How to reduce central pain, numbness and pain
1. The damaged brain’s ability to process information is impaired.
Processing speed is slow .
The amount of information processed is reduced.
2. lowered allowances.
3. I don’t separate the senses from the movement.
Take a unified view of things
4. Coordination between the left and right hemispheres of the cerebrum
5. The central nervous system and the existential body as an alive organism
6. People, unlike machines, can change the fulcrum of their movements. Flexibility and versatility
From the above point of view, it is possible to effectively rehabilitate not only those involved in central pain, but also other rehabilitation
Problem: Simultaneous contraction with flexion dominance in Parkinson’s disease results in reduced mobility and difficulty in selecting movements correctly.
In a swollen foot, reduced mobility makes it difficult to shift the center of gravity from side to side. Swollen feet because the center of gravity tries to swing out of the other lower leg before it is fully on one lower leg.
Allows the person to alternate swing his or her legs by helping to increase mobility so that the center of gravity can be shifted from side to side in accordance with the person’s gait rhythm and timing. Smooth walking.
In addition, the basal ganglia are impaired and cannot select the correct movement. In particular, spontaneous movements are difficult to make. On the other hand, if there is a specific goal or target, the movement is easily initiated by planning in the cortical system in relation to the target.
In relation to Parkinson’s disease, there is a need to reduce concurrent contractions and increase mobility. However, it is not easy to reduce contractions.
For simultaneous contractions, take advantage of the fact that muscle tension changes with changes in posture
In the dorsal supine position, extensor tension is increased and in the supine position, flexor groups are increased. In the supine position, both extensors and flexors can be raised or lowered. Thus, a slow and progressive turn over is assisted. The muscle tone is changed according to the change in posture. Turn to the left and right, get up, get up and then slowly go back to sleep and roll to the left and right. In the meantime, we seek movement in the extremities and trunk to increase mobility. In particular, the mobility of the trunk must be increased. It is best if the patient is mobile enough to go to a prone position.
In the sitting or standing position, an object is presented by the aid worker to a specific position in space, and the aid worker is asked to reach out and grasp the object toward it. Presenting the object assists in initiating the movement. Gradually move the object away from the position of the object to reach more in the direction of extension and abduction. Reduce over-tension in the flexor muscle groups by extension and abduction movements and increase mobility. In addition, the extension and abduction movements reduce over-tension in the flexor groups and increase mobility. In addition to extension and abduction, ask the subject to reach not only in the direction of extension and abduction, but also in the direction of flexion and downward and to reach out to the opposite side (to the left as opposed to the right upper extremity), and to reach in the direction of flexion and abduction in turn. The conversion exercises will reduce simultaneous contractions. Start from supine or seated position and progress to standing position.
The feedback mechanism is impaired by cerebellar disease, resulting in an inability to control movement.
Impaired feedback mechanisms primarily reduce muscle tone. Disrupts muscle-to-muscle coordination due to antagonistic innervation and inhibits the relationship between the limbs and the trunk. It inhibits isolated movements.
Reduced muscle tone makes the muscles less responsive and delays their function. It also makes it difficult to move against gravity.
Antineural disruption disrupts the relationship between the main actuators, antagonists, and other muscles, resulting in transformational motor deficits, measurement deficits, tremors, co-motor deficits, and isolated motor deficits.
Involvement in cerebellar disease assists in preparing a specific set of postures before starting to move. Encourage extensional activity against gravity from the toes to the fingertips.
1. The first step is to relax the whole body and seek a mid-position.
Individuals with cerebellar disease have increased tension due to simultaneous contraction of flexors and extensors in response to hypotonia and trunk shaking. They are also unable to control their movements, and they are hypertonic due to failed experiences in daily life.
The problem becomes apparent in people with cerebellar disease when they move with a purpose. It is easy to start with a single transforming action, which consists of “reach” and “release” movements. Therefore, the patient should be assisted from sitting or standing position.
To assist in the most relaxed posture in a sitting or standing position, the involved person should be assisted from behind. Position the subject’s entire back so that the entire surface of the subject’s back is in light contact with the front of the donor’s body. Cover the subject’s sides with the donor’s arms and lightly touch the subject
People with cerebellar disease can’t stabilize and stop to get in.
Slowly change the relationship between the subject’s center of gravity, the position of the limbs, and the alignment of the trunk to find the posture in which the subject can relax the most. This posture is called the intermediate posture. Once the subject moves, he or she should return to the intermediate posture.
2. prepare for trunk alignment of the final attained limb position even before starting to move
I’d like to explain the following in a “put the object in your hand on the table” setting
The object to be placed on the table should be “firm”, slightly heavy, easy to grip and stable on the table.
Encourage them to grip the object firmly and have them hold the entire upper limb back in a flexed position.
The next step is to shape the most appropriate trunk alignment when the hand reaches the position where the object is to be placed on the table, starting from the middle position, step by step, even before the movement begins.
Once the trunk alignment is set, have the subject Reach the upper extremities. At this point, the person involved should reach together and maintain light contact with the outside of the subject’s reaching arm. Alternatively, the person involved reaches the table first and pulls a rail in advance.
The subject should not put the weight of the body on the arms when releasing an object on the table, not support the body with the reached arms, and not reduce the increased tension of the upper trunk.
Release assists in the slight extension and antigravity movement of the trunk so that the arms are directed upward.
Slowly bring your arms back to your torso. Bring the trunk back to the middle position again.
Cerebellar disease has different symptoms depending on whether the damage is to the medial or the lateral side of the cerebellum. In medial cerebellar disease, the main lesion is to the trunk, and in lateral cerebellar disease, the main lesion is to the ipsilateral upper and lower limbs.
But in common, due to low tension and conflicting neural disturbances, the relationship between the upper and lower limbs and the trunk cannot be prepared just before the start of the movement
The pattern, posture and position of the center of gravity can increase muscle tone. Increased trunk tension can support upper extremity movements. In addition, the movement of the upper extremity increases trunk tension, and the muscular activity of grasping objects has a positive impact on the function of the upper extremity and trunk.
In addition, gradually change the position of the table on which to place the object. From adduction to abduction, from nearer to farther away from the trunk of the body in stages.
Or do the task of stacking things on the table into smaller objects.
Keeping the upper limb in space for long periods of time in a task that involves stacking small objects increases muscle activity in a time-weighted manner. Accuracy of movement is also required to increase tension and promote separation movements. In this case, the assistants’ arms are positioned so that they lightly touch the subject’s reach arm and the outside of the dorsal hand.
中枢性疼痛・痺れや痛みを減らす方法 