The three elements of functional recovery for hemiplegia and cerebral palsy: affection, resilience and method

  In the neuro-training rehabilitation hall of Beijing Tongren Hospital, a 14-year-old pediatric cerebral palsy patient who had never stood before was finally able to stand after half a year of rehabilitation training. All the rehabilitation staff, patients and family members in the rehabilitation hall were excited and cheered, “Tong Tong can stand, can stand now. As the Vice President of Zunhua CPPCC – the child’s mother was more confident to continue her child’s rehabilitation and fully aware of the importance of rehabilitation. She said with deep feelings: “In the past, I only knew how to take medicine or consider surgery, and I thought rehabilitation was an optional treatment of moving my arms and thighs. Later, she realized the importance of rehabilitation and thought that the rehabilitation technology introduced from the West must be good, but after a year of inpatient rehabilitation training with Western medicine, she did not get any effect. “We are dedicated to the new neurological training and rehabilitation therapy.
  The child was born by cesarean section at 36 weeks of gestation, with no asphyxia or jaundice at birth. He could lift his head at the age of one year, roll over and sit up, speak slowly and with delayed expression, had many involuntary movements of the upper limbs, and was unable to hold things accurately. The mother has been traveling to various hospitals across the country since the child was born to seek medical treatment. In 2007, the child underwent rehabilitation training in a regular rehabilitation hospital for nearly a year, but the child could sit alone, but the spine was bent, the head could not be lifted, and he could only eat with assistance, his fingers were twisted and deformed, and he could not complete fine movements, and his feet were flattened.
  The child is 14 years old, has not been to kindergarten, can not go to school, the cruel reality of the child’s mother’s heart, Tong Tong’s mother for the child’s determination to find expert medical treatment and the pace never stopped, it can be said that “pity the heart of the parents ah” In early 2008, the mother inquired about the Beijing Tongren Hospital neurological training Professor Zhao Wenru of the rehabilitation center is a rehabilitation expert who studied in Europe and the United States, so she quickly drove to visit several times, and Professor Zhao gave the child an assessment and came up with a specific plan, believing that there is a possibility of standing and walking, which rekindled the family’s hope to continue their efforts.
  In less than 2 months, the child’s head was lifted, he was sitting up straight, and he could try to eat by himself, the family was happy and confident, but the problem was that he could not stand or walk. Professor Zhao’s next step was to make a brace to control the left hip joint so that the left lower limb is in an external booth, and after wearing it, she could practice standing and then walking. Six months later, when Tong Tong was standing under the protection of a physical therapist wearing a good brace, 10 months have passed, and the road to recovery has been difficult and long, the child left sweat every day in the rehabilitation hall with her physical therapist, how can sweat be in vain, standing and walking training under the brace, that is, to protect the left femoral head congenital subluxation from injury, but also to enable other limbs to exercise (such as long-term bed rest at most sitting that the whole body’s overall Director Zhao plans for the child’s future: at the age of 18, the child can consider artificial hip replacement surgery, and then he can walk independently without the support.
  Many patients with cerebral palsy, hemiplegia and paraplegia have had a difficult road to successful rehabilitation, but it is their families who have devoted all their love and patience to persevere; it is the new rehabilitation therapy that has given them the confidence to “live with quality.
  Case video + storytelling voiceover
       I. Parental love
       1. Parental love: Example: Pediatric cerebral palsy – mother to child, father to son – Huang Wei
       2. Husband and wife love: Example: Xu Jianhua, Zheng Youfeng 3. Son and daughter love
  Explanation: Importance of affection and main factors affecting affection.
  Patients with important central nervous system injury, often resulting in motor dysfunction, seriously affecting the quality of life of patients, and due to the lack of regenerative capacity of the central nervous system, the functional recovery after injury is more difficult and takes longer, such patients often go through 3 stages after the disease.
  1, denial and do not understand stage: patients from the normal state of health suddenly sick, from the ideological feeling can not accept the reality; 2, sad and hopeless stage: after accepting the reality, often due to the economic burden, life can not take care of themselves, the pain caused by the disease and the drag on the family, etc., often because they can not see hope patients are very worried about the future, feel very helpless and fall into sadness, depressed, not active in the treatment or give up 3, disease resistance stage: with the extension of time, patients gradually adapt to the disease, and realize that sadness is useless, and the only way out is to fight with the disease, and to summon up the courage to fight with the disease. However, this is the chronic stage of the disease, and many families often encounter financial problems due to the high consumption of financial resources during the acute stage of the disease.
  In short, patients encounter different difficulties at each stage, and the solution of these difficulties is inseparable from the care and dedication of family members. Especially when these patients lose the ability to assume their own civil responsibilities, their fate is often entirely or partially determined by the patient’s family. Therefore, the love of family members and the degree of love and devotion are crucial to the patient’s ability to undergo rehabilitation and to have functional recovery.
  Influencing Factors.
  The degree of love from family members varies greatly among patients. Some families are not financially well off, yet their family members provide all the support and dedication they can, such as parents to their children; others are relatively well off, but are not very supportive of the patient’s rehabilitation, or worse, ask us in advance of the patient’s consultation to say, ” That’s it for this disease, there is no cure”, not willing to pay more for the patient. The reason for such a huge difference may be related to the following factors.
  1. morality: happiness because the world is full of love, mutual help and selflessness are the source of happiness in life, and life is supreme among all riches; 2. economic status: limited by the family’s economic status, there is really nothing that can be done about it; 3. awareness and importance of the role of rehabilitation.
  Explanation through examples focusing on.
  (1) Rehabilitation training is an important means to promote the recovery of limb and organ functions through physical means, without damage to the organism, and early rehabilitation can effectively prevent many complications (Video: Patient Li Li, in a coma with traumatic brain injury, did not undergo rehabilitation treatment in time, and after waking up, both feet drooped for more than 4 years, forming fibrous stiffness and unable to stand, which was corrected by surgery, taking 3 months and costing more than 40,000 yuan. (After correction, walking function was restored by neurological training series).
  However, the stiffness of the patient’s ankle joint could be easily prevented by early passive activities of the limb, such as foot dorsiflexion, twice a day for 10 minutes each time, avoiding the patient’s pain of surgery and huge expenses. It is also an important method to restore patients’ motor functions. Like learning to ride a bicycle or swim, it can only be achieved through scientific training, and you cannot learn to ride a bicycle by taking medication or giving injections. Therefore, rehabilitation medicine is a unique and exclusive discipline that cannot be replaced by any other discipline. It is evident that rehabilitation medicine is important, not optional; (Video: Liu Yantong, the affected child, (3). Due to the lack of awareness of rehabilitation among the majority of medical personnel, patients and families, they believe that only medication, injections and surgery can cure the disease. Patients with hemiplegic cerebral palsy take a lot of medicine and spend a lot of money according to the positive prescriptions, but the result is often that they hurt their stomachs and do not recover their functions.
  (4), whether there is a sense of rehabilitation and whether rehabilitation treatment is carried out is a big issue related to the medical model. At present, developed countries generally carry out a new medical model that places equal emphasis on life preservation and function, and rehabilitation treatment is carried out throughout the treatment. In our country, however, the new medical model is still based on the life-preserving medical model, and the new medical model is just at the beginning in China. Only if the majority of medical personnel, patients and their families and people fully realize the importance of rehabilitation, and with the support of relevant national policies and vigorous publicity by the media, the new medical model will definitely be recognized and rapidly developed in our country.
  II. Toughness example video + storytelling
        Recorded scientific training under the guidance of doctors, firm belief and perseverance in toughness is necessary for functional recovery Example 1: Narcotics hero hard training video: 11 years of brain injury, severe spasticity of both lower limbs, unable to stand and walk when hospitalized, trained for 7 months to be able to walk with the assistance of walking its chest walk.
  Example 2: abnormal gait training video: Tang Guoqing, cervical medullary incomplete spinal cord injury Example 3: Liu Yantong more than a year of persistent rehabilitation training Explanation: Why rehabilitation requires strong patient perseverance and resilience This is determined by the special nature of rehabilitation training:.
  1, the recovery of motor function after central nervous system injury. It takes a long time, and the efficacy is not as obvious as the drug fever: patients with hemiplegia, cerebral palsy, paraplegia, etc. are central nervous system injury, due to the poor self-repair (regeneration) ability of central nerve cells, the development of maturity and repair after injury takes a long time. It takes about one year after birth for a person to walk, while lower animals, such as sheep, have the ability to run a few hours after birth. Clinical practice shows that it takes about 3 months of training for the paralyzed lower extremity to show significant functional recovery, while the upper extremity takes more than 6 months. Its functional recovery is integrated into the long training period, which is far less obvious than taking antipyretic drugs that quickly bring down the body temperature, and tends to give the patient the illusion that the treatment is ineffective. Restoring the function of the injured brain tissue is much more difficult than training the normal neonatal brain; 2. Difficulty in correcting abnormal movement patterns after the formation of obsolescence: every movement in the human body is governed by the motor program located in the motor center of the cerebral cortex, and the motor program will naturally be damaged after brain cell injury. Due to the compensatory role of human tissues, the missing function of a certain part is compensated by the tissues of other parts when possible, and this compensated function often leads to joint movement disorders and abnormal movement patterns if not through even training. For example: a hemiplegic patient with foot dorsiflexion. Since the affected foot cannot be dorsiflexed, the affected leg cannot be lifted off the ground when walking because of the foot drop, and in order to lift the affected foot off the ground when the hip flexors are paralyzed at the same time, the patient has to rely on the tilt of the trunk to the healthy side and take the opportunity to throw the affected lower limb forward so that it can step forward, forming the so-called “circling gait”. The longer we walk in this gait, the more times the hip abductors are used the more muscle strength will increase, while the hip flexors are not used, muscle strength is getting weaker and weaker, making the abnormal degree of “circle gait” more and more serious. Eventually, the abnormal motor program is formed in the cerebral cortex, which makes it extremely difficult to correct the treatment, just like correcting a person’s bad habit for many years.
  3, rehabilitation training after the end of self-exercise for lifelong: due to the limitations of the regenerative capacity of the central nervous system, the recovery of its function after the injury depends on training the normal cells around the injury area to function to replace the function of the injured cells and enable the alternate conduction pathway. The function of these alternate cells and enabled conduction pathways is slightly inferior to that of the original cells, which makes it difficult to restore the function to the pre-injury level, and requires frequent and repeated self-exercise to maintain the restored function.
  4. Rehabilitation training. Unlike other treatments, ordinary treatments, such as drugs and surgery, mostly do not require active participation of the patient, and the efficacy is determined by the role of drugs and surgery, and the patient is in a passive position; because the purpose of rehabilitation is to restore the patient’s lost motor function, is the use of special means of movement in the learning process, and all means can only work through the patient’s own efforts, the patient plays an active role. Just as cycling and swimming can only be learned through practical training.
  In summary, all of the above illustrates the special nature of functional recovery after central nervous system injury, the long course of the disease, recovery is difficult, the emergence of slow efficacy, long-term persistence and active participation, all need to be fully aware of the patient, firm confidence, build up the ideological preparation to fight a protracted war and perseverance, which is very important to obtain good functional recovery to improve the quality of life.
  The purpose of rehabilitation treatment is to restore the patient’s degree of self-care, improve the quality of life and reintegrate into society. Therefore, affection and resilience are not enough; affection and resilience are the prerequisites and basic conditions for the patient’s recovery, and techniques with good efficacy are the necessary means and ways for functional recovery.
  1.What kind of methods are most effective?
  Rehabilitation methods that are consistent with the mechanism of functional recovery after central nervous system injury are the most effective.
  Hemiplegia, cerebral palsy and paraplegia are all motor dysfunctions caused by central nervous system damage, so the recovery of motor function must first restore the damaged central nervous function.
  The human nervous system is divided into central and peripheral nerves. The brain and spinal cord are central nerves, and the nerve fibers located in the limbs are peripheral nerves. In terms of the central nervous system, the brain is a high level and the spinal cord is a low level center. Both are composed of cells and conduction tracts, with the brain being cell-based and the spinal cord being conduction tract-based. The relationship is that the lower center works under the control and management of the higher center, causing coordinated muscle contraction or diastole to produce functional activities of the joints.
  However, the traditional rehabilitation methods currently used in China, such as Bobath, Brunnstrom, Rood, PNF method, etc., are mainly based on passive activities and manipulation to induce primitive postural reflexes, which are mainly aimed at restoring the function of the low motor center, and therefore have little effect on restoring the casual movement, which is the most important thing to restore after central nervous system injury. Obviously, the existing rehabilitation methods do not meet the requirements of the mechanism of casual motor function recovery.
  Our Chinese medicine guide technique is in line with the mechanism and role of restoring the random motor function in daily life, we all understand that a child must learn to walk through actual learning, a learn to drive and high wire walking can only be achieved through training. In other words, only through “actual doing” or “active use of the limbs” can the casual motor function be improved. All passive measures, such as passive joint activities, rehabilitation therapy using primitive reflexes, massage, electrical stimulation, etc. only play an auxiliary role in preventing joint adhesions, muscle atrophy and other induced casual motor function recovery, and have no direct effect on the recovery of casual movement.
  Chinese medicine guide technique is a method that can mobilize people’s perseverance and guide patients to complete specific limb movements, and it is a measure to guide patients to actually use their limbs to complete certain functions, and it is an important method that fully conforms to the mechanism of random motor function recovery after central nerve injury.
  It has a very long history, as it was first described in the treating stroke hemiplegia by means of the “Treatise on the Origin of Diseases” written in the Sui Dynasty (610), which has a history of 1400 years, and it is used to unblock the meridians, harmonize the qi and blood, coordinate the internal organs, support the righteousness and eliminate the evil, strengthen the body’s homeostatic mechanism, and have a positive impact on the whole metabolic process. Modern medical research proves that the channeling technique has good regulating and rehabilitative effects on cardiovascular, respiratory, nervous and digestive system diseases. However, due to the lack of precise concepts and objective indicators in the treatment process, the technique has been used in health care from the Ming and Qing dynasties to modern times, and is rarely used in clinical rehabilitation, and is on the verge of extinction.
  Why can TCM Guiding Technique rehabilitate the lost motor function after central nervous system injury? Neuropotential development and motor program reconstruction theory proposed by the central nerve cells is characterized by the lack of regenerative ability after injury, but the good thing is that there are especially many brain cells in a spare state (about 100 billion), about 6% of them are used under normal circumstances, and the function of the injured cells can be replaced by training the normal cells around the injured area to function, this is neuropotential development; moreover, every movement of the human body is dependent on the movement This signal must be issued in a certain proportion and sequence, that is, the motor program (example: comparison between human and computer), so that the body movement is coordinated and orderly, and only has the actual function of completing a certain action. Injuries to the central nervous system result in varying degrees of disruption of motor programs, leading to the formation of limb motor dysfunction and abnormal movement patterns. Therefore, on the basis of brain potential development, normal motor programs must be input, and on this basis the overall training, so that the results of training into the actual use of the function, motor function can be restored.
  2.What is neuro-training rehabilitation therapy? The culmination of the modern development of Chinese Guided Therapy As mentioned above, the focus of functional rehabilitation after central nervous system injury is: the development of brain potential and the re-establishment of motor programs. This involves how to develop the brain potential and re-establish the motor program, which requires specific methods and special equipment, and this is still in the theoretical stage at home and abroad.
  We have noticed that there are numerous examples of people using perseverance to overcome difficulties and hardships and to overcome difficulties in dangerous situations by breaking out with abilities that they do not normally have. This shows that the human body’s potential can only be better exploited when it is motivated by perseverance, goals or stimuli, misfortune, disasters or changes (referred to as critical states).
  In the past six years, we have conducted research on three levels of TCM guidance: 1.
  1. Six Steps: Chinese Medicine Guiding Technique.
  2. TCM Guiding: Feedback Techniques.
  3. Traditional Chinese Medicine Guiding: Practical Training Techniques for Virtual Models.
  (1), Six-step method
       The specific method and mechanism of TCM Guiding Technique TCM Guiding Technique is to develop the neural potential through the tuning of the mind and the tuning of the shape on the basis of breath, to promote the reorganization of neural function and restore motor function; tuning the mind: energy gathering; tuning the breath: building up the momentum to adjust the shape of the limb movement; neural function recovery but the ancient Guiding Technique is to guide the patient to complete a whole movement, such as the Immortal’s Way, Eight Duan Jin, etc., without following the rehabilitation step-by-step, from easy to difficult The principle of step-by-step rehabilitation, from easy to difficult, often makes it difficult for patients to achieve the expected results.
  According to the principle of “perseverance, goal, and critical state”, which is conducive to the development of neural potential, and according to the modern medical theory of movement imagination – movement procedure – and movement procedure initiation, the modified ancient Chinese medicine guiding technique is improved into a six-step method of simple freehand manipulation: 1.
  1. Movement imagination and simulation: instruct the patient to perform normal joint activities on the healthy side and then do the same joint activities on the affected side, thus allowing the patient to understand his or her dysfunctional points and clarify the direction of effort; 2. Determine the target point: tell the patient the target muscles to be contracted and the corresponding joint activities to be generated, in order to concentrate on a single movement; 3. “Energy “Mobilization”: Using the guiding technique, through the attunement of mind and breath, concentrate on preparing to complete the muscles to be contracted and the movements to be performed, in a momentum of preparation; 4. The purpose is to concentrate the energy flow in the body and to awaken the spare brain cells and conduction pathways through the completion of specific movements; 5. When the patient is able to resist, use the counting method: 1, 2, 3, 4, 5, 6 to encourage the patient to try his best to persist and develop his neural potential; 6. Relaxation: After the movement is done, instruct the patient to inhale deeply and then exhale slowly to eliminate fatigue and try to relax for the next training.
  (2), Chinese medicine guidance feedback techniques.
  Although the above treatment has been improved, there is still a lack of clear objective indicators of the effect of the guide number, so that patients lack a clear goal to catch up, especially the training of abnormal motor program correction and normal motor program reconstruction cannot be carried out. A digital display of the effect of the introducer would make training for motor program reconstruction possible.
  It is an accepted phenomenon in life that repeated practice of archery at the target is necessary to improve the accuracy of archery. This is because it is a condition and a process necessary to establish an archery program.
  In the same way: to be able to see the actual operation of the motor program when the joints are moving, in order to better correct the disorder of the abnormal motor program and re-establish the normal motor program.
  Myoelectric biofeedback technology, which I studied in the United States for three years, uses myoelectric receiving devices to record weak electrical signals from voluntary muscle contractions and display them on a fluorescent screen in the form of curves, transforming functional activity in the body that people are not normally aware of into visual signals that they can be aware of. Based on these signals, therapists instruct patients to train in a targeted manner, resulting in increasing muscle strength and improved function. However, the technique considers the EMG signal to be generated by the muscle contraction itself, and the enhancement signal to be an increase in muscle strength, and is only used for muscle strengthening and muscle balance training.
  We combine the two methods by developing the neural potential with the guidance technique, and using myoelectric biofeedback equipment to display the effect of the guidance technique in the form of a curve on a fluorescent screen, instructing the patient to rebuild the motor program like practicing archery at a target and establishing an archery motor program, and eventually improving motor function.
  Because this method trains the function of the nervous system, we call it the “neurological guidance” technique, and because it is a series of techniques, it is called the neurological guidance rehabilitation treatment system.
  After 10 years of clinical validation, it has been proven to be effective, not only for acute, but also for chronic and old hemiplegia, cerebral palsy, paraplegia, facial palsy, etc., including cases in which the function cannot be further improved by traditional rehabilitation methods.
  We define this therapy as: neurotraining is a new series of rehabilitation treatment techniques combining Chinese and Western medicine, mainly based on Chinese medicine rehabilitation techniques, supplemented by improved traditional rehabilitation techniques and modern rehabilitation techniques. It is based on the basic theory of brain plasticity and motor program, and uses TCM guidance as the basic technique to induce brain potential, detects the potential signal with modern electronic equipment, displays the effect of guidance in the form of curve on the fluorescent screen, and guides the patient to regulate the strength of the signal through feedback mechanism, adjusts the disordered motor program and re-consolidates it, strengthens the muscle strength, trains the whole body, restores the autonomous and coordinated motor function, and improves the daily living ability. (3) Neurotraining rehabilitation technology
  (3) What is the origin and theoretical basis of neurological training and rehabilitation techniques?
  (1) The origin of neurological guidance technology is: Chinese medicine guidance technique and myoelectric biofeedback technology; (2) The theoretical basis is: brain potential development, brain function reorganization and motor program reconstruction.
  Moderator’s question: It seems that TCM guidance technique plays the role of brain potential development, while biofeedback equipment only plays the role of showing the effect of guidance technique, there should be no therapeutic effect, why must we see the procedure of brain governing the movement when doing an action to have a better effect?
  Interaction with the facilitator: What would be the result of practicing archery with no target as an example of archery accuracy? Why?
  2. Differences between neuro-training rehabilitation therapy and traditional rehabilitation therapy.
  a. Explanation of mechanism; traditional methods of passive activities, primitive postural reflexes (pathological patterns), resistance training, active movement, and other manipulative operations, supplemented by equipment training. The rehabilitation medical profession has recognized the shortcomings of traditional methods, and has improved the new concept of “early, intensive and active” rehabilitation, but still lacks the concept of brain potential development and motor program reconstruction and targeted methods. The brain plasticity principle proposed by Western rehabilitation medicine is only used to explain the mechanism of functional improvement after rehabilitation, and the traditional rehabilitation techniques are still used to promote the change of brain plasticity.
  The neurological training rehabilitation technique we developed directly develops brain potential and reconstructs motor programs, and has new theories and targeted treatment methods.
  b. Demonstration of foot dorsiflexion treatment (example of pulling a cart): The video shows that every movement of the human body is governed by the motor program located in the motor center of the brain. For example, foot dorsiflexion: under normal circumstances, the brain sends strong signals to the tibialis anterior muscle to make it contract and produce foot dorsiflexion, and also sends weaker signals to the gastrocnemius muscle to maintain a certain tension in order to increase the stability of the ankle joint during movement. The abnormal motor program that develops after a brain injury makes the signals to the anterior tibial muscle as strong as or not very different from those to the gastrocnemius muscle, with the result that foot dorsiflexion cannot be produced. It is like a person pulling a car forward with a force of 100 pounds, and the assistant located behind the car not only does not push forward, but pulls backward by 100 pounds, with the result that both people exert force but the car cannot go forward. The smaller the force of the assistant pulling backward, the greater the difference in force between the two, the greater the force going forward, the car can move forward.
  Traditional methods of treatment: foot drop standing board and passive joint activities; nerve training treatment: restore the autonomic innervation of the tibialis anterior muscle, reconstruct the motor program, and restore the autonomous motor function (video).
  3.Chinese medicine guide
        The nerve signal detector required by the actual training system of the virtual model to detect the effect of the guidance technique is currently imported from the United States, which, in addition to being more expensive, also has more stringent requirements for the construction of the treatment room, because the device is more sensitive and susceptible to interference from the surrounding environment, especially electrical appliances, and sometimes the treatment cannot be carried out because of signal instability. It affects the widespread application of the change technology, especially in primary hospitals and communities.
  In actual life, we find that a high jumper can only improve the height of the high jump by practicing the high jump with a horizontal bar indicating the height. Why can a high jumper improve the height of high jump by practicing with a horizontal bar, otherwise he will not or rarely improve it? The bar is just a sign to show the height.
  It turns out that the crossbar plays the role of a hard indicator to be surpassed. When a person tries to jump a new height, the athlete needs to adjust from emotional adjustment, starting point, assisted running speed, jumping point and jumping posture, etc., all of which have to be constantly adjusted and practiced many times to eventually cross the height. Then, on the basis of this, the height of the crossbar is increased, and the same method is practiced and repeated, so that the height of the jump is continuously improved and excellent results are achieved.
  It seems that the crossbar plays a vital role in improving the jumping performance. If we can set up the signal curve of different intensity of motor program for the patient through virtual technology, and then exceed the target height through the actual training with the guide technique, it can also develop the neural training potential and rebuild the motor program, and finally restore the voluntary movement.
  The actual training system of TCM Guiding Virtual Model includes.
  (1) The neural training treatment is all active movement, whether the patient can understand the mechanism of the therapy and whether he can actively participate directly affects the efficacy! Through animation virtual technology automatic demonstration and explanation, let patients deeply understand the pathogenesis and treatment mechanism, such as.
  1. How do the nerves govern the movement of the limbs?
  2. What is the motor program?
  3. Why is there motor dysfunction now?
  4. Why will the treatment improve the function?
  (2) The patient is informed of the point of dysfunction and the goal of rehabilitation by means of camera imaging.
  1. The camera instantly and physically shows the motor dysfunction of the joint to be treated.
  2. The same joint movement on the patient’s healthy side will allow the patient to understand the difference between the affected side and the healthy side, and to establish the idea of normal movement patterns.
  3. Using animation synthesis technology to generate virtual movement program signals and elevation horizontal lines, the physical therapist applies guidance techniques to guide the patient to actually train the brain to dominate each muscle to a random degree. It is also equipped with automatic voice prompts to keep the enthusiasm and inspiration high at all times.
  The result of the combined action of the system achieves.
  1. Patients understand the mechanism of their dysfunction and recovery, which helps to increase the awareness of active cooperation and focus on neurological recovery.
  2. Patients are able to understand exactly their goals for motor dysfunction and normal movement patterns.
  3.Through the principle of excitatory competitive inhibition of nucleus pulposus, the system can provide patients with the goal of attention shifting, which is conducive to reducing the pathological inhibition of nucleus pulposus.
  4.Automatic voice explanation, prompting and six-part guide training guidance, patients can train by themselves, which is conducive to reducing the labor intensity of physical therapists, and the persistence and quality assurance of long-term self-exercise of patients.
  (1) The theory is new: neural potential development and motor program reconstruction.
  (2) New method: six-step Chinese medicine guide technique.
  (3) Equipment simplification: computer animation generation and low cost.
  (4) Multi-functional and scientifically reasonable: automatic voice, mechanism explanation and numerous practical training units.
  (5) Effective: Patients understand what to do and how to do it, and the system can always maintain a high level of enthusiasm.
  (6) Widely used: It can be used in many training programs, such as motor center training, potential development training, neurological training type physical therapy, which increases the fun while improving the effect. It can be applied to community, grassroots and large hospitals, avoiding the loss of efficacy caused by simplified equipment and poor personnel!
  Fourth, the three-stage therapy of holistic training.
  The neural potential developed through the above training, that is, the training of the injury area spare central nerve cells and conduction pathways, must be applied through training in order to enable them to work together in a coordinated manner, in order to make the maximum improvement in function, restore the degree of self-care life.
  Neurotraining three-stage therapy is one of the important therapeutic techniques in the neurotraining rehabilitation system and is mainly used to prevent and correct abnormal movement patterns.
  Abnormal movement patterns are commonly known as “dragging gait” and “circling gait”, which are caused by the formation of abnormal movement programs in the motor centers of the brain. The more you walk in this gait, the more serious the abnormal motor pattern is. The current state of treatment of abnormal movement patterns in Japan and abroad is that patients continue to walk freely in their original manner after treatment, so that the excitability of the abnormal movement center cannot be eliminated and the abnormal movement patterns cannot be corrected. Just like the common “verbal language”, when a person with “verbal language” speaks, certain brain cells will be involuntarily excited and will unnaturally say “this” and “that”. “The more you speak, the more excited these cells become, and the more severe the verbalization becomes, and the less likely it is to be corrected.
  In the first two stages of our three-stage therapy, the patient is completely wheelchair-bound and does not walk, eliminating or reducing the excitability of abnormal motor centers while developing brain potential and rebuilding motor program training, so that the patient forgets to walk, because only by breaking can we establish.
  1.What is the focus of the first stage to solve the problem?
  The focus of the first stage is to rebuild the neural connection between the brain and each muscle, to restore the autonomous motor function of the paralyzed muscles, so that the muscles can move and be used at will: the treatment methods include developing brain potential, motor center training and neuro-training physical therapy, etc.
  2.What is the focus of the second stage to solve the problem?
  The second stage focuses on the correction of abnormal motor programs and the reconstruction of normal motor programs based on the previous stage and solidification, so that the muscles that are moving can be sequenced and contracted to produce coordinated movements with actual functions. The main methods are: correction of motor program and curing training, etc.
  3.What is the training method of the third stage?
  The third stage is to transform the results of the first and second stage training into daily living ability through training: the treatment methods include overall training, weight reduction walking, gait length and weight reduction training, gradually transitioning to autonomous walking training, etc.
The neurological potential developed through the above training, i.e. the spare central nerve cells and conduction pathways in the trained injury area, must be trained in an applied manner in order to enable them to work together in a coordinated manner and to enable the maximum improvement in function and restoration of the degree of self-care.
  Neurotraining three-stage therapy is one of the important therapeutic techniques in the neurotraining rehabilitation system and is mainly used to prevent and correct abnormal movement patterns.
  Abnormal movement patterns are commonly known as “dragging gait” and “circling gait”, which are caused by the formation of abnormal movement programs in the motor centers of the brain. The more people walk in this gait, the more serious the abnormal motor pattern is. The current state of treatment of abnormal movement patterns in Japan and abroad is that patients continue to walk freely in their original manner after treatment, so that the excitability of the abnormal movement center cannot be eliminated and the abnormal movement patterns cannot be corrected. Just like the common “verbal language”, when a person with “verbal language” speaks, certain brain cells will be involuntarily excited and will unnaturally say “this” and “that”. “The more you speak, the more excited these cells become, and the more severe the verbalization becomes, and the less likely it is to be corrected.
  Will the training effect be repeated? Why?
  In the absence of new damage to the brain, the recovered functions are generally not lost because
  a. Simple muscle strength enhancement training: practice weightlifting for 1 year and be able to lift 100 kg, 1 year without practice, you will not be able to lift the original weight; b. Motor program reconstruction: once a person has learned to ride a bicycle or swim, long periods of time without riding or swimming (10 years), will still: be a methodological establishment.
  3. Is there a course of rehabilitation training, and is it always effective to do it all the time?
  For example, it takes about 1 year after birth to go from crawling to walking: this is the time needed to establish one motor program after another. It takes about 3 months to rebuild after an injury, and a second course of treatment is better in the interval of 6-12 months.
  Indications for neuro-training rehabilitation therapy techniques?
  1.Indications: Nine anatomical systems and every cell of the human body are innervated by nerves, therefore, the application of neurological training rehabilitation technology is wide, such as hemiplegia, cerebral palsy, paraplegia, facial palsy, pediatric cerebral palsy, etc., both acute and chronic, and it is not limited by the length of medical history.
  2.Current treatment programs: central motor training, cognitive training, swallowing training, diaphragm training, potential training, sphincter training, neurological training, gait training, etc.
  3.Therapeutic programs under development and to be developed: more, such as: vision training; hearing training; balance training; speech training and a series of special treatment methods and equipment, available in the community, grassroots and large hospitals, to avoid the loss of efficacy caused by the simplification of equipment into the community in the past!