Peripheral Origin of Neuromotor (re)Programming

Or how to (re)program the Brain by the Body and its Environment?

Permanent "perceptual-motor, proximo-distal, circumscribed" rehabilitation    

In rehabilitation, neuroplasticity, i.e. the brain's ability to restructure itself and create new neurons,
is dependent on age, the extent of the lesions, the degree of complexity of the structure involved,
but also and above all on the environmental conditions
that are imposed on the patient.

The ability to (re)structure and create neural circuits at the origin of motor behavior patterns
after a neurological accident most often remains intact.

As a result, the environment applied to the patient will have a decisive impact

in the creation and elaboration of the specific motor balances in the making of each person.

This is why it is essential to maintain a permanent rehabilitation

  • The patient will have to be made aware that rehabilitation sessions alone are not enough
  • That he is the Craftsman of his motor evolution, that he can have a real hold on his motor skills
  • By encouraging them to step out of their comfort zones safely and confidently
  • By giving them simple and concrete advice that they can apply on a daily basis

Approach to identifying the conditions necessary for the performance of the motor functions to be recovered

Advantage :

This makes it possible to avoid or minimize the appearance of unwanted motor balances such as
the phenomena of segmental motor asymmetry and highlighted spasticity.

These phenomena are closely related to the concept of Reciprocal Postural Regulation

"Perceptual-motor" rehabilitation

From birth and throughout life, the brain feeds on what it "perceives"

the brain develops "Opportunistic Motor Strategies"
through trial and error in response to sensory stimuli that inform it about
the state of the different segments of the body in action.

"Proximo-Distal" rehabilitation  

Fundamental role of the Proximo-Distal Organization of Motor Skills 

The positioning of the individual body segments gradually puts tension on the musculature
that causes synergistic muscle contractions, which propagate from the spine
and trunk
 "Proximal" to the extremities of the limbs "Distal".

It will be necessary to constantly keep in mind that each joint level serves as a support
for the expression of the motor skills of the joints that underlie it.

"Circumscribed" rehabilitation

The motor skills resulting from the information-action circuit originate in awareness 

- the direction of the resistance applied
- the visual, tactile and auditory stimuli used
- the positioning of the body and the body segments in action

The patient will have to be placed in a "Circumscribed" working environment that delimits
and channels the movement in 
a very precise way because it determines theconditions for the
development of the diagram engine to internalize. It is essential to stimulate the activity of a part
of the body in a clear and unequivocal way, by 
"systematically integrating it" into the Individual's
Global Motor Schema
.