The biomechanical changes in the body of a spastic young man (Adam, in this case) resulting from many hours of daily ABR (Advanced Biomechanical Rehabilitation) are never simply linear and even. Changes happen from the top (head) and cascade throughout the body. At times, as parts of the myofascial membranes and supported structures normalize, other areas demonstrate their inherent weakness from the original collapse caused by the brain insult, either acquired or present from birth. As we know, underneath all spasticity is weakness. The "getting better" part of the process is neither smooth nor linear. Transitions arise and changes in ABR protocols are necessitated. ABR produces releases in the myofascial layers which reveal further weakness which must be strengthened.
|Our present ABR project: differentiation of|
sacrum and illiacs; mobility in sacroilliac
triangle to prevent pelvic tilt when
|The EGG...actually we use the orange very soft |
version by eggserciser and the red soft by theraband.
|Since ABR, the rib cage evened out, abdomen strengthened|
and expanded, shoulders moved to proper position and intercostal
spaces greatly expanded.
Again, ABR is a singularly effective therapy to normalize structures which collapsed as a result of brain injury...it's a parent intensive long haul, but changes develop along a predictable, yet non-linear, uneven path. Nothing is simple in the world of severe disability.
|Prior to ABR, you could not differentiate scapula nor|
any of the cervical or thoracic vertebrae...now they are visible and
aligned. Next project: mid thoracic to sacrum straightening and
strengthening. We're getting there!