Hi Everyone...half way there!!
Although my prac is outpatient neuro, a couple of us have had the opportunity to go down to Ward 2 which is a ward dedicated to intensive neuro rehab for inpatients. A common presentation for some stroke patients is the positive support reaction where the unaffected side is over-active and when weight is transfered to the unaffected side (e.g. in standing) the unaffected lower limb would push away towards the affected side. As part of the sit to stand retraining, the physios make the patient follow a specific pattern that causes the patient to transfer the weight to the affected side and stand through the affected side.
This technique seemed very effective to ensure patients are able to sit to stand and not have a positive support reaction from the unaffected side, however my question is, does this technique not lead to a poor pattern of movement down the line?
thanks for any input
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Hi Wei,
i was on ward 2 for my prac and so I know exactly what you are talking about and no it doesn't usually lead to a poor mvmt pattern down the track. The positive support reaction is usually one that is seen in the more acute phase of stroke rehab so by encouraging them to move more through the other side it dampens down the reaction and actually evens things out a bit! I guess thats the best way I could describe it. As one side is overactive, by encouraging more movement through the underactive side you get more of a normal movement pattern as it evens things out. Hope that helps!!
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