リハビリの知恵袋
"What is the True Identity of 'Changing Through Touch'? 4 Evaluation Factors Valued in Private Rehabilitation"
When providing rehabilitation for sequelae of stroke or intractable neurological diseases like Parkinson's disease, we occasionally encounter scenes where a patient's movement changes smoothly in an instant just by adding a minute amount of manual evaluation or intervention. "What is happening inside the body right now?" It is a moment that anyone standing in the […]
Are You Interpreting Slowness of Movement Solely as a "Muscle Strength" Issue? Bradykinesia, Psychomotor Slowing, and the Impact of Chronic Pain
When observing patient movements in a rehabilitation clinical setting, we frequently encounter situations where we feel that someone is "moving somewhat slowly" or "taking time to respond to instructions." In our day-to-day clinical practice, whenever we encounter such stagnation or reduction in movement speed, we tend to unconsciously view it as a mechanical issue or […]
What is Brain Plasticity? The Brain Mechanism and Latest Science to Never Give Up on Rehabilitation
"Because a lot of time has passed since the onset, it might be difficult to improve any further.""I don't think my paralyzed limbs will ever be able to move again." It is not uncommon to hear words like these from stroke survivors and their families. Historically, even the medical community believed that 'brain recovery is […]
Decoding "Unsteadiness" and Hand Dexterity Issues: The Truth Beyond "Truncal Ataxia"
In areas such as Kazo, Kuki, and Hanyu within Saitama Prefecture, it is not uncommon in rehabilitation settings to receive concerns from patients and their families such as, "Lately, I feel unsteady when walking," or "My hands don't work as well as they used to, and it's hard to write." For these kinds of troubles, […]
Different Therapists, Different Methods? Discovering What Happens Inside Our Minds
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 […]