Diagnosing Mental Health

December 7th, 2011

Diagnosing Mental Health

by Alexandra Williams

Commonly referred to as an individual’s emotional or psychological well-being, mental health is a term that has no one official definition according to the World Health Organization. Most experts believe that mental health is measured by an individual’s ability to remain capable and competent, handling normal levels of stress, maintaining happy and healthy relationships and his/her ability to lead an independent life. Another sign of mental health is being able to quickly recover from difficult situations, which may include both physical and emotional.

Say “yes” to salad. Salad is a healthy eater’s best friend. Not only will it fill you up so you’ll consume fewer calories overall, but it will also give you a hefty dose of antioxidants which are heart healthy. Be sure to ask your waitress to hold the croutons and cheese which will further reduce your caloric load. Also, choose your dressing wisely. Avoid cream based dressings and go for the vinegar based ones. You also have the option of using vinegar and olive oil which is heart healthy.

If an individual believes that he/she is suffering from a mental health illness, a psychiatrist should be consulted for a professional evaluation.

In some cases, a regular discussion with a professional may be enough for individuals to overcome their issues and return to a positive mental health status. For others, medication may be required or even hospitalization in extreme cases. With the proper treatment, many individuals who suffer from some type of mental health illness can often live a happy and healthy lifestyle. The first part of overcoming any type of illness is to recognize the problem early, whether that recognition comes directly from the sufferer or from those closest to him/her.

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Of course, prices aren’t everything. When you select your online source of discount vitamins, be sure that it also offers expert advice, perhaps in the form of a free weekly newsletter. Look for writing that reflects the knowledge base of the site’s owners. Insightful advice gleaned by trial and error is more valuable that the stale reiterations found on many health websites.

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Harnessing the Power of the Brain

by Glenn Patton
Best practice for assessment and treatment of gait and balance after stroke.

2011 – What would you do if you couldn’t walk? To learn about the best practices for gait and balance recovery, it is helpful to imagine one morning you step out of the house, and while walking to your vehicle, you suffer a potentially devastating injury to your brain: a stroke. After lifesaving medical treatments, you learn your rehabilitation program will begin. Though you can use your arm again, and speak and think clearly, you have great difficulty standing and walking. You might find it promising to know that approximately 80% of people who survive a stroke regain the ability to walk, with or without an assistive device.

1 Deeper research, however, indicates you may find yourself one of the fewer than 50% of survivors who progress to independent community ambulation.2 Now, you want to know what you can do to harness the power of your brain in helping to recover these functions. After a review of the best practices that follow, imagine how you might create your plan of care for rehabilitation.

ASSESSMENT OF GAIT AND BALANCE

Stroke survivors who arrive at Sheltering Arms, the acute rehabilitation hospital where I work as a physical therapist, often need to relearn how to walk. Sheltering Arms has created a program of inpatient and outpatient services that implements the latest evidence for assessment and intervention called the i-Walk Recovery Center. The first step in evaluating a patient’s prospects for functional recovery is to determine what impairments most limit the ability to walk and maintain balance. Are there deficits related to strength and range of motion? Is there involuntary movement, or spasticity, that keeps the affected limb from moving appropriately? Does the individual respond appropriately to balance challenges? Some of these areas make a bigger impact on walking than others, and the answers to these questions often guide the treatment plan.

Finding all the key elements for independent community ambulation can help achieve optimum assessment of gait and balance. A basic function of walking is the ability to perform a reciprocal stepping action. This may be limited among individuals who have suffered a stroke for one of the following reasons: impaired ability to support the body against gravity; inability to move the lower limb; inability to sustain muscle contraction; or impaired spatial awareness. If stroke survivors can step with both legs, then they also must be able to maintain balance during movement of the body forward, as well as adapt to the environment. These functional abilities can be tested with standardized outcome measures for gait and balance, such as the BERG Balance Scale, Dynamic Gait Index, Ten Meter Walk Test, and Timed Up and Go.

EVIDENCE-BASED TREATMENT

After a thorough assessment to determine factors related to walking and balance, and after developing an understanding of the stroke survivor’s own goals, a treatment plan is initiated. The i-Walk Recovery Center utilizes a practice guideline to implement the use of innovative technologies related to the recovery of walking and balance. The use of these technologies is based on principles of motor learning and neuro-plasticity. It was not always known that the brain is capable of modifications after injury. I advise patients that most importantly, stroke survivors need to specifically practice the task of walking in an intense, novel, and repetitive way. I also advise that by practicing walking they may experience errors from which the neural pathways will be stimulated to learn. In addition, they will be exposed to progressive balance challenges to reintegrate balance reactions into functional abilities. As I explain to patients about the physical demands associated with regaining the ability to walk, I introduce them to technology used to aid in this process. Advanced technology allows patients to put these principles into use while a therapist skillfully determines which technology will work for a patient at any given point in recovery- ie, right patient, right tool, right time.

Certain tools are available to help patients perform exercises essential to gait and balance recovery.  Behrman and Harkema describe four principles of locomotor training that explain how walking can be task-specific:

1) Weight-bearing must be maximized in the lower extremities,

2) Kinematics, or movement of the body and limbs, must be normalized,

3) Sensory feedback and input must be maximized, and

4) Compensation through use of altered patterns or devices should be minimized.

5) Technology can be useful to make walking retraining task-specific, even when a stroke survivor is unable to stand or move the involved limbs. For instance, we may put a patient in a robotic device that stabilizes the body and assists or performs movement of the lower extremities. Sheltering Arms uses robotic-assisted gait training to help a severely impaired individual walk several hundred feet instead of only a few steps. The device provides control of variables such as the amount of body weight support, treadmill speed, and amount of guidance of the lower extremities. All can be modified to progress the intervention within the robot.

An excellent way to improve kinematics and sensory feedback for walking training is to apply functional electric stimulation (FES) to the lower leg to prevent toe dragging. Sheltering Arms frequently uses an FES device designed to work by applying electrodes to the muscle and nerve that flex the foot up at just the right time during walking. Often a patient simply needs to figure out “how” to move his or her body, and the FES device is designed to provide that feedback. After using the device, stroke patients sometimes remark: “Oh, that is what I am supposed to do.” This technology can provide therapists the freedom to get patients practicing task-specific walking earlier. We observe patients are often more engaged and have less fear of falling.

New research shows that more intense tasks produce neurophysiologic changes in the brain.6 Repetition is also known to be important in optimizing benefits of neuroplasticity for stroke recovery.3 By applying advanced technology that provides body weight support (BWS), a therapist can completely transform the type of walking practice performed. BWS systems have been used with a treadmill for many years, but new systems allow walking over ground with a ceiling-mounted track for more adaptability in walking practice. The BWS system used by Sheltering Arms staff provides therapists much more freedom to let patients move on their own. That freedom allows therapists to increase the difficulty of the task the patient is performing while maintaining safety for the patient and therapist.

When individuals commit errors while attempting to learn new tasks, it is natural for those errors to actually help improve performance of the new task. Currently, researchers are studying whether the brain will better learn how to produce corrections and permanent adaptations by having a therapist induce or magnify an error. One technology included in this study is the split-belt treadmill. The split-belt device used at the i-Walk Recovery Center is engineered with two belts running side-by-side that can be run at the same speed or independently at different speeds. Initial research is promising in demonstrating changes in gait over ground after a stroke survivor practices walking faster while only the lower extremity is taking a shorter step. The result is often a more symmetrical pattern.

DISCOVER WHAT IS POSSIBLE

The future seems to promise more advanced medical treatment of stroke, and a greater ability to detect and enhance changes in a damaged brain. Through the use of evidence-based assessment and interventions performed by a physical therapist, augmented with advanced technologies, you can discover what is possible when you harness the power of the brain.

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Alternative Workouts You Should Consider During and After Trauma

November 29th, 2011

Alternative trauma workouts appeal to people who need variety when it comes to working out.  We all know that regular exercise is an important component of good health and weight loss, including but not limited to post traumatic stress disorder.   Your body can benefit from many different types of movement, so there’s no law saying you have to stick with the same old exercise program year after year.

Alternative trauma workouts sometimes include battle ropes which are not that well known.  They are also called fitness ropes, and they are large,  heavy ropes that you move in various ways for both cardiovascular and strength training.  This type of equipment is used to gain in specific areas; power ropes are often used by bodybuilders and professional athletes to build their strength and stamina at the same time.  The advantage of using this type of equipment is that you can take it with you wherever you go and it doesn’t take up that much room.  They are a good option for increasing your strength and endurance in an efficient way.  Without a shred of machinery, people that enjoy working out outside and do so without any equipment. If you like you calisthenics, using no weights, you can still get a lot of resistance exercise done by doing squats and push-ups – it’s totally up to you! If you want to work out, these body weight exercises use only your body’s resistance to making them simple yet effective. Some fitness gurus recommend the use of different types of alternative exercises including acrobatics, martial arts, and a host of other bodyweight trading methods. Martial arts has come quite a long way; even in the modern world, traditional Asian martial arts have you moving like animals to exercise and stay in shape.

Swimming is not exactly an alternative type of exercise, yet it’s highly beneficial and most people don’t do it very often. Swimming pools are expensive to buy and maintain, and many bodies of water are too polluted to swim in. You probably don’t live that far from a public pool or YMCA, though.  Swimming is a great form of exercise that incorporates aerobic and resistance training. Swimming helps you relieve both physical and mental stress, even as it gives your body a great workout.

In summary, if you’re not already a good swimmer, take some lessons or look for a class that can teach you the basics. Alternative trauma workouts have many benefits.  When you open your mind and investigate, you’ll find that there are an almost endless number of ways to exercise.  The ideas we’ve covered in this article can help inspire you to find the alternative trauma workout that will enable you to stay active and get healthier.

Another great method to cope together with your stress utilizing exercise is usually a good problem to want to flatten your belly. All through the globe, people are discovering books on diverse workouts to flatten your belly. Do you realize flattening belly exercise doesn’t only work for belly fat but also increase your brain and body function. When your brain function is increased, your way of thinking will also improve, hereby helping to reduce any trauma you might have skilled previously or present.

Anytime you consume merchandise which can be low in saturated fats, also as meats which have been pretty lean, you can boost the chances of the belly fat disappearing from your abdomen. You will find actually also books in your nearby pharmacy outlets, bookshops and so forth. There’s certainly a wide selection. But how do you say that what’s written in these books will probably be the Gospel. Will they answer your prayers to flatten your Tummy?

Creating these abdominal muscles generally indicates you have to burn extreme fats deposited in many components of your total physique. It’s not adequate should you physical exercise only your abdomen to get rid of fat. With little portions of meals, you are able to nevertheless satisfy your bodily hunger but while performing so, you’ll maintain your metabolism at an all-time high which will surely lead to it to become easier for you personally to know how you are able to reduce belly fat. As an alternative to usually driving all over the location, it may be regarded as an excellent thing for you personally personally to visit get a walk (or run) to the store so lengthy as it isn’t in any way too far from your house, as this may most most likely display you to exercise and be much much more mobile (bodily, that’s certainly).

Getting your cardio in for the 30-40 minutes prepares you for further workouts to flatten your belly. Continuously bear in mind to complete a little cardio in advance in the genuine exercising. This might be although elliptical machines or exercise bicycles too. When people are searching at approaches to drop undesirable excess weight, they really really feel that the basic exercises guide out tremendously and always give the final outcomes they are on the lookout for.  Keep this in thoughts and continuously bear in thoughts to consult your primary care physician ahead of starting any selection of physical exercise.