Diagonals part six. Standing up and the static reaction

In this part standing up train and learn on other way is the central issue. In part 5 we expressed the difficulty of the low transfer as possibility to get severe stroke individual out of the bed without using the passive elevator, but the low transfer has his limits and to learn an low transfer with extension of the trunk isn’t logic. Therefore we search for an solution for an standup movement behind an table or bed with an flexion of the upper trunk and support on the not-affected arm in front of the individual. That is the solution to go further after the low transfer. Individuals with an severe stroke are able with facilitation to learn this movement and we have than the possibility to train with task-specific resistance treatment. That will improve the coordination and the power of the muscle pattern and stimulated the learning process and that stimulation goes further in the implantation of this standing up exercise in the A.D.L. in their own context. That context is so full of variation and that is the best learning environment that exist. Therefore must this environment and that at home be so good that it increase the possibilities of the individual independency. Train with this three pillars Task-specific resistance treatment , Differential learning and implementation in the A.D.L. are the best guarantee for success. Further in this part ; an explanation why “active” elevator are very dangerous for the developmental or the conservation of what the individual after an stroke has achieve. The active elevator in the A.D.L. can destroy the standing up possibility within an few month totally. The appendix of part 6 goes about the static reactions. Static reaction plays by neurological patient an very important roll and should be known by all team members, that works with neurological patients.