Theoretical Framework Of Panat; Clinical Management - PANat Urias Johnstone User Manual

Theoretical Framework of PANat

The theoretical framework of PANat is based on the contemporary systems theory of
motor control and motor learning
emerge as a result of the interaction of multiple processes and include intrinsic
(perceptual, cognitive and motor processes within the individual) and extrinsic
(interactions between the individual, the task and the environment) factors.
The principles of motor learning and cognitive science, contemporary understanding of
the effects of impairments and secondary adaptations, biomechanics of functional
activities and the clinical applications of neural plasticity are used to guide the treatment
[13]
.
Air splints and other therapy tools play an important role in training. The exercises,
integrating the environment using externally focused instructions
task allow self-directed practice with the hemiplegic limbs. This problem solving process
promotes planning, initiation and execution of the movement sequence with feedback in
´hands-off´ situations. Self directed practice is therefore on-going in both supervised
and unsupervised therapy sessions and at home.

Clinical Management

Clinical management with PANat evaluates the sensory-motor deficits caused by the
stroke in the following way:
1. Function task level: What intervention goal or activity has been agreed upon
with the patient?
2. Strategy: What is the movement strategy: restorative or compensational?
(Activity/strategy level)
3. Impairment: What underlying resources and limitations cause the movement
pattern?(sensory, motor and cognitive impairment- level)
The task is analyzed to give a baseline performance level. A training programme is set
up incorporating the principles of motor learning
The rehabilitation process is guided by the theory of neuroplasticity
commitment is encouraged by focusing on patient specific goal directed activities.
The aim is to encourage repetitive, intensive and targeted training strategies of the
hemiplegic side in a set task or part task activity in order to improve movement speed
and force in the weaker movement pattern of the hemiplegic limbs. The acquired limb
(part-) activity is then immediately linked back to the desired goal of the patient.
© Rights reserved PANat 2009, revised 02/2015, version 2017
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. This theory suggest that movement patterns
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.
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and adapting the
. Motivation and
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