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Treatment of Neurological Problems
Treatment of Nerve And Muscle Disorders
Treatment of Paralysis
Cerebral Palsy Treatment
Brain Tumor Surgery
Electroconvulsive Therapy (Ect) Treatment
Surgery Of The Facial Nerve
Radiofrequency Neurotomy Procedure
Spine Surgery Treatment
Traumatic Brain Injury (Tbi) Treatment
Treatment of Traumatic Brain Injury (Tbi)
Assistive Walking Device Training
Vagus Nerve Stimulation ( Epilepsy )
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Age: 29 years. Sex: Male Problem: Feeling loss of energy for sometime now. Feel drowsy after a small spell of work. Wrist and knee joints often feel numbed. What should I do?
Hands are shivering too much sir what is the reason and what problems will face with that, it will effect our married life ?
I am suffering from insomnia from several months I usually wake up at night and can not sleep after then I even dreams nightmares at night sometimes too scary or sexual dreams.
I do not get sleep at nights. I am hardly able to sleep from 4 am to 6 am. Rest of the night i just lying. I am suffering a lot and nights are hell for me. Someone please help me. I am unable to survive this. How do I cure my insomnia?
Facts about Dementia
What is dementia? Dementia is a term used to describe various different brain disorders that have in common a loss of brain function that is usually progressive and eventually severe. There are over 100 different types of dementia. The most common are Alzheimer’s disease, vascular dementia and dementia with Lewy bodies. Symptoms of dementia include loss of memory, confusion and problems with speech and understanding.
Most forms of dementia cannot be cured. There are some drugs available that appear to alleviate some of the symptoms of Alzheimer's disease in some people.
How dementia progresses?
All types of dementia are progressive illnesses. This means that the structure and chemistry of the brain become increasingly damaged over time. The person's ability to remember, understand, communicate and reason will gradually decline.
Genetic factors are responsible for the disease in only a very small number of families. There is no single gene for Alzheimer's disease and inherited factors alone do not explain why some people develop it while others do not.
The Alzheimer's Society estimates that there are currently over 700,000 people in the UK with dementia.
Researchers believe that many factors, including age, genetic background and lifestyle, can lead to the onset of the disease. The prevalence of dementia in people with learning difficulties is higher than in the general population.
What is dementia?
The term 'dementia' is used to describe the symptoms that occur when the brain is affected by specific diseases and conditions, including Alzheimer's disease, stroke and many other rarer conditions. Symptoms of dementia include loss of memory, confusion and problems with speech and understanding.Different areas of the brain are responsible for different skills and abilities. The changes in behaviour, memory and thought in people with Alzheimer's disease may be a direct result of the way the disease has affected their brain.See also information sheet
There are several diseases and conditions that cause dementia.See also information sheet
Causes of dementia include:
Alzheimer's diseaseThis is the most common cause of dementia. During the course of the disease, the chemistry and structure of the brain changes, leading to the death of brain cells. Information sheet.
Vascular diseaseIf the oxygen supply to the brain fails, brain cells may die. The symptoms of vascular dementia can occur either suddenly, following a stroke, or over time, through a series of small strokes. Information sheet
Dementia with Lewy bodiesThis form of dementia gets its name from tiny spherical structures that develop inside nerve cells. Their presence in the brain leads to the degeneration of brain tissue. Memory, concentration and language skills are affected. Information sheet
I have 1 yr 5 months old baby having seizures now. The case history:- she didnt cry for almost 15 mins at the time of birth with low pulse rate. Doctors said after going through ct scan reports that she had some problem with the brain and due to which her natural development could affect. And also told to consult physio to her. Till now she seems physically fit although bit slow at development. But problem arises a month back is she is having seizures. Till now she had four seizures. Already consulted pediatrician and she is under medication. My questions are:- 1) can we prevent her seizures as doc says seizures have adverse effect on her brain. 2) should I also consult with neurologist for her further treatment. 3) the above condition can be cured or not if yes then suggest.
PHYSIOTHERAPY TREATMENT OF HEAD INJURY
The treatment may comprise of the following measures:
IMPROVES ALERTNESS OR AROUSAL THROUGH SENSORY STIMULATION:
The patient who is drowsy or confused need to be stimulated by makes them more alert and awake. The therapist should encourage the patient’s cooperation during the treatment. The main aim is to stimulate the reticular activating system by making the patient sit or even stand in the tilt table.
The therapist should provide tactile, visual, auditory and Proprioceptive stimulation to the patient that will send facilitatory signals to the brain and will enable the alert response to be provoked. Auditory stimulation can be given by speaking to the patient during the course of treatment. Visual stimulation is given by showing familiar faces, objects or movement in the visual field of the patient.
Proprioceptive stimulation by giving traction and approximation at joint structures is very helpful in stimulating the arousal response in the patient.
PREVENTION OF SPASTICITY:
As hyper tonicity generally sets in almost all head injury cases various measures need to be taken to keep them under control. Gentle passive movement, gradual rhythmic sustained stretch, prolonged icing for 20 minutes over the muscles, biofeedback, proper positioning are certain measures that needs to be employed for controlling spasticity.
MAXIMISE THE PATIENT’S FUNCTIONAL CAPACITY:
The main aim of this management is to improve the ROM, improve the control of voluntary movement, strengthening paretic muscles, improve the coordination, balance and teach various safety measures.
The treatment should be wide spread over the periods of time as the patient’s attention span and endurance is very less.
NEUROMUSCULAR TRAINING can be given through the development sequence by inhibiting abnormal movement pattern and by facilitating normal movement pattern.
The patient may give activities like bridging, prone on elbow, on all fours, side lying to sitting, sitting, kneeling, half kneeling, standing and walking.
PROPER DOCUMENTATION is necessary of the entire event through- out the day. Infact the routine of the patient should be maintained in the register and the patient need to be reminded of various activities especially if the patient has memory problems. The patient may be given register with photo and names of various health professional visiting him so that each day’s program can be entered. This will benefit both the patient and his acquaintance to know regarding the activities given to the patient.
USE OF VESTIBULAR BALL while training the patient for crawling, bridging, sitting, balance helps in building the Proprioceptive stimulation and teaches proper control to the patient.
Each task has various subtasks which need to be mastered by the patient so that he learns the actual activity using normal movement combination and performs it with precision. Like for training the patient to get up from bed, he may be taught to do asymmetrical push up with the trunk in partial rotation, then lower leg patterns are incorporated and finally the whole task of get up from sidelying is practiced.
REPETITION ACTIVITIES is key like any other neurological disorders. Ambulation training should always be done in upright position training the patient in each and every phase of the gait cycle. If the patient’s balance is poor then assistance may be used.
FUNCTIONAL ELECTRICAL STIMULATION has been shown more effective than kinetic joint training in certain types of cases. The upper extremity also appeared to use specific synergies for hand use in different positions. Clients often can opens hand in out stretched arm position but will be unable to perform the same action when the elbow is flexed. Some patient with minimal functional deficit in th upeer limb may be given some assistive devices or support for the hand so that they can perform some basic activity like eating, combing, writing, etc. this technique helps the shoulder and other proximal structures to produce appropriate movement sequences for hand use but does not facilitate hand function. The treatment however does provide whole task practice even though some basic component of the function is substituted by other means.
REVERSING TASKS in some patients helps in developing increased control by modifying a task or synergy as well as making the muscle work both eccentrically and concentrically. For instance lowering a glass of water on the table may help the patient in getting th glass close to the mouth by improving motor control of biceps during eccentric contraction.