Keywords: Multiple sclerosis, Feldenkrais Method®, Motor-cognitive intervention, Neuroplasticity, Rehabilitation
The Neuroplasticity Scale Assessment (N.P.S.)
The Neuroplasticity Scale Assessment Research Article
NEUROPLASTICITY SCALE (NPS)
An Individualized Intervention, Based on the Feldenkrais Method®, for Multiple Sclerosis Symptoms: The Neuroplasticity Scale Assessment Research Article Open Access https://doi.org/10.17756/jnen.2023-102 Triantafillia Reziti* Feldenkrais Praxis Athens, Monis Petraki, Attica, Greece
Correspondence to:
Triantafillia Reziti Feldenkrais Praxis Athens, Monis Petraki Attica, Greece Tel: +30-2104411820, +30-2130332468 E-mail: [email protected]
Received: October 12, 2022
Accepted: February 24, 2023
Published: February 26, 2023
Citation: Reziti T. 2023.
An Individualized Intervention, Based on the Feldenkrais Method, for Multiple Sclerosis Symptoms: The Neuroplasticity Scale Assessment. J Neurol Exp Neurosci 9(1): 7-17. Copyright: © 2023 Reziti. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CCBY) (http://creativecommons.org/licenses/by/4.0)which permits commercial use, including reproduction, adaptation, and distribution of the article provided the original author and source are credited.
Published by United Scientific Group
Abstract Objective: Although numerous multiple sclerosis (MS) patients display decreased motor performance and cognitive deficits, little is known about rehabilitative methods and assessment strategies that are based on the brain’s ability to learn through motor-cognitive patterns. Commonly used methods, such as the Expanded Disability Status Scale (EDSS) and the Berg Balance Scale (BBS), can only unravel limited new information on individual motor-cognitive experiencing and the capacity to change this through brain learning. Therefore, we set out to design a new tool for the simultaneous assessment of multiple parameters in MS patients: the Neuroplasticity Scale (NS) – an inductive rehabilitation methodology, based on Feldenkrais Method (FM) movement protocols. Methodology: In this proof-of-concept study we performed our procedure on a single subject, an MS patient with severe instability and spasticity, who was carefully selected. Our methodology included a baseline evaluation (Week 0), followed by six weeks of intervention (Intervention Weeks 1- 6). NS assessment was performed both before and after the intervention. All throughout the procedure, the subject carried out home training, which was guided by auditory cues for perception, movement patterns, spatial orientation, movement timing, changes of attention and daily life functionality, and was used to establish subsequent practice.
Results: Based on the subject’s significant balance improvement and spasticity reduction, the NS appears to be useful, easy to use and effective; in addition, it improves functional organization in specific motor patterns through brain learning.
Conclusion: The NS enables both practitioners and patients to assess changes in sensory-motor and cognitive processes during action; it is useful for qualitatively evaluating multiple parameters that define the current clinical image of an MS patient. Therefore, upon further refinement and wider application to additional patients, it may be used for the establishment of structured rehabilitative interventions and home training repetitive programmes, as well as improved questionnaires, based on an individual’s specific functional needs.
Keywords Multiple sclerosis, Feldenkrais method, Motor-cognitive intervention, Neuroplasticity, Rehabilitation
"neural maps, in order to facilitate the development" ..
“This model postulates that the body functions by responding to temporary coherent settings, depending on the information it perceives through constructed neural maps, in order to facilitate the development of personalized, moment-to-moment, adaptations to environmental cues, as well as its own biological regulation and the maintenance of vital processes [23]. Contrary to previous methodological intervention procedures, the Feldenkrais Method (FM) [24], a somatic educational approach [25], is based on the integrated process of the above model; it focuses on developmental changes through self-awareness and brain plasticity, and illuminates fundamental aspects of functionality [26]. One of the principles of the FM is that the processes of thinking, feeling and sensing are all interrelated components of human functioning, and that, as a consequence, the only way to address any of these components is to address them all [27]. Acknowledging that this interrelation is a key potentiality factor in MS rehabilitation, we are prompted to reconstruct our kinetic and kinematic strategies for movement, incorporating attentional properties. The purpose of this study is to present, as a proof-ofconcept, a new tool that we have devised, in order to enable both practitioners and MS patients to assess changes in sensory-motor and cognitive processes during action: the Neuroplasticity Scale (NS). The NS is an effective inductive methodology and evaluation approach, which bridges the gap between applied research metrics and somatic education methods, by simultaneously assessing multiple parameters that have not been previously captured in MS patients. Crucially, although some indicators and parameters used in the NS are also encountered in the FM, our methodology includes in addition: (i) indicators that are based on the individual’s own remarks, in the form of pre- and post-intervention self-reports; (ii) a constraint report during action; (iii) NS evaluation; and (iv) home training.”
Article Open Access https://doi.org/10.17756/jnen.2023-102
________________
NEUROPLASTICITY SCALE (NPS)
An Individualized Intervention, Based on the Feldenkrais Method®, for Multiple Sclerosis Symptoms: The Neuroplasticity Scale Assessment Research Article Open Access https://doi.org/10.17756/jnen.2023-102 Triantafillia Reziti* Feldenkrais Praxis Athens, Monis Petraki, Attica, Greece
Correspondence to:
Triantafillia Reziti Feldenkrais Praxis Athens, Monis Petraki Attica, Greece Tel: +30-2104411820, +30-2130332468 E-mail: [email protected]
Received: October 12, 2022
Accepted: February 24, 2023
Published: February 26, 2023
Citation: Reziti T. 2023.
An Individualized Intervention, Based on the Feldenkrais Method, for Multiple Sclerosis Symptoms: The Neuroplasticity Scale Assessment. J Neurol Exp Neurosci 9(1): 7-17. Copyright: © 2023 Reziti. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CCBY) (http://creativecommons.org/licenses/by/4.0)which permits commercial use, including reproduction, adaptation, and distribution of the article provided the original author and source are credited.
Published by United Scientific Group
Abstract Objective: Although numerous multiple sclerosis (MS) patients display decreased motor performance and cognitive deficits, little is known about rehabilitative methods and assessment strategies that are based on the brain’s ability to learn through motor-cognitive patterns. Commonly used methods, such as the Expanded Disability Status Scale (EDSS) and the Berg Balance Scale (BBS), can only unravel limited new information on individual motor-cognitive experiencing and the capacity to change this through brain learning. Therefore, we set out to design a new tool for the simultaneous assessment of multiple parameters in MS patients: the Neuroplasticity Scale (NS) – an inductive rehabilitation methodology, based on Feldenkrais Method (FM) movement protocols. Methodology: In this proof-of-concept study we performed our procedure on a single subject, an MS patient with severe instability and spasticity, who was carefully selected. Our methodology included a baseline evaluation (Week 0), followed by six weeks of intervention (Intervention Weeks 1- 6). NS assessment was performed both before and after the intervention. All throughout the procedure, the subject carried out home training, which was guided by auditory cues for perception, movement patterns, spatial orientation, movement timing, changes of attention and daily life functionality, and was used to establish subsequent practice.
Results: Based on the subject’s significant balance improvement and spasticity reduction, the NS appears to be useful, easy to use and effective; in addition, it improves functional organization in specific motor patterns through brain learning.
Conclusion: The NS enables both practitioners and patients to assess changes in sensory-motor and cognitive processes during action; it is useful for qualitatively evaluating multiple parameters that define the current clinical image of an MS patient. Therefore, upon further refinement and wider application to additional patients, it may be used for the establishment of structured rehabilitative interventions and home training repetitive programmes, as well as improved questionnaires, based on an individual’s specific functional needs.
Keywords Multiple sclerosis, Feldenkrais method, Motor-cognitive intervention, Neuroplasticity, Rehabilitation
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