Thursday, May 18, 2017

Range Of Motion (ROM) for Spasms


I've addressed Range of Motion (ROM) for people in bed. The video specifically talks about the wheelchair.
 

I have recommended ROM exercises to immobile people. In the video, the woman and her caregiver/husband show how.

ROM exercises are done to keep the joint in working order. If some sort of cure is found in the future, the person with the disability will want to be able to use those joints again. This will not be possible if the joint ends up frozen, deformed, or in some other way to not be working properly.
 
For a growing child, it is very important to do these daily and to wear braces and splints as directed. The reason is that bones and joints grow. A spasmed muscle can pull on a growing bone. Deformities can form. (Make sure to always check braces and splints for proper working order and if it is causing any redness or chafing.)

Children grow. They need to wear 
appropriate braces/splints.
(This doesn't say, but appears to have been a fracture.) 

Now this is a personal experience.... At a long-term care in a hospital, there was an older woman who was Spanish only. She did not speak, but followed simple commands in Spanish from her husband. Maybe she had had a stroke. She used a wheel chair. She had developed a habit of wrapping a foot around a wheel chair leg. It looked odd and her foot was becoming odd-looking. 

One day the Physical Therapist came to observe her. She ended up getting passed over for a walking rehab program. The reason was her foot.

Tuesday, May 2, 2017

A stroke is just a type of brain injury.



If your records say "stroke" anywhere on them, you are in luck . "Stroke" happens To be one area in brain injury that is funded. My issue has been the other areas. (Only part of my brain is funded? No, all of me would, but my roommate in the hospital would get nothing. She was car accident only.)

Get this...my records don't state I even have a brain injury. They say something like "a hemorrhage from an arteriovenous malformation and a car accident earlier." Most medical people know an arteriovenous malformation is an AVM. It bleeds and is a stroke. A hemorrhage is a bleed. My records state the cerebellum. Umm...that's the brain.

I do have a brain injury and AVM stroke.  My records use words that have some family in a whirl.

If you have stroke written anywhere, you would qualify for stroke programs. I haven't kept up on these because my issue has been everyone else.

I don't care what your brain injury is, so if there is a free magazine called Stroke Connection, I'm going to tell you about it. So what if "Stroke" is in the title? A stroke is just a type of brain injury. http://strokeconnection.strokeassociation.org/Subscribe/

StrokeSmart is also free, http://www.strokesmart.org/. I haven't seen as many helpful articles, but it does have a lot of pertinent ads... that fuel your search for cheap knock-offs.

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A few years ago I was in Stroke Connection magazine, http://www.strokeassociation.org/idc/groups/stroke-public/@wcm/@hcm/@mag/documents/downloadable/ucm_463065.pdf . Just type in "9" for the page.




Monday, December 26, 2016

Desensitization



A while ago I asked how an Occupational Therapist would deal with an individual who didn't want to "touch" the activity. I think I found it...  


In this case in the video, the guy didn't want to touch the shaver. He has autism but sensitivity happens in different disorders. Desensitization is used. ("Touch the shaver five times.") It's a variation of exposure therapy used in psychology and behavior therapy.

The electric shaver is great for independence. I personally use one to shave my legs. Nicks and cuts from a blade are not to worry.

There isn't necessarily the same kind of shave as a razor. However, shaving more often is worth the independence.


Friday, November 25, 2016

Care Pages - Speech Exercises - Tongue


You can use your computer for therapy, http://braininjuryknow.blogspot.com/2015/09/using-computer-for-therapy.html.

I've put together some speech therapy videos on the tongue. You will notice one video comes from vocal training. I liked the exercises.










(Forget the brochure she mentions. I don't have it.)

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Other articles I have written with speech activities:

http://braininjuryknow.blogspot.com/2016/11/i-get-by-with-humor.html - You can pick written material you like to read out loud.



Friday, November 18, 2016

I Get By With Humor


Two things I'll cover...the joke and how to do a speech exercise with your computer. 
 

Forrest Gump died and went to heaven. When he got to the Pearly Gates, Saint Peter told him that new rules were in effect due to the advances in education on earth. In order to gain admittance, a prospective Heavenly Soul must answer three questions: 1. What are two days of the week that begin with "T"? 2. How many seconds are in a year? 3. What is God's first name? Forrest thought for a few minutes and answered: 1. The two days of the week that begin with "T" are Today and Tomorrow. 2. There are 12 seconds in a year. 3. God has two first names, and they are Andy and Howard. Saint Peter said, "Ok, I'll buy Today and Tomorrow, even though it's not the answer I expected. Technically, your answer is correct. But how did you get 12 seconds in a year and why do you think God's first name is either Andy or Howard?" Forrest responded, "Well, January 2nd, February 2nd, March 2nd, and so on." "Ok then, I give," said Saint Peter. "But what about God's first name?" Forrest said, "Well, from the song...Andy walks with me, Andy talks with me, Andy tells me I am his own...And then from the prayer...Our Father, who art in Heaven, Howard be thy name..." Saint Peter let him in without another word. 
  
First, this is how I am, except I don't need a day. Sometimes it's just minutes and I will come up with something unusual but feasible.  I see things differently and see them right away.

Second, an easy way to use the computer for a speech exercise, is to subscribe to a newsletter like the site I used to get the joke (or you can get an inspiration)  and read it out loud. You can read to a spouse, friend, child, pet, plant, etc. I'd read to my computer. 


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This site offers a newsletter cutomizable to many religions or just spirituality. I used it to get the joke. They also offer inspirational statements. The same can be done with a statement as a joke. The topic should interest you. You can subscribe to an adult joke or off-the-wall trivia.

Tuesday, September 20, 2016

The Pressure Sore


The pressure sore (sometimes called bed sores if the person is in bed) is when the skin tissue starts to break down from pressure being put on it. You wouldn't think of it happening in bed, but to a person who doesn't move it can. Just do this one thing and you'll see...sit (laying will take longer and don't sit in an easy chair) in one position 30 minutes with no changes. Most will want to at least shift their weight after 15 minutes. You are not allowed to.

The person sitting in a wheel chair can't adjust every 15-20 minutes. If you can do 30 minutes without moving, then go the full hour. Your bottom may become uncomfortable. This is an area that develops pressure sores.

Sores start as redness and we don't think about them. When it reaches the further stages, medical intervention, maybe even hospitalization might be needed.

Caregivers should always check for redness, usually when undressing. Check when removing an AFO (ankle-foot orthotic) or brace. People laying in bed should be turned on a side every few hours.

The pressure sore can go deep and lead to blood poisoning. Home care can prevent this, though. Check for redness. Get off of or relieve what's causing the redness. If it's just a wrinkle in the sheets or clothes that caused it, re-position and don't get the person up into something rigid like a wheelchair or stander that day. A red mark usually goes away in a day and a lot of times faster. If it persists, seek medical attention.

If it's a child with an AFO or brace that is causing redness, don't put it on and let the teacher know. You might need to do a note. Experiment with thinner, well-fitted protective under-garments before making an adjustment appointment. If the redness is not in an area sat on, the person can get up.

A DAY IN BED IS BETTER THAN A WEEK IN THE HOSPITAL.







Sunday, July 24, 2016

I Remember That Song!

That beginning quote is about savant syndrome. Savant syndrome can be caused by a brain injury, but cognitive skills can be magnified. All the other issues exist. Such is my case. I'm smart as a whip, but only use the one finger this is typed with. Music is seen as a "healer" in savant syndrome. That is only one type of brain injury. Music should be applied to all brain injury.


Music As a Healer

The music of the savant is delightful in its own right, and we are its beneficiaries. But it has a healing aspect to it also for the savant himself or herself. The 60 Minutes program title “Musically Speaking” is an apt one, for as that program demonstrates, and as Soundscape documents, music provides for the savant the “conduit toward normalization,” particularly language acquisition, that I address elsewhere on this site. Recent research documents that musical exposure can increase verbal memory, and with it, language acquisition. With that increased language skill comes increased social skills as well,   https://www.wisconsinmedicalsociety.org/professional/savant-syndrome/resources/articles/musical-genius-blindness-and-mental-handicap-an-intriguing-triad/

Music works for other areas.

Music therapy can do this part shown in the video, because the whole therapy is taking a long time to approve, http://braininjuryknow.blogspot.com/2016/03/using-that-hand-again.html
 
I recommend singing for speech problems. "Breath from the diaphragm." I didn't get that advice from speech therapy, but yrs ago from grade school music  (Hint: if you are not producing sound when trying to speak, it MIGHT be breathing. It's not always, but there is a good chance.) 

SOCIAL SKILLS come as well. "Recent research documents that musical exposure can increase verbal memory, and with it, language acquisition. With that increased language skill comes increased social skills as well" https://www.wisconsinmedicalsociety.org/professional/savant-syndrome/resources/articles/musical-genius-blindness-and-mental-handicap-an-intriguing-triad/

I find the following interesting. Music is used for cognition. It is used to bring back memory and function. This movie is based on a true story. In it, the main character does not speak or function without a certain music playing in the background.

"You know how you hear a song, and it places you back in that moment you fell in love with it?"



I quoted the trailer, but the music therapist takes it further.
 
 







I have an idea. Television played a big part in my life and most people I know. My idea is to use old television theme songs. They may bring up long forgotten memories. Here are some. You may add more in the comments.