リハビリの知恵袋
Different Therapists, Different Methods? Discovering What Happens Inside Our MindsNew!!
Have you ever wondered this while receiving rehabilitation or hearing about other hospitals and facilities? "Why do different therapists use completely different rehabilitation methods and approaches?" In hospitals, home-visit rehabilitation, and private self-pay rehabilitation settings like ours, therapistssuch as physical therapists) often emphasize different points and techniques. This is actually deeply related to a professional […]
EBM (Evidence-Based Medicine), EBP (Evidence-Based Practice), and PBE (Practice-Based Evidence): Bridging the Gap Between Research and Clinical Practice
Introduction: The Current Landscape of "Evidence" in Healthcare and Rehabilitation In the fields of healthcare and rehabilitation, the importance of providing treatment based on 'scientific evidence' has become a universally accepted standard that no one would deny. However, when we hear the word 'evidence,' do we truly understand its meaning and how it connects to […]
Can’t Be Fixed Just by Robots? The Importance of "Tasks" and "Dialogue" Revealed by Modern Rehabilitation Science
In recent years, the "conventional wisdom" in the field of rehabilitation has been undergoing a major shift, driven by a growing accumulation of scientific evidence. For example, a clinical practice guideline (CPG) published by the American Physical Therapy Association (APTA) regarding chronic stroke and other conditions gives a very critical evaluation of mechanical interventions, such […]
The Relationship Between Foot Swelling and Ease of Walking
Do you have any of these concerns? During hot seasons or periods when activity levels decrease, quite a few users experience "foot swelling" and the associated "difficulty in walking." This time, we will clearly break down the mechanisms of why swelling easily occurs in the paralyzed leg and the countermeasures for it. Why does swelling […]
Does Exercise Really Help with "Freezing of Gait" in Parkinson's Disease? What Latest Research Tells Us
"Freezing of gait," a condition where the feet suddenly freeze and refuse to move when trying to walk. For individuals with Parkinson's disease and their families, it is one of the concerning symptoms that can lead to falls. "I hear that exercise is good, but does it really work?""What kind of exercise should I do?" […]
What is "Learned Non-Use"? What Happens When You Don't Move Your Arm? The Important Relationship Between Body Mechanics and Balance
Definition of "Learned Non-Use" After a brain injury such as a stroke (cerebral infarction or cerebral hemorrhage), even though functional capacity (residual function) still remains in the paralyzed limbs, the phenomenon of "failing to use them (or becoming convinced that they cannot be used)" is called Learned Non-Use1. As defined in international Delphi studies and […]
Post-Stroke Fall Risk and Prevention: Why Balance Training and Total Care Matter
For those who have experienced a stroke and their families, the anxiety of "what if I fall again after returning home?" is a constant concern. In fact, recent research highlights that falls within 6 months post-discharge are a major challenge for stroke patients1. Today, we would like to share insights on the psychological and physical […]
Why Does "Unsteadiness" Occur After a Stroke? 3 Key Elements of Balance to Prioritize in Rehabilitation
We frequently hear concerns from stroke survivors and their families, such as "I feel unsteady when standing" or "I can't put my weight properly on my paralyzed leg." In fact, the "balance" that allows us to stand and walk casually is maintained through the advanced coordination of information from our eyes and the soles of […]
For individuals with knee osteoarthritis who struggle with stairs: Why supine rehabilitation alone doesn't translate to actual movement and the control you truly need
Why supine exercises alone do not translate to actual movement Many of you may have been instructed to start with "muscle training or joint exercises in a supine position" to improve the difficulties in walking or going up and down stairs caused by knee osteoarthritis. While supine approaches are certainly important as initial conditioning, in […]
Why Does Shoulder Pain and Stiffness Linger? A Rehabilitation Approach to Unraveling Causes One by One
Are you currently dealing with ongoing stiffness or pain when trying to move your shoulder after surgery or treatment for a proximal humeral fracture? Many people feel anxious, wondering, "When will I ever be able to move my shoulder normally again?" In reality, the factors behind shoulder range of motion restrictions and pain vary greatly […]