Neuromuscular Skelettal Plasticity F -Opracowanie ... · ORIGINAL ARTICLE Zaangazowanie Autor6w A...

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ORIGINAL ARCLE angazowanie Autor6w A - Przygotowanie projektu badawczego B - Zbieranie danych C - Analiza statystyczna D - lnterpretacja danych E - Przygotowanie manuskryptu F - Opracowanie pismiennictwa G - Pozyskanie funduszy Author's Contribution A- Study Design B - Data Collection C - Statistical Analysis D - Data Interpretation E - Manuscript Preparation F - Literature Search G - Funds Collection Rena t a Hors t (A ,e,c,o,E,F, GJ Physiotherapiepraxis und Weiterbildungsinstitut, lngelheim Fizjoterapia Polska © MEDSPORTPRESS, 2009; 1(4); Vol. 9, 61-68 Neuromuscular Skelettal Plasticity (N.A.P.). Moving on from Traditional Physiotherapy Concepts Key words: Neumuscular Skelettal Plasticity, factate motor strategies, treatment of body funcons, functional activity SUMMARY Background. N.A.P (Neumuscular Skeletal Plasticity) an integrative neuro-ohopaedic concept to facilitate motor strategies in day fe. The prima thesis is that treatment of body functions and structural impairments should be integrat- ed within goal-oriented activities. The purpose of this aicle is to demonstrate that the functional activity itsel determines the structure. Material and methods. A case repo of a dentist with brachia/ plexus lesion aſter a motor vehicle accident is psent- ed. The necessity for training body funcons within relevant tasks is undermined by references which emphasize the impor- tance of training reastic activities to enhance long-term changes in neural representation. Results. The treatment methods presented in this case show significant effects r the patient's abity to paicipate in his profession within less than a year's time aſter his motor vehicle accident. Conclusions. Cuent evidence suppos the treatment methods of this concept. The inabity to flex his elbow and supinate his forea placed a considerable doubt to his ability to ever be able to paicipate in his profession again. Struc- tural reorganization is possible and depends on functional demands which need to be trained task-specificay. Single case pos may serve as the basis for fuher randomized contlled studies to suppo the efficacy of the treatment methods within the N.A.P concept. Liczba st6w/Word count: 4319 Tabele/Tables: 0 Ads do korespondenc IAddress for coespondence Renata Horst 20 218 fgefheim, Deutsch/and tel. 0171-2875288, fax: 0-12 4251228, e-ma: [email protected] Ryciny/Figures: 12 Pismiennictwo/References: 30 Otymano I Received 19.09.2008 r. Zaakceptowano I Accepted 08.11.2008 r. 61

Transcript of Neuromuscular Skelettal Plasticity F -Opracowanie ... · ORIGINAL ARTICLE Zaangazowanie Autor6w A...

ORIGINAL ARTICLE

Zaangazowanie Autor6w A - Przygotowanie projektu

badawczego B - Zbieranie danych C - Analiza statystyczna D - lnterpretacja danych E - Przygotowanie manuskryptu F - Opracowanie pismiennictwa G - Pozyskanie funduszy

Author's Contribution A- Study DesignB - Data CollectionC - Statistical AnalysisD - Data InterpretationE - Manuscript PreparationF - Literature SearchG - Funds Collection

Renata Horst(A,e,c,o,E,F,GJPhysiotherapiepraxis und Weiterbildungsinstitut, lngelheim

Fizjoterapia Polska © MEDSPORTPRESS, 2009; 1(4); Vol. 9, 61-68

Neuromuscular Skelettal Plasticity (N.A.P.). Moving on from Traditional Physiotherapy Concepts

Key words: Neuromuscular Skelettal Plasticity, facilitate motor strategies, treatment of body functions, functional activity

SUMMARY Background. N.A.P (Neuromuscular Skeletal Plasticity) an integrative neuro-orthopaedic concept to facilitate motor

strategies in daily life. The primary thesis is that treatment of body functions and structural impairments should be integrat­ed within goal-oriented activities. The purpose of this article is to demonstrate that the functional activity itself, determines the structure.

Material and methods. A case report of a dentist with brachia/ plexus lesion after a motor vehicle accident is present­ed. The necessity for training body functions within relevant tasks is undermined by references which emphasize the impor­tance of training realistic activities to enhance long-term changes in neural representation.

Results. The treatment methods presented in this case show significant effects for the patient's ability to participate in his profession within less than a year's time after his motor vehicle accident.

Conclusions. Current evidence supports the treatment methods of this concept. The inability to flex his elbow and supinate his forearm placed a considerable doubt to his ability to ever be able to participate in his profession again. Struc­tural reorganization is possible and depends on functional demands which need to be trained task-specifically. Single case reports may serve as the basis for further randomized controlled studies to support the efficacy of the treatment methods within the N.A.P concept.

Liczba st6w/Word count: 4319 Tabele/Tables: 0

Adres do korespondencji I Address for correspondence Renata Horst 20 218 fgefheim, Deutsch/and tel. 0171-2875288, fax: 0-12 4251228, e-mail: [email protected]

Ryciny/Figures: 12 Pismiennictwo/References: 30

Otrzymano I Received 19.09.2008 r. Zaakceptowano I Accepted 08.11.2008 r.

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