The idea of movement re-education in physiotherapy

Janusz Nowotny

Janusz Nowotny – The idea of movement re-education in physiotherapy. Fizjoterapia Polska 2004; 4(1); 68-74

Abstract

Movement is an inherent part of human life. Unfortunately, congenital abnormalities, disease or perinatal injury can make it difficult to learn normal movement in the earliest stages of life. On the other hand, an injury or acquired disorder in the later periods of life can ruin learned movement skills, leading to temporary or permanent disability. This necessitates movement re-education, which is one of the major goals of medical rehabilitation. In the daily practice of physiotherapy we often observe a mechanistic approach to treatment, directed towards relieving particular symptoms. The functional results of such an approach are difficult to foresee, but they are usually unfavorable. Although the idea of re-education is reflected in some neuro-muscular methods, many therapists see the necessity of using them only in such states (i.e. neuromuscular disorders), and seem to see no need for broadly conceived movement re-education. In the present study, the author attempts to counteract this approach, showing some of the basic premises for restoring lost skills, in the context of re-learning correct movements, including the basic features of various pathological states that can temporarily or permanently disturb motor control and prevent the complete recovery of health. Particular attention is given to controlling the process of compensation in the earliest stages of dysfunction, and to restoring physiological movement patterns or forming the most suitable functional patterns.

Key words:

physiology of movement, pathophysiology, rehabilitation

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