#NDT #upperlimb #HumSaathHai #physiodeptghmc #dblsocialwelfarefoundation NDT Technique for upper Extremity The upper extremity is responsible for both reaching and grasping, and pathology affecting one often affects the other Motor control problems include:
equipment (such as pulleys) to move the impaired upper limb simultaneously with the less impaired upper limb. Recently, there has been increased interest in bilateral upper limb training as new theories of neural plasticity have gained support
Practicing bilateral movements may activate the intact hemisphere and facilitate the activation of the damaged hemisphere through neural networks linked via the corpus callosum .
Coupling of upper extremity function is based on the following concepts:
Neurally mediated dependencies between the right and left upper extremities
Interhemispheric interactions along with bimanually triggered activation of similar neural networks in both hemispheres
Training-related plasticity of the brain
Delayed movement times Loss of ability to adapt to changing task demands Slowed reaction times
emphasizes the concept that abnormal muscle patterns or muscle tone arise as a result of damage to the brain following a stroke. In order to inhibit abnormal tone, normal patterns must be practiced to facilitate functional and voluntary movements.
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