CzMA JEP Home page CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ
Journals - Article
CzMA JEP Home page News About Assocation Publishing Division Medical Journals Searching Supplements Catalogue
 
  Česky / Czech version Rehabil. fyz. Lék., No. 2, 2003, p. 72–76
 
Ne g l e c t – p a t h o p hy s i o l o g y, c l i n i c a l s ymp t oma t o l o g y, p r i n - c i p l e s o f r e h a b i l i t a t i o n 
Mayer M. 

Katedra fyzioterapie a algoterapie Fakulty tělesné kultury Univerzity Palackého, vedoucí doc. MUDr. J. Opavský, CSc., OlomoucKlinika rehabilitačního a tělovýchovného lékařství Lékařské fakulty a Fakultní nemocnice, vedoucí MUDr. J. Malinčíková, PhD., Olomouc
 


Summary:

       Recognition and integration of the bodily, spatial and motor pattern and subsequent activities are a steady dynamic process disorders of which accompany motor disorders like a shadow. From this perspective physiotherapy is a constant confrontation with neglect syndromes. The latter ply here, perhaps much more than in other fields of clinical neurophysiology laws of neuroplasticity, learning, memory, neuronal inhibition and synaptic inhibition. Neglect elements are found in as many as 80% patients after CVA. There is also a high incidence after traumatic brain injuries. De facto neglect is a syndromological continuum. It includes among others deficient orientation, deficient attention, deficient perception (sensory, extero-, proprio-, vestibulo-, visuo-, audio- etc.), deficient imagination (representation), deficient cognition, deficient integration, deficient plan of the motor task. For the success of therapy it is essential to maintain attention and concentration on the performed task, adjust to this demand the rate and rhythm of therapy. Therapy will be significantly promoted by an emotional reward.We try to transform the therapeutic programme into a game, use positively acting objects and subjects, we expose the maximum number of stimuli in the neglected space and avoid stimulation on the “sound“ side.We combine visual, tactile proprioceptive and acoustic stimuli.We combine as much as possible active and passive elements with emphasis on activity.We use visual cues. Similarly as any training in physiotherapy and rehabilitation in general, neglect functional therapy is a progressive procedure.To promote rehabilitation we can use also various aids, equiment and special procedures. An important part of rehabilitation of the patient with neglect is intense, early and multimodal training of the function of the hand.

        Key words: neglect, rehabilitation, physiotherapy, hand
       

Order this issue

  BACK TO CONTENTS  
 
 
| HOME PAGE | CODE PAGE | CZECH VERSION |
©  1998 - 2008 CZECH MEDICAL ASSOCIATION J. E. PURKYNĚ
Created by: NT Servis, s.r.o., hosted by P.E.S. consulting, s.r.o.
WEBMASTER