterns. Each week a primary movement was introduced in the first half of the session. Exercises to enhance this movement were discussed, demonstrated and performed. A range of functional tasks involving this movement were considered and practiced. Video feedback was used to enable participants to observe and review their own performance in discussion with the physiotherapist. Participants were encouraged to increase their awareness of the primary movement as they went about daily tasks that week, as a way of enhancing their movement efficiency. A written summary was provided about each movement, its functional importance and exercises for improving it.
Motor development and postural control
Published in Michael Horvat, Ronald V. Croce, Caterina Pesce, Ashley Fallaize, Developmental and Adapted Physical Education, 2019
Michael Horvat, Ronald V. Croce, Caterina Pesce, Ashley Fallaize
As mentioned previously, a critical period for the acquisition of functional movement skills is between the ages of 3 to 5 years, as fundamental neuroanatomic structure shows significant development. Many factors contribute to the rate at which children develop their functional movements. Unless afflicted with a severe disability, children are expected to develop a wide range of basic movement abilities by age 5 or slightly thereafter. It is important to note that development of functional movements is age related but not age dependent. Overall, there are six aspects of development: (1) qualitative changes in movement processes result in changes in movement outcomes; (2) sequential changes, whereby certain motor patterns precede others; (3) cumulative changes, whereby movements are built on previous ones; (4) directional changes, whereby changes occur cephalocaudal (head down) or proximodistal (center outward); (5) multifactorial, whereby numerous factors impact on development (e.g., nutrition, stress, gender); and (6) changes are individually dependent; that is, individuals develop at different rates.
Integrating ethical theory with musculoskeletal primary care practice
Published in Andrew Papanikitas, John Spicer, Handbook of Primary Care Ethics, 2017
The practice of physiotherapy encompasses assessing and managing a range of neuro-musculoskeletal conditions including acute/short-term injuries; chronic conditions such as osteoarthritis, back pain and many other disorders of the neuro-musculoskeletal system. A unifying concept across different areas of physiotherapy practice is a concern with movement.13 For example, the World Confederation for Physical Therapy defines physiotherapy as:… services to individuals and populations to develop, maintain and restore maximum movement and functional ability throughout the lifespan. This includes providing services in circumstances where movement and function are threatened by ageing, injury, pain, diseases, disorders, conditions or environmental factors. Functional movement is central to what it means to be healthy.14
Physiotherapists’ conceptions of movement awareness– A phenomenographic study
Published in Physiotherapy Theory and Practice, 2022
Sirpa Ahola, Liv Helvik Skjaerven, Arja Piirainen
Physiotherapists meet clients with multifactorial movement disorders that reveal difficulties in their contact with themselves, others and/or the environment, which affect movement quality, daily function and participation (Gyllensten, Skär, Miller, and Gard, 2010; Skjaerven, Gard, and Kristoffersen, 2008; Skjaerven, Kristoffersen, and Gard, 2010). To optimize wellbeing, it is important to unify physical and mental aspects, which is a core mental health component of (Probst et al., 2016) and needed in all fields of physiotherapy. The aim of physiotherapy is to maximize people’s movement potential for participation in daily life (World Confederation for Physical Therapy, 2017). For physiotherapists, from an educational point of view, it is important to focus on what they can learn through close attunement to the human body (Jensen et al., 2017b, 2017a), in particular human movement (Wikström-Grotell, 2016). The individual is empowered when their physical activity, functional movement and movement awareness are promoted (Probst et al., 2016), as these are essential elements of health and wellbeing, because of their many positive health influences on movement potential and quality of life, such as tension regulation and safety experience (Ogden, Minton, and Pain, 2009; Song and Yu, 2019; Wikström-Grotell, 2016; World Confederation for Physical Therapy, 2017).
Perspectives of people living with a spinal cord injury on activity-based therapy
Published in Disability and Rehabilitation, 2022
Emma Swaffield, Lovisa Cheung, Avideh Khalili, Emily Lund, Michelle Boileau, Damian Chechlacz, Kristin E. Musselman, Cindy Gauthier
All participants discussed improvements in function, activities of daily living, quality of life, and/or independence throughout their participation in ABT. Most participants (8/10) mentioned functional movements that improved with therapy, including standing, crawling, gait patterning, transfers, wheelchair propulsion, and stamina. Several participants (3/10) described the impact of ABT on their ability to participate in their community. P04 shared that “I am living on my own, I got back to work, those were big goals I had going in, I wanted to learn how to drive, […] I now drive. So ya, it has, [ABT] has brought back all my independence I think.” P06 further summarized the impact of these functional improvements; “now I’m fully independent. I have my own house. I manage all of my care and activities by myself.”
Treatment of shoulder pathologies based on irritability: a case series
Published in Physiotherapy Theory and Practice, 2020
Kristin Somerville, Zachary Walston, Tye Marr, Dale Yake
All three patients started at moderate irritability. Therefore, exercises were performed in isolated planes of motion, including frontal, sagittal, and transverse with light to moderate resistance. These exercises were executed to fatigue throughout the available pain-free range of glenohumeral and scapular motion. Additionally, exercises were performed in open chain with a focus on improving active neuromotor control of functional movements. Once the patient progressed through the moderate irritability algorithm; the patient had full pain-free glenohumeral range of motion; and the patient satisfied the criteria for low irritability, combined and closed chain motions were initiated with high to moderate resistance throughout the full range of glenohumeral and scapular motion. Irritability stages were mutually exclusive, but varied based on patient presentation during each session. The patients were discharged when they were able to control multi-planar movements with varying speeds of movement, without pain, and reported full return to all prior function.