Académique Documents
Professionnel Documents
Culture Documents
Rehabilitation
Jeffery Kleim and Theresa Jones. Principles of Experience-Dependent Neural Plasticity: Implications for
Rehabilitation After Brain Damage. Journal of SLH Research. Vol 51: S225-S239. Feb 2008
Importance of Early Mobilization
– Neuromuscular re-education
– Prior to ambulating:
– Assess movement of hemiplegic leg
– Cannot lift against gravity = unable to support body weight
– Knee will either collapse or have a knee extension thrust
– Can my patient perform a transfer without buckling or an extension thrust:
– Yes: Proceed to walking (check with therapist for proper device)
– No: Perform transfer only, do not progress to ambulation
– If ambulation is necessary: use gait belt, tie gown base to observe knee, use hand on their knee to
prevent collapse, use a second person for line management, follow with chair or WC
– Just because a pt can walk, does not mean that they should walk
– Does my pt have strong legs, but a weaker arm?
– Modify FWW by adding build up, may also need manual assist
Therapy in Settings
(Typical progression)
– Medicare.gov
– CMS.gov
– Rehabnurse.org
– Stroke.org
– Kleim, J and Jones, T: Principles of Experience-Dependent Neural Plasticity:
Implications for Rehabilitation After Brain Damage. Journal of SLH Research. Vol 51:
S225-S239. Feb 2008
– Figueroa, J, Basford, J, and Low, P. Preventing and Treating Orthostatic Hypotension:
Easy as A, B, C. Cleve Clin J Med. 2010 May;77(5):298-306.
– Occupational ToolKit
Questions