02/20/2024
A young client is comatose after a series of ischemic strokes. They have frequent painful episodes of paroxysmal sympathetic hyperactivity, during which their muscles become spastic and their heart rate and blood pressure rise. Their palliative care team wonders if massage therapy might help the contractures of their limbs, and the massage therapist is willing to try . . . but the results are unexpected.
Resources:
Neurostorming: Causes, Signs, Risks, and Treatment (2022) NewGait. Available at: https://thenewgait.com/blog/neurostorming/ (Accessed: 16 February 2024).
Paroxysmal sympathetic hyperactivity - UpToDate (no date). Available at: https://www.uptodate.com/contents/paroxysmal-sympathetic-hyperactivity (Accessed: 14 February 2024).
Zheng, R.-Z. et al. (2020) ‘Identification and Management of Paroxysmal Sympathetic Hyperactivity After Traumatic Brain Injury’, Frontiers in Neurology, 11, p. 81. Available at: https://doi.org/10.3389/fneur.2020.00081.
Verma, R., Giri, P. and Rizvi, I. (2015) ‘Paroxysmal sympathetic hyperactivity in neurological critical care’, Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine, 19(1), pp. 34–37. Available at: https://doi.org/10.4103/0972-5229.148638.
Xu, S., Zhang, Q. and Li, C. (2023) ‘Paroxysmal Sympathetic Hyperactivity After Acquired Brain Injury: An Integrative Review of Diagnostic and Management Challenges’, Neurology and Therapy, 13(1), pp. 11–20. Available at: https://doi.org/10.1007/s40120-023-00561-x.
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Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function.
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