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 Заголовок сообщения: Advanced Biomechanical Rehabilitation
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Advanced Biomechanical Rehabilitation

A considerable beneficial treatment method for children with Cerebral Palsy?
and
Deep tissue manipulative bodywork in comparison to classic rehabilitation in Cerebral Palsy


A thesis by
Katharina Maria Sommer
International Physiotherapy program
Hanzehogeschool Groningen
Groningen, Netherlands
February 2010


Table of Contents

Chapter 1 INTRODUCTION .3
1.1 Motivation for thesis 4
1.2 Thesis question 4
1.3 Main aims and objectives 4
1.4 Limitations and borders 5
Chapter 2 HUMAN DEVELOPMENT 6
2.1 Introduction 6
2.2 Human development- a life-long active process 7
2.3 Individuality formed by life 9
2.4 Force must be met by force 10
2.5 Development of structures 10
2.5.1 Skin 11
2.5.1.1 Sensing ourselves 11
2.5.1.2 Touch as food and maturation 12
2.5.1.3 Conclusion: sensing ourselves through the world 13
2.5.2 Connective tissue 14
2.5.2.1 The main ingredients 15
2.5.2.2 Tixotrophy and Bodywork 16
2.5.2.3. Connective tissue as resort 17
2.5.2.4 Tensegrity 18
2.5.2.5 Hydrostatic pressure 19
2.5.2.6 Fascia 20
2.5.2.7 Conclusion: Connective tissue as powerful organ 22
2.5.3 Bones 23
2.5.3.1 Bone plasticity 23
2.5.3.2 Conclusion: Bones and the body 24
2.5.4 Muscles 26
2.5.4.1 The dynamical structural tissue 26
2.5.4.2 Functional unity 27
2.5.4.3 Tension and release 27
2.5.4.4. The Fenn effect 28
2.5.4.5 Tonal habits 28
2.5.4.6 The “optimal” tone and posture 29
2.5.5 Nerves 30
2.5.5.1 Peripheral and central 30
2.5.5.2 Conclusion: The intranuncial network 31
Chapter 3 UNDERSTANDING CEREBRAL 32
3.1 Number and facts 32
3.2 Cerebral palsies- a definition as such 33
3.3 Associated deficits, speech and language disorders .33
3.4 Classification of CP 34
3.5 Etiology 37
3.6 Measuring function and natural history 38
3.7 Neuro-musculoskeletal pathology in cerebral palsies 38
3.8 The upper motor neuron syndrome-weakness and spasticity 39
Chapter 4 CEREBRAL PALYS AND CLASSIC REHABILITATION 41
4.1 Classic management approach in CP – primary aim spasticity 41
4.1.1 Orthopaedic surgery 42
4.1.2 Stretching 42
4.2 Managing weakness in CP 44
4.3 Weakness as key factor-research and facts developed by ABR 44
4.4 The inflated ball theory 49
4.4 Classic management VS ABR- Fighting spasticity vs treating weakness 49
Chapter 5 THE PHILOSOPHY OF ABR AND BODYWORK 52
5.1 The history of bodywork 52
5.2 The essential benefit and use of bodywork in CP children 53
5.3 ABR as bodywork 53
5.4 The effect of ABR 54
5.5 ABR as Engram 55
5.6 ABR`s philosophy 56
5.7 ABR`s Concepts 58
5.7.1 The active breathing strengthening in healthy children 58
5.7.2 Paradoxical breathing in CP 59
5.7.3 Three essential concepts of smooth muscles 59
5.7.3.1 The hydraulic (or hydraulic/pneumatic) skeleton 60
5.7.3.2 The visceral skeleton (visceral core 60
5.7.3.3 The hydraulic pneumatic capacity 60
5.7.4 Addressing the smooth muscles 61
Chapter 6 ABR TECHNIQUES AND APPLICATION 63
6.1 Strengthening of Fascia 64
6.2 Essentials of ABR technique 66
6.2.1 The child as passive recipient of hands on application 67
6.2.2 Towels as soft air cushion as transmitter of the ABR movement 67
6.2.3 Mechanical properties and stimulus 67
6.2.4 The optimal shape and density- Pneumatic Len 72
6.2.5 The optimal movement-quasi static 73
6.3 The safeness of ABR technique 74
6.4 Treatment of ABR in theory 74
Chapter 7 ABR EVALUATION 75
7.1 General Terms of ABR Assessment 75
Chapter 8 DISCUSSION 77
8.1 Discussion 77
Acknowledgement 78
References 79

83 стр., PDF, 1 mb

Код:
http://abr-denmark.com/fileadmin/templates/media/pdf/ABR_Thesis_2010.pdf


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