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A-1189 Therapy concepts
R. Winkel, Germany
Friday, June 15, 2018 · 5 p.m. · 15m 48s
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but upon yeah right um and other members of a
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scientific committee i thank you for investigation invocation right
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yeah i enjoyed them and i are being yeah interfere with you or
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or what year it was her point to get a concept
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yeah which has a day a totally different approach um
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from the conceptual so before about the um
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i uh uh would like to explain the author protocol
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concept has to been to integrate healing hands
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why integrate because healing hands became disintegrated if there
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were not to set it and not used
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disintegrated hands became really integrated if we the senses of the
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patient at being used for reintegration we implemented this concert
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in the department of unanswered reentry construct of plastic surgery off the balls 'cause on goodness interview
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conflicting from four to mine for more than five years on to april two thousand thirteen
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um hum
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uh_huh yes thanks an adaptation to function had really isn't our purported concept
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disruption of function uh of the hands function implies the shrinkage
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of the cortical re presentation of the hand that means
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it the disruption of the hand disrupts function of the brain
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and the brain he's rewired by the senses so
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the concert is use it or lose it the brain has to reset
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signals from the senses
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there are other reasons then injury to do stopped hands function
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these are for example and in the other um many a commonly
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uh and rubber splintering redeem our shock and fee a pain
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several kinds of this twenty us and the isolation of the patient
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all these reasons have been suspicious phone alienation
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who said i want but i cannot he could not even imagine the
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use of his hand and keep a separate it as modified
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not mine all align how did we know
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the guests or thinking reviewed and alienation
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simultaneously this question has to be in a test to a real
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in any nation and therapy to remember a healing hand
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i invite you to ask your patients piece touch your lips
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with the thing up out of the hand
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as if you were thinking if separation refuses or hesitates to do
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the guess sure it the the guest re is disrupted and
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he may report the deception as norman
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not modified not mine a line or even disgusting
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i often patients got teary eyed if the recognised
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the first time alienation overhead of their
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i i it's this patient to do with this case to
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you so first if she wanted to do that but the writing
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okay couldn't be more lot
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i don't know
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yeah
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mm mm
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oh
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strange i mm like uh in a line and um
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the you are you are just all of a sex uh
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described the feeling in his insured and passes it like
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like an alienation in the appeal of his book he cited
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three other neurologists war had would have been reason
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what he himself had fest fed as an alienation one
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image or who reported of reflex power lies is
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but been ski who pointed term syndrome feature but take
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forcing terms with which be based on a shock and in increasing inhibition
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and the young jeff and supports s. who i turned dissociation of gonna stick system on
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i believe that would have been a a fascinated because of
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the descriptions of alienated hands by two hundred patients
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only orders to move their hands would have been useless only by contribution to complex actions
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the strange hand would be fair typically all at once as part of the self again
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if
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our approach that has been on top the of course of
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the uh standard the purported concept has been a um
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to use the senses of the patients to re activate the programs for function and
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these sense has a a vision probably or cepstrum and touch the senses connect with the self
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like in mirror therapy the healthy and
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has been the motor for movements of the healing and
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and our patients had to do all movements first with the l.
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c. and and if they had learned it to do it
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weak and senators tickle him then they had to do it with both hands and um
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attention further on the head to hand and we used the crossing the arms because of
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better probably reception on one side of the but body mainly on their heads inside
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the most the strong sense was the touch the touch of the
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pickup out at the lips is sense connected with the set
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and the second word yeah unshaven suppose have had towed only
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why involving the healing hand into complex actions
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it could be integrated
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orders to move there and we have been uses also in our experience
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this young man a claim that he lost his ability to him embrace
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is good friend the answer has been impressed ah okay remember
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huh
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what did i do that
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sunday fearful um
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yeah
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yeah
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no
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hello rather than
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huh
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horrible
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one uh huh
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how the mighty have yeah
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yes yeah
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half a path so
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huh rather was last time so so it may save half after that
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half off in the beginning of treatment you they hand what to
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um the fingers couldn't be moved the uh at all
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and you wanted to make noise on so drumming on dust bins he had feared to rely on
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his part of the hand and uh change incline and after six six month he it okay
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for my wife
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how
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yeah
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okay
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yeah
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f. f. and uh and and and
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the the young lady uh which to express yourself artistically
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the the answer has been paint with foam on a mirror
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during painting she fed no pain at or before after painting she
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had felt pain in as the according to a new
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mothers i know looks colour uh it at the level of eight despite in effective lexus and this is the uh
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on the wart knitting and braiding with the fingers trained right hands and brains
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for some patients for what the community was the
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first community they experienced after the injury
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the aim of interested in that is to be a interdisciplinary
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terribly it has it been a collaboration with the patient
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and some patients needed a moderator to integrate themselves
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into the chain of that help us
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ideally after injury the loss of function
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not deceptive pain and alienation maybe
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subsides why it during increase of eating
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but more common we experience loss of function chronic pain and
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chronic alienation increasing alienation
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lasting longer than the healing of tissues and if not only the hand stuff
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out but also the person these conditions would have been named complex
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post traumatic is integrations
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i think and you can think about it i hope some if c. up is
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maybe a special and we have on of
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this more common complex regional disintegration
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so what we experience is in increase bobbing ski set in increase
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in inhibition and we see saw an increase in paying
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no said if pain chronic pain your pelvic pain and an increase in an ammunition
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so our aim was to prevent even proportionate
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alienation in the beginning of you
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most of the reasons of destruction of hands function could have been avoided
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oh and if hands what
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disintegrated disproportionately he's alienated and
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what should be more or less we integrated by facilitation
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of its perception and use by or psycho socially
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it has to be proved scientifically the impact of alienation or
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feeling and for me thank
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you for such
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however
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thank you very much i think this was about the passion to treat no questions from the audience
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perhaps the therapist some um you could come and see us
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uh_huh
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um uh recently i started to move to use the moon therapy
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uh and i must admit i didn't go to any kind of course and stuff like just
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try to find some information going in and will they see is that in some patients local does one hopes
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uh that's your p. s. patients um when they move the injured and he'll begin together
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its shape of the opens it just depends influences the cubic
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and so the the uh movement buttons of the
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u. dickens become in the look like but the un quote the anything like this you but it's
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i'll our hand therapist uh experienced that only about um fifty percent
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of the patients i um got a good became better
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by minerva be not no no therapy is not for every patient
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thank you
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oh okay any any any more questions
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some comments
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