Neuromuscular Skelettal Plasticity F -Opracowanie pismiennictwa … · ORIGINAL ARTICLE...
Transcript of Neuromuscular Skelettal Plasticity F -Opracowanie pismiennictwa … · ORIGINAL ARTICLE...
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.
61