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The word exercise makes different
sense to different experts like OrthopaedicTherapist, Physical
trainer, sports trainer, yoga teacher and Masseur, Taichi trainer,
Chiropractors,Traditional neuro therapist etc.
What does
an exercise mean for a patient
with brain stroke?
For a stroke patient exercise means
that his brain must be made to exercise to achieve the lost motor
control back, without letting any room for any trace of abnormal
movement and spasticity or rigid movement. It is important to
remember that paralysis and the weakness in the muscle is because
of brain lesion and muscle is simply a victim and not the root
cause of the symptom therefore victimizing the muscle further by
acting on the muscle alone not only does not help return of lost
control but may abuse the muscle to generate force in undesired
direction.
For
a stroke patient what exercises
must not be done
is as important as what must be
done.
Wrong exercises repeatedly done leads to long term memory of wrong
with passage of time which is, difficult to erase.
Use of cane or crutch may replace
normal use of the affected leg into becoming a prop, once a prop
it is difficult to restore the leg back to normal integrated use
use of the leg as a prop can regress
the arm recovery by helping to trigger spastic arm posture.
Use of good upper limb to sit down
and stand up has diar consequences on retriving the affected limbs
to get back to its earlier automatic function. Stroke patient may
remain stroke for the rest of his life if, this is
permitted for "so called functional independance. "
Use of bicycle for cardio vascular
benefits
makes good leg to move the affected leg
passively. This is definitely not so good for the Brain, rather it
makes the brain learn to compensate.
Passive movements of arm and
leg done by others on the patient is forbidden by VASA
CONCEPT because passivity makes the patient
psychologically dependant on others and this dependancy has grave
consequences for the brain from becoming self reliant.
Many a times passive movement could
trigger painful shoulder hand syndrome if, flaccid subluxated
shoulder is mal handled in ignorance.
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Stroke patient's goal of exercise is to re integrate the
paralyzed side with good side and prevent the good side from
becoming a side, which leads all the time & dominates
constantly over the affected side making the condition
permanent for rest of the life. |
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Exercises designed with VASA CONCEPT triggers the brain to
respond "here & now" bringing positive changes on
day-to-day bases to make larger goal i.e. victory over
brain stroke a reality & not a far-fetched dream. |
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This is a daunting task
and needs skilled therapist to
transfer VASA CONCEPT
into an action plan for the brain stroke subject
who implements the
action plan rigorously for long hours of the day with
total commitment and responsibility on the self under
the supervision of an expert to achieve results to his
or her expectations.
How does the
time factor affect the return of lost motor control?
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Time factor is very
important factor in terms of returning of the lost
motor control in minimum period of time before any
type of abnormal movements sets in as part of natural
recovery.
Abnormal movements sets
in with passage of time. Motor recovery can be made
possible in stroke patient even after more than 10
years have passed, the only difficulty is the need to
take a "long and wide u turn" from the memory of
the abnormal movement that got fixed in the brain with
time lost. In such a case patient needs to be strongly
motivated to be prepared to work hard to undo the
abnormal and replace it with near normal.
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