Osteopathy East, 41 Mare Street, Cordwainer House, London, E8 4RP.
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Neuromuscular Rehabilitation

Neuromuscular rehabilitation integrates several branches of knowledge. They include medical, neurophysiology, psychological-behavioural and motor-control sciences as well as manual and physical therapy fields. Jarvia’s therapeutic approach to NMR is based on osteopath Professor Eyal Lederman’s respected unified model of neuromuscular rehabilitation which has been refined over 23 years by his own outstanding research, academic and clinical body of work as well as research from the aforementioned branches of knowledge.

Why NMR?

Musculoskeletal injury, pain experiences and central nervous system damage are all associated with diverse movement control changes. This could manifest as subtle changes in how we move or difficulty carrying out an activity/task that was previously possible e.g. difficulty walking. Movement and rehabilitation normalisation following injury occurs naturally for most individuals. The usual outcome following injury is pain, difficulty carrying out certain movements (e.g. walking) but the person soon returns to activities pain-free and without difficulty. However this is not always the outcome and many people struggle to return totally to their previous skill level. For example, a patient may present with walking difficulties due to losses in the control of balance and coordination. One would imagine that by encouraging the patient to increase their walking, “walking would train balance and coordination during walking”. However, what may happen is that the patient will get better at using their compensatory pattern; walking slowly, using wider gait, shorter steps, rather than truly improving their control of balance and coordination during walking. Their recovery using NMR would include walking retraining without these compensatory disturbance.