Conclusion - PANat Urias Johnstone User Manual

Conclusion

Effective and efficient training for neurological patients in all phases of rehabilitation with
severely impaired sensory-motor control is challenging. One aim of rehabilitation is to
achieve effective motor behaviour. It is therefore essential that emphasis is also placed
on intensive training and practice with the hemiplegic side throughout the rehabilitation
process.
The PRO-Active approach is well incorporated into different phases of the rehabilitation
process; it integrates current dynamic systems theory of motor control and motor
learning, is evidence based on sensory motor training
involvement of the carers and enables autonomous training.
Motor learning after stroke is a life-long process. Therapists integrating PANat into
stroke rehabilitation incorporate strategies that can help to treat motor behaviour with
compensatory strategies that occurs during functional tasks. This is achieved on an
impairment level by strengthening weak muscles, maintaining muscle flexibility and
extensibility, stimulating muscle activity in a functional context and increasing sensory
stimulation. On a behavioural level it is achieved
repetitive practice using external focus instructions and feedback during
off´ training. This can be practiced when severe sensory, motor, cognitive and
perceptual problems are present.
In addition, the judicious use of the air splints and therapy tools help to reduce the
complexity of multi-joint movements during training, and enhance self-controlled and
targeted motor control within meaningful activities. Time spent in self-directed training
with the hemiplegic limbs in all phases of rehabilitation is increased.
In this approach stroke patients and their carers are encouraged and coached to be
proactive in managing their ongoing rehabilitation. All together they address the specific
problems or limitations caused by stroke and continuously update the treatment
programme.
Practical examples can be looked at

In the PANat User guide

in the Poster – presented in Leuven, Belgium in 2006: Promoting `Force to use it`- Strategies of the
Hemiplegic Limbs of a Patient with Severely Impaired Motor Control Following Stroke: A Case Report.
Cox Steck G., Signer S.

in the article in NOT: "Independent, repetitive arm motor training in severe hemiparesis using the
Johnstone Air Splint / Selbsttatiges, repetitives Armmotoriktraining bei ausgepragter Hemiparese mit
den Johnstone-Luftpolsterschienen nach PANat* / Traitement autonome et repetitif de la motricite du
bras lors d'une hemiplegie prononcee, a l'aide de les attelles gonflables de Johnstone d'apres PANat."
Wälder F. 2008
© Rights reserved PANat 2009, revised 02/2015, version 2017
[4,5,19,28]
, promotes early
by incorporating intensive and
´hands-on/-
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