NEUROMUSCULAR SKELETTAL PLASTICITY (N.A.P.). MOVING ON FROM TRADITIONAL PHYSIOTHERAPY CONCEPTS
Journal Title: Fizjoterapia Polska - Year 2009, Vol 9, Issue 1
Abstract
Background. N.A.P. (Neuromuscular Skeletal Plasticity) an integrative neuro-orthopaedic concept to facilitate motor strategies in daily life. The primary thesis is that treatment of body functions and structural impairments should be integrat-ed within goal-oriented activities. The purpose of this article is to demonstrate that the functional activity itself, determines the structure.Material and methods. A case report of a dentist with brachial plexus lesion after a motor vehicle accident is present-ed. The necessity for training body functions within relevant tasks is undermined by references which emphasize the impor-tance of training realistic activities to enhance long-term changes in neural representation. Results. The treatment methods presented in this case show significant effects for the patient's ability to participate in his profession within less than a year's time after his motor vehicle accident. Conclusions. Current evidence supports the treatment methods of this concept. The inability to flex his elbow and supinate his forearm placed a considerable doubt to his ability to ever be able to participate in his profession again. Struc-tural reorganization is possible and depends on functional demands which need to be trained task-specifically. Single case reports may serve as the basis for further randomized controlled studies to support the efficacy of the treatment methods within the N.A.P. concept.
Authors and Affiliations
Renata Horst
Keywords
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