Peripheral origin of neuro-muscular reprogramming
Golden rule : stimulate in a clear and unequivocal way the activity of a part of the body, integrating it systematically in the global motor scheme of the individual.
Circumscribed proximo-distal perceptual-motor rehabilitation :
It is the fusion, the combination, the appropriate dosage of these 3 rehabilitation concepts which gives full value to this new therapeutic approach
It allows the patient to find himself in necessary biomechanical and environmental conditions earliness and repeated realization of the new motor functions to be internalized.
Its advantage is to avoid or minimize the introduction of unwanted engine balances.
Any intelligent information processing system needs information to act.
Not deviating from this rule, throughout life, the brain (central) is constantly enriched by what it perceives from the sensors in the body (in peripheral) that inform it about the status of the different body segments in motion.
This is why in the majority of cases, even years after a stroke, the brain remains sensitive to the peripheral sensory stimulations that nourish it, these will inevitably lead it to respond in a oppotune manner (motor response), depending constraints imposed by the environment.
For that reason, as soon as the medical diagnosis is made :
- The patient should be in a situation of permanent re-educational stimulation, as the ability to (re)structure and create neuronal circuits, at the origin of motor behavior patterns, remains mostly intact.
- The patient should be placed in biomechanical conditions promoting stimulation and early recurrence of the new motor functions envisaged.
Proximo-Distal Rehabilitation: (Proximo-Distal organisation of Motricity)
The positioning of the different body segments gradually tightens the muscles at the origin of the various synergistic muscle contractions, which propagate from the spine and trunk (proximal) to the extremities of the limbs (distal)
--> in a « Proximo-Distal » way.
It will therefore be necessary to constantly bear in mind that every joint level serves as a support for the expression of the motor skills of the underlying joints.
The motor skills resulting from the information-action circuit originate from awareness :
- of the direction ofpplied resistance
- the visual, tactile and auditory stimulations used
- the positioning of the body and body segments in action
It will therefore be necessary to place the patient in a circumscribed work environment that delimits and channels the movement very precisely because it determines the conditions of the development of the motor scheme to internalize.