Many structures in our body are responsible for performing movements or maintaining posture, such as the motor centers of the brain and spinal cord, nerves, muscles, and bones. When information from the environment (sight, sound, touch) is analyzed in the brain and the necessary strategy and program for movement are developed (direction, speed, timing), the motor response is expressed in the activity of skeletal muscles and the execution of movement. This is a very complex process that requires coordinated work of all systems and structural integrity. With repeated performance, the nervous system learns, automates, and stores movement patterns and postures in memory. This explains why a person knows how to drive a car, swim, or ride a bike without having to think through each movement again.
In the case that the aforementioned structures are damaged due to trauma, medical or neurological conditions (such as stroke or brain injury), it may negatively affect movement quality, muscle control, and mobility. However, through retraining of the central nervous and musculoskeletal systems, and repeated performance of necessary movements/postures, movement patterns can become automatic again, which can improve mobility and relearn essential skills. Various studies confirm that systematic training has a significant positive effect on improving movement function and independence (Aphiphaksakul et al., 2022; Gwinnutt et al., 2022),
reducing pain (Gwinnutt et al., 2022),
increasing muscle strength
(Junghoon., 2022; Rodrigues et al., 2022).
To achieve the best results, we use different strategies in our work, which include:
- Techniques and exercises to improve balance and coordination
- Techniques and exercises to improve body awareness and proprioception
- Therapeutic exercises to increase joint mobility
- Therapeutic exercises to improve muscle strength and restore proper movement patterns
- Therapeutic exercises to relearn everyday skills
- Transfer training
- Gait training