Patient with neurological problems have different problems. This will impaired their physical, cognitive and even social interaction and so forth.
So, which approach and why that approach is used?
Look into more discussion and information.
I believe the "Bottom-Up" approach is important for patients in the acute phase of rehabilitation because those key impairments must be addressed which impact overall function. These include managing spasticity, strength, range of motion, and cognitive deficits. These are key components which allow the patient to move better.
If you ask from a neurophysiological / neurorehabilitation perspective, maybe this could help answer your question:
https://www.hilarispublisher.com/open-access/bottomup-or-topdown-approach-understanding-the-way-to-reach-the-milestone-of-recovery-in-stroke-2376-0281-1000e107.pdf
And this: Article Rehabilitative devices for a top-down approach
For patient-centered care this may be useful: Article Does training in a top-down approach influence recorded goal...
firstly rehabilitation and physiotherapy should be done , psychological support
disability inclusion.
Great question!
In regards to occupational therapy, current research currently supports a top-down approach such as using task-specific interventions. However, current practitioners continue to use a bottom-up approach, using weight bearing, PNF, and NDT techniques (I speak based on what I have seen and experienced, anecdotally of course).
Neurorehabilitation is a field we still have much to learn about, and it will be interesting to see how OT interventions change over time. My hope is that there will be more evidence-based practice.
Task-based interventions are highly effective for gait and ambulation among patients with chronic CVA and TBI provided that a sufficient intensity is maintained.
In my experience, the Top-Bottom approach is more effective which helps to gain more relaxation, improve blood flow using PNF Technics. and passive mobilization.
- Badges
- Science topic
- Similar topics
- Linguistics
- Composition Studies
- Publications