Neurological Disorder Clinical Trial
Official title:
Effects of the Application of a Reflex Locomotion Program on Sitting in the Neurological Hand of the Chronic Adult Patient
The recovery of the function of the hand is one of the most important aspects for patients who have suffered the consequences of neurological damage. Currently there are numerous therapeutic procedures aimed at rehabilitation that have scientific evidence such as restrictive therapy. However, dysfunction of the upper limb has an impact on the whole body that is not always taken into consideration.
The intervention of the stimulation of the reflex locomotion is carried out in this study in
a sitting position in a conventional chair, an unorthodox posture in the usual treatment of
Vojta therapy.
Description of the sitting posture: the back in axial extension with the shoulders located in
front of the hips.
The elbows must be supported with the medial epicondyl in contact on a table, whose height is
at the level of the end of the patient's sternum.
The forearms are placed prone with the palms facing the surface. In this position we place a
rubber sphere 3 centimeters in diameter under the pisiform of one of the patient's wrists.
The reflex stimulation is performed by the passive pressure exerted by the weight of the
wrist (pisiform) on the rubber sphere. Simultaneously the patient has to exert a slight
pressure with the heel towards the ground with his foot. This foot will be the opposite of
the wrist that has the sphere under the pisiform.
It is a cross-stimulation, that is, pisiform in one hand together with the load in the heel
of the opposite side.
Alternating each diagonal 4 times, 5 minutes each. Total session 20 minutes, 2 times per day,
every day according to degree of affectation
The duration of the study will depend on the degree of involvement: mild 2 weeks, moderate 3
months.
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