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Recent professional journals are supporting therapy programs that increase
hypertonicity and compensatory strategies, and avoid the restoration of normal
movement altogether. NEURO-IFRAH® therapists will never turn their backs on helping
patients realize their potential for normal movement
It is the NEURO-IFRAH® Organization’s belief that one of the primary purposes of
rehabilitation for patients affected by a stroke or brain injury is to help restore normal
movement. The NEURO-IFRAH® Organization is comprised of clinicians skilled in
restoration. We care deeply about what patients want and we have developed the skills
to return them back to life with the fullest extent of normal movement to which they are
It is deeply concerning that articles appearing in professional journals have recently
declared it unnecessary to work on normal movement, saying: “. . . facilitation of normal
movement in an effort to achieve optimal recovery has shown to be unnecessary”
(Scheets, Patricia L., et. al. “President’s Perspective: Moving Forward.” Journal of
Neurologic Physical Therapy, vol. 45, January 2021, pp. 46-48). There is also the
equally concerning statement that, “efforts to reduce spasticity do not improve volitional
movement” (Scheets et al., p. 47).
We vehemently disagree with these statements and others like them, which are used as
an excuse to ignore the massive side effects of programs being sold as “moving
forward” in rehabilitation, when what they are is moving backward in skill, knowledge,
and outcome. The stance that hypertonicity has no effect on movement because there
is no research saying it does, is simply not a sound or reasonable argument. With such
a stance, it becomes unsurprising that the conclusion drawn would be to not work on
normal movement because it has become unachievable with such abnormal muscle
activity. The fact that these same professional journals claim to have other strategies for
achieving optimal recovery without offering self-evident results to support such claims, is
yet another point of concern.
What continues to become increasingly self-evident to us is the emergence of massive
compensatory strategies. These strategies claim to restore a patient’s ability to walk,
and yet they leave those same patients with impairments that are difficult to reverse.
Patients arrive to our NEURO-IFRAH® Clinics with hypertonicity, notably in the arms
and feet. As a result, these patients suffer, and our skilled therapists must work hard to
undo the side effects of abnormal muscle activity that ends up limiting the patient’s
options and potential for recovery of more normal movement and control. It is important
that patients are not subjected to strategies that increase massive hypertonicity, and are
referred to us earlier. The less we have to un-do, the more efficiently patients can find
themselves resuming and assuming life roles.
Self-evident and outcome-oriented results are at the heart of NEURO-IFRAH®. Results
for us are not merely confined to paper, but rather exemplified in patients who get to live
their day-to-day lives with the results. We have decades of experience and
overwhelming evidence on video documentation that clearly demonstrates why
NEURO-IFRAH® is superior and unmatched in the rehabilitation of patients affected by
a stroke or brain injury. We also understand that neurological challenges in rehabilitation
require high levels of skill. We understand why rehabilitation of the upper extremity,
lower extremity, trunk, head/neck control, facial expressions, oral motor control, total
hand and foot function, as well as any movement throughout the body or any functional
activity—including all function in upright postures—is challenging to those who do not
have our knowledge and experience. We understand why those without our knowledge
and experience might therefore want to give up. But the NEURO-IFRAH® Organization
completely disagrees with the suggestion of giving up, or the excuses used as a means
of giving up.
The patient ultimately has the power to choose where and with whom they entrust their
rehabilitation process. Patient education is critical to helping patients avoid activities that
sacrifice their potential to recover more normal movement and function. Our therapists
will never turn their backs on patients and we recommend that other therapists or
practitioners who give up on the rehabilitation of the upper extremity, or any other part
or function, refer their patient to us. The NEURO-IFRAH® APPROACH is a whole
person approach. We are here and ready to fill the gap.
Clinical Group with input from Patients
WALEED AL-OBOUDI PODCAST INTERVIEW WITH SENATOR OMAR RAINS
AMELIA CHANG, MHA, DPT PRESENTED AT THE EUROPEAN STROKE CONFERENCE IN VENICE, ITALY ON APRIL 13, 2016. The presentation was well received and many exciting discussions held place on the following days of the conference where there was overwhelming interest in the self evident results and effectiveness of Neuro-IFRAH CAPTURED BY VIDEO DOCUMENTATION
NOTICES TO ALL INTERNATIONAL STUDENTS:
TO ALL NEURO-IFRAH CERTIFIED THERAPISTS IN ISRAEL INQUIRING ABOUT RENEWING YOUR CERTIFICATION, WE OFFER THE FOLLOWING OPTIONS TO RENEW YOUR CERTIFICATION:
1. Completing an advance NEURO-IFRAH course will renew your certification automatically and take you to the next level of advance trained. These courses are offered in the United States only and if you are planning on attending, please contact us for assistance to help you with tuition reduction in an effort to help you with your travel expenses.
2. Completing a two day. NEURO-IFRAH RECERTIFICATION WORKSHOP BY QUALIFIED INSTRUCTORS WHICH IS AVAILABLE ONLY IN THE UNITED STATES.
3. Sponsoring an advance NEURO-IFRAH COURSE OR A RECERTIFICATION COURSE IN YOUR HOSPITAL OR FACILITY. For details please contact WWW.NEURO-IFRAHINSTRUCTORS.com for an updated list of qualified instructors .
4. Taking the NEURO-IFRAH Certification course. Please visit WWW.NEURO-IFRAHINSTRUCTORS.com for an updated list of QUALIFIED AND ACTIVE instructors who meet the standards to teach.
THOUGH THE NEURO-IFRAH CERTIFICATION COURSE IS CONSIDERED SUPERIOR AND UNMATCHED, THE COURSE COVERS LESS THAN 1% of THE
WHOLE APPROACH .THUS YOU ARE ENCOURAGED TO PERSUE ADVANCE COURSES AND ULTRA ADVANCE COURSES AND WE WILL BE GLAD TO WORK WITH YOU ON HOSTING COURSES . QUALIFIED INSTRUCTORS FROM THE UNITED STATES WILL
BE GLAD TO MAKE
ARRANGEMENTS AND HELP BRING COURSES TO YOU.
We are honored to have had the opportunity and privilege to be invited by the Hong Kong Occupational Therapy Association (HKOTA) to teach basic to advance courses in HONG KONG for the past 16 years. We are honored to have a large wonderful dynamic instructor and instructor candidate group in Hong Kong. We are looking forward to resuming our courses in 2023 that have been on hold due to Covid. We are truly honored to have this opportunity to work with the HONG KONG OCCUPATIONAL THERAPY ASSOCIATION WHO HAVE BEEN A MODEL OF EXCELLENCE IN PROVIDING OPPORTUNITIES FOR THERAPIST EDUCATION. WE LOOK FORWARD TO SEEING YOU AND RESUMING COURSES IN 2023.