What is it about?
A case report in a patient with dexterity problems after stroke. The patient is uncomfortable with the chosen CIMT approach. An alternative based upon the PNF-concept (Proprioceptive Neuromuscular Facilitation) is explained and monitored. The approach is effective for the specified patient, hence motor learning effects are possible also with other means of physical therapy / rehabilitation then the advocated CIMT approach.
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Why is it important?
This case report demonstrates that a sound clinical reasoning on individual level results in a comprehensive rehabilitation approach (PNF-based motor learning) supported with evidence. Hence a clear demonstration of the three (3) components of Evidence Based Practice (EBP) in a clinical setting, as defined by Sacket et al. (1996)
Perspectives
This article might lead towards more personalized treatments in (neurological) rehabilitation. Furthermore I hope that further research will be initiated based upon the described case and reasoning.
Fred Smedes
Saxion Hogescholen
Read the Original
This page is a summary of: Motor learning with the PNF-concept, an alternative to constrained induced movement therapy in a patient after a stroke; a case report, Journal of Bodywork and Movement Therapies, May 2018, Elsevier,
DOI: 10.1016/j.jbmt.2018.05.003.
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