KMID : 1002720090070010033
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Journal of Korean Proprioceptive Neuromuscular Facilitation Association 2009 Volume.7 No. 1 p.33 ~ p.46
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Neuromuscular Skeletal Plasticity Moving on from Traditional Physiotherapy Concepts
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Horst Renata
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Abstract
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Purpose£ºN.A.P.(Neuromuscular Skeletal Plasticity) an integrative neuro-orthopedic 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£ºA case report of a dentist with brachial 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£ºThe 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£ºCurrent 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.
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KEYWORD
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Brachial plexus lesion, Mirror neurons, Plasticity, Motor learning, Manual therapy, Habituation
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