Physiotherapy treatment is enjoyable and effective. This approach will, therefore, make everyday activities a great deal easier and increase independence.Īt .uk, our physiotherapists understand that having a neurological condition can have a significant impact on your life.
Physiotherapy using the Brunnstrom approach will help improve motor control in a functional way. The Brunnstrom approach is currently used to treat many neurological conditions including those with: Physiotherapy treatment using the Brunnstrom approach will improve voluntary movement and ability with functional tasks in everyday life. This approach is also used in conjunction with other types of treatment depending on the symptoms of the individual following injury. How .uk use the Brunnstrom approachĪt .uk our specialised neurological physiotherapists use the Brunnstrom approach to rehabilitate patients with different neurological disorders. This approach also highlights the importance of verbal and visual commands and repetition to enhance recovery. Each goal needs to be attained before further goals are set. Furthermore, it recognises the need for goals set to be achievable. The Brunnstrom approach is also based on the principle that the treatment chosen should match your stage of recovery. Improve the sequence of functional activities in order to achieve a specific aim.Improve functional tasks such as sit to stand, walking, reaching, grasping and hand to mouth.The Brunnstrom approach emphasises the ability to recover normal movement by facilitating reflexes, basic muscle synergies and sensory stimulation. It is the job of the physiotherapist to get their patients through the stages of abnormal movement to achieve normal movement and function. The Brunnstrom approach acknowledges that before normal movement can be restored there will be a period of abnormal movement. Abnormal movement always comes first following injury and there is a normal pattern of recovery before normal patterns of movements are obtained. Movement will be progressed in the correct sequence.Patients are taught to use the voluntary movement that is available to them to achieve goals / tasks. As soon as the task is achieved new goals will be set. Treatments will involve tasks that are difficult but achievable.Encouraging whatever movement is possible and building on it, through strengthening, sensory stimulation, positive reinforcement, verbal feedback, and the use of reflexes.Physiotherapists using the Brunnstrom approved aim to maximise recovery and restore normal function as soon as possible following an injury to the CNS. Spasticity disappears and individual movements become possible and coordination approaches normal.This leads to a reduction in spasticity.Īs progress continues, more complex movement patterns are learnt and there is a further decrease in spasticity. Basic movement patterns are developed.This may cause an increase in spasticity. Patient begins to gain voluntary control over their reflexes.Spasticity (increased muscle tone) appears, basic movement reflexes appear.Immediately after the onset of injury there may be no "voluntary" movement.During recovery muscles will start working together better.Ģnd Principle - Following damage to the CNS, movement recovery follows a specific sequence. The Brunnstrom treatment approach is based around two principles:ġst Principle - Normal movement (how a healthy individual moves) requires muscles working together (synergistically) following damage to the CNS the muscles will not work as well together. Above: Functional movement rehabilitation exercises supervised by a specialist neurological physiotherapist
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