Understanding Proprioception

What is Proprioception???

Proprioception.....  ज्यादातर लोगों के लिए ये एक नया और अनसुना शब्द होगा। कुछ पेचीदा से लगने वाले इस शब्द को समझाने के लिए आज हम कुछ examples की मदद लेंगें। 

 सबसे पहले, वो driver जो आँखें सड़क पर रख कर भी बिलकुल सटीक तरीके से अपने हाथों को steering wheel पर और पैरों को brakes पर बनाये रख लेते हैं। 

दूसरा, वो musician जो आँखेँ बंद कर के भी अपने instrument को पूरी लय में बजा लेते हैं।

और तीसरा, सबसे common हम अँधेरे कमरे में भी खुद को किसी चीज़ से ठोकर खाने से बचा कर light के switch तक पहुँच ही जाते हैं।  

कभी सोचा है कि, बिना नज़रों का इस्तेमाल किए हम ये सब कैसे कर लेते हैं? कैसे हमारा दिमाग बिना किसी visual input के भी हाथों और पैरों को सही जगह पहुंचा देता है और सही काम पर लगा देता है? यदि हमें हमारे रोज़ भी काम के दौरान अपने हाथों और पैरों पर नज़र रखनी होती तो, उनकी स्तिथि और दिशा को हर पल monitor करना होता तो हमारे लिए रोज़मर्रा के काम करना कितना मुश्किल होता। ये खुदबखुद नहीं होता। ईश्वर ने हम humans को इसके लिए एक स्पेशल sense दिया है जिसे proprioception कहते हैं। 

Proprioception को body position sense कहते हैं। ये वो secret special sense है जो हमें हमारे body का सही orientation in space और body parts की correct position बताता है और उन्हें control करने में हमारी मदद करता है। 

अब प्रश्न है कि ये special sense काम कैसे करता है? 
Proprioception के लिए कोई special organ नहीं है बल्कि ये special sense पूरे  body के coordination में operate करता है। हमारी body की हर muscle में कुछ ख़ास receptors होते हैं (muscle spindle और golgi tendon organ) जो हमारी muscles का tension और force of contraction को monitor करता है और ये signals लगातार brain को भेजते हैं। Brain के एक special हिस्से, cerebellum में पहुँचने वाले ये signals की processing से brain हमारे limbs की सही position का अंदाज़ा लगाता है। इस तरह से proprioceptive system बिना visual और auditory input के भी limbs की correct position का हिसाब लगा लेता है। हालाँकि visual और auditory inputs की मौजूदगी से इस सिस्टम की accuracy और भी बढ़ जाती है।  

Proprioception किसी भी और sense की तरह training से improve किया जा सकता है और disease या इस्तेमाल ना किए जाने पर कमज़ोर हो सकता है। इसीलिए physical therapist proprioception को train करना एक important rehabilitation goal मानते हैं ।

अगले Friday proprioception के और aspects के बारे में जानेंगें। जुड़े रहें हमारे blog से।

Coming next Friday.. .. Understanding Proprioception Disorders

Please follow our blog and feel free contact us and visit on our website www.healthymomshome.com

Contact details:whatsapp number: 9755700579,9453443603(no calls accepted, only whatsapp messaging )

Email: nootan.nayana724@gmail.com

geet.tyagi7@gmail.com

Website: www.healthymomshome.com

How does midline crossing evolve?

How does midline crossing evolve?: the building block of midline crossing skills

Midline crossing skills develop with an interdependence of 5 primary skills and have direct relationship with each of them. The 5 building blocks of midline crossing skills are: 

Bilateral integration

Bilateral integration is the ability to use the right and left sides of the body together in a coordinated way. The movements of both sides of body together in activities is only possible by processing and integration of both hemispheres of the brain together at the same time. Therefore, good bilateral integration indicates that both sides of the brain are communicating effectively and sharing information. Bilateral integration is seen in gross, fine motor and functional skills. 

The Three Types of Bilateral Movements

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Core stability 

Core is the musculature that surrounds the lumbopelvic region, have attachments with thoracolumbar fascia and spinal column and connect the upper and lower limbs.

The core musculature comprises of:

•Anteriorly: abdominals

•Posteriorly: paraspinals and gluteals

•Inferiorly: pelvic floor muscles

•Laterally: hip abductors and rotators

•Superiorly: diaphragm.

     

     Core muscle group maintains upright and erect posture. It can be exemplified as the trunk of a tree. As the trunk holds the tree to the ground, the core acts as the base of support for your entire body so that your branches (arms and legs) can work efficiently. The core  surround and support the spine and pelvis and connect your upper body and lower body, effectively transferring forces from one to the other. 

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Planning and sequencing of movements 

Planning and sequencing involves planning and executing a muscle action. It is also called praxis. It is a thee step process:

For example, for a task of picking up a pencil; the first step is to generate the idea or intercept the instruction of picking up the pencil. The second step is to process the command and program the steps to pick up the pencil, this includes sequences of muscle contraction and joint movements. The final step is execution which includes relaying of motor signals to respective muscles to contract and perform the task of picking up the pencil.
   This processing requires integration of the brain and the senses (e.g. touch, movement, vision, hearing) 


Praxia or planning and sequencing is important for all gross and fine motor activities and functional tasks expected for daily and school based activities of children. It helps them to perform daily activities with precision and assists in learning new tasks.

Planning and sequencing is an acquired skill developing from components of neuromotor skills. the is a sum total of characteristic features of musculoskeletal and neurological systems.

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Body awareness

Body awareness is the internal body “map” which gives internal understanding of where the body is in space. 
Integrated processing of repeated sensory inputs and movement components helps in creation of body map over a period of time. 
Therefore, the body map or skills of body awareness is dependent on sensory inputs, primarily proprioceptive inputs from the joints, muscles, and connective tissue. Body awareness is highly influenced by proprioceptive processing, the sensory information one receives from the movement and force of muscles and joint groups. 
Proprioception is the internal sense that tells you where your body parts are without your having to look at them. Proprioception, the awareness of deep pressure and the position and movement of limbs, is mediated through receptors in muscles, tendons, and joints. Proprioception encompasses three aspects, known as the ‘ABC of proprioception’. These are: agility, balance and coordination. 

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Hand Dominance

Hand dominance describes a child’s natural inclination for favoring one hand over the other for skilled activities such as functional activities and academic tasks. For most children, hand preference begins to emerge between the ages of 2 to 4, and usually by the age of about 6, most children will develop a preferred hand. Developing a dominant hand is important to efficiently perform tasks involving midline crossing and bilateral integration skills, where one hand needs to act as a helper to the dominant hand. 

P.S.: We end here with hope that readers like the content and information provided in the blog. We shall await any further queries and are open to elaborte further on any of the above topics.

Please follow our blog and feel free contact us and visit on our website www.healthymomshome.com

Contact details:whatsapp number: 9755700579,9453443603(no calls accepted, only whatsapp messaging )

Email: nootan.nayana724@gmail.com

geet.tyagi7@gmail.com

Website: www.healthymomshome.com

HAPPY WORLD PHYSIOTHERAPY DAY

   ::::::::::::::::*************Promotional Blog*****************:::::::::::::::::::::::::

World Physical Therapy Day के अवसर पर हम आपके लिए अपने नए launch....  KIDS SERVICES के बारे में वो सारी जानकारी लाये है जो आप जानना चाहेंगे। 
हम आपके लिए अपना motto और अपने approaches लेके आये हैं ताकि आपको और आपके बच्चे को सही एवं उत्तम सेवा देने के हमारे प्रयास को आप समझ सकें और हमे और हमारे कार्यों को appreciate कर सकें। 

with love, your physical therapist.... 

अपने बच्चे का सम्पूर्ण विकास हर माता पिता का सपना होता है। इसीलिए Healthy Mom की हमारी our kids services को हमने इसी उद्देश्य से बनाया है और categorically age appropriate skills को develop करने ही हिसाब से तैयार किया है। हमारी services healthy and developmentally challenged दोनों ही श्रेणी के बच्चों ही हिसाब से adapt की जा सकतीं हैं। बच्चों का development 5 aspects से मिल कर पूरा होता है : physical, social, language, emotional and cognitive developments; और ये सभी साथ में balanced fashion में बच्चे की healthy personality के building blocks बनाते हैं। 

हम सारी best services का composite package provide करते हैं जो kids friendly, clinically result oriented, therapeutically updated and tailored according parents and caregiver. हम 5 fold individualized therapy approach का इस्तेमाल करते हैं जो patient's / client's की  ज़रूरत के हिसाब से differential weightage basis  पर probide किया जाता है। 

 Healthy Mom की kids services का aim है हर बच्चे का at composite development:

Play based therapy जिसमें कई तरह के educational और  innovative toys और instruments की मदद से बच्चों में gross and fine motor skills को develop किया जाता है।  

Communication and interactive skills को therapy sessions के दौरान direct या indirect तरीकों से improvise किया जाता है। हम brain developmental activities और skill training को बढ़ावा दे कर written and spoken language recognition और development को enhance करने की कोशिश करते हैं। 


Educational training जिसे बच्चे के schooling and social interactions को support करने की हिसाब से design किया जाता है, वो हमारे therapy system का specialized zone है।हम pencil grip training, handwriting training to verbal and visuo motor leraning जैसी special and generalized training भी provide करवाते हैं। 

हम in clinic and out clinic group therapy sessions के साथ साथ school and activity camps भी organize करवाते हैं जिससे बच्चों का social interactions और parents का similar बच्चों के parents के साथ community interactions बढ़ाया जा सके।  


In clinic and out clinic group therapy sessions के साथ साथ school और activity camps जिनमें relaxation and meditative activities करवाए जाते हैं, जो एक अच्छा तरीका है बच्चों में spirituality and wholesomeness को बढ़ाने का।Yoga, Tai Chi and Reki sessions को individualized किया जाता है जिससे वो physical and mental culture की ज़रूरत को पूरा कर सकें। 

P. S. : kids therapy services are available at all outlets and portals of Healthy Mom
Contact details:whatsapp number: 9755700579,9453443603(no calls accepted, only whatsapp messaging )
Email: nootan.nayana724@gmail.com
geet.tyagi7@gmail.com
Website: www.healthymomshome.com

HAPPY WORLD PHYSICAL THERAPY DAY

            ::::::::::::::::*************Promotional Blog*****************:::::::::::::::::::::::::

On the occasion of World Physical Therapy Day we bring to you all you need to know of our new launch....  KIDS SERVICES
We present our motto and our approaches to help you understand an d appreciate our efforts to serve you and your child with the best. 

with love, your physical therapist.... 

All round development of a child is every parent's dream. At Healthy Mom our kids services are organised for the same and channelized to categorically to attain best age appropriate skills in children. These services are oriented equally for healthy and developmentally challenged children. The 5 aspects of child developments include:physical, social, language, emotional and cognitive developments; and all of them together in balanced fashion are the building blocks of a healthy child's personality.


We incorporate best of all worlds and provide a composite package of services which are kids friendly, clinically result oriented, therapeutically updated and tailored according parents and caregiver. We have a 5 fold individualized therapy approach with differential weightage depending on patient's / client's needs.

 The kids services of Healthy Mom are aimed at composite development:

Play based therapy using a variety of educational and innovative toys and instruments is provided for developing gross and fine motor skills in children. 

Communication and interactive skills are improvised directly and indirectly during therapy sessions. We focus on brain developmental activities and skill training which enhance written and spoken language recognition and development.





Educational training designed to support schooling and social interactions of child are a specialized zone of our therapy system. We utilize special and generalized training ranging from pencil grip training, handwriting training to verbal and visuo motor leraning.

As we provide in clinic and out clinic group therapy sessions including school and activity camps, we aim at improving social interactions of kids and community interactions of parents with those of similar kids.


In clinic and out clinic group therapy sessions including school and activity camps for relaxation and meditative activities are an unconventional way of integrating spirituality and wholesomeness in our children. Yoga, Tai Chi and Reki sessions are individualized to suits need of physical and mental culture.

P. S. : kids therapy services are available at all outlets and portals of Healthy Mom
Contact details:whatsapp number: 9755700579,9453443603(no calls accepted, only whatsapp messaging )
Email: nootan.nayana724@gmail.com
geet.tyagi7@gmail.com
Website: www.healthymomshome.com

Why does midline crossing evolve in the first place?

Why does midline crossing evolve in the first place?: the significance of ATNR

Midline crossing is a complex functional approach directed towards reaching the opposite side of body. Midline crossing refers to any motor action that results in looking, reaching, or stepping across the body's midline. The evolution of this motor activity is aimed to integrate the left and right sides of body and brain, as explained in previous blog. Why does midline even exist?

Apart from being an important developmental milestone midline crossing is essentially laid down as a developmental skill succeeding the integration of a primitive reflex- ATNR. 

ATNR (Asymmetrical Tonic Neck Reflex) is a primitive reflex that emerges at 18th week of intra-uterine life. This reflex helps in intra-uterine development of muscle tone and vestibular system and helps the baby during birthing process by inhibiting limb movements while the baby turns in the birth canal during delivery. This reflex can be identified within the first 3 months of life. And after birth, it ensures head tilting to the side while the baby lies on their stomach to keep their airways clear, and is the first step toward developing hand-eye-coordination. 

The reflex is initiated when the head is turned to the left or the right whilst the baby lies on its back. The turning of the head causes the arm and the leg on one side to extend, whilst the limbs on the opposite side flex. For example, if the head turns to the right, the right arm and leg will automatically extend whilst the left arm and leg both flex.

The ATNR is integrated at the age of 6 months and replaced by complex functional movements by which the baby begins to reach within the mid line of their body.

 If due to any cause (which are extensive ranging from birth problems to delayed brain development) the reflex is retained it will continue to influence limb movement every time the head is turned and will have influences on  physical movements. A retained ATNR will affect the functional reaching abilities and the baby finds it difficult for hands, feet and eyes to cross the mid line. Retained ATNR interferes with a baby's ability to centralize and reach things within the midline of body and prevents the baby from developing crossing pattern movements such as rolling over, crawling and later marching using alternative leg and arm.

The most distinct sign of a retained ATNR is the inability to cross the midline.

The retained ATNR may also present with:

More in the series... ..How does midline evolve?.... .Coming next Friday.....

Please follow our blog and feel free contact us and visit on our website www.healthymomshome.com

Contact details:whatsapp number: 9755700579,9453443603(no calls accepted, only whatsapp messaging )

Email: nootan.nayana724@gmail.com

geet.tyagi7@gmail.com

Website: www.healthymomshome.com

Why does this midline even exist?.....the neurological approach

Why does this midline even exist?.....the neurological approach

The body's midline is a concept of visualization and revolves around the structural and functional anatomy of brain. Our brain that we consider as a single organ is actually made up of two separate hemispheres: the left and the right hemispheres, separated by a structure called longitudinal fissure.

But the two hemispheres are not actually separable as they are connected by a structure called corpus callosum. It relays information from the left hemisphere to the right hemisphere and vice versa serving as a big information highway between the two hemispheres of brain.

So as an irony, we have two separate brain hemispheres which are actually not separate but connected.... why so? So the two hemispheres, or the left and right brain are actually responsible for proper functioning of the body. The left side of the brain is responsible for controlling the right side of the body. It also performs tasks that have to do with logic, such as in science and mathematics. On the other hand, the right hemisphere coordinates the left side of the body, and performs tasks that have do with creativity and the arts. Both hemispheres are connected by the corpus callosum and serve the body in different ways. 

Therefore, the entire body and brain actually have two interconnected halves. As in brain the corpus callosum serves the function of inter-connectivity and interdependence, on physical level, the midline crossing activities serve the function of connecting the two halves of body and stimulate integration of left brain with right body and vice versa. 

 Midline activities are important to help coordinate the two sides of the body together and encourage communication between the right and left sides of the brain. Bilateral coordination is an important step in developing midline crossing.

 Development of bilateral skills, both symmetrically and asymmetrically, helps in development of midline crossing begins. 

A child with midline crossing difficulty, finds it difficult to integrate the two halves of body and brain and as a result each side of the body tends to operate on its own. Children who avoid crossing the midline work the right side of the body with the right hand and the left side of the body with the left hand or they turn their body to avoid crossing the midline. This interferes with the normal development of a dominant hand and makes bilateral motor tasks very difficult.

More in the series... .Why does midline evolve?.... .Coming next Friday.....

Please follow our blog and feel free contact us and visit on our website www.healthymomshome.com

Contact details:whatsapp number: 9755700579,9453443603(no calls accepted, only whatsapp messaging )

Email: nootan.nayana724@gmail.com

geet.tyagi7@gmail.com

Website: www.healthymomshome.com