Report
First Day of French Neurokinesitherapy

As part of their professionalization, our students participate in professional events. Hélène, 2nd year student, shares her vision on the first day of French Neurokinesitherapy.

“The French Society of Physiotherapy (SFP) organized this Saturday, September 22nd, 2018 in Marseille, the first French day of neurokinesitherapy. This day, open to students as masseur-physiotherapists, was focused on neurology, where different concepts were discussed at through “myths, realities and perspectives”.

The aim of the SFP is to transmit, promote and make accessible the news and the latest issues concerning physiotherapy (physiotherapy as part of an international logic). Within this organization, there are different branches (neurokinesitherapy, pediatrics, etc.) managed by a specific team.

After this brief introduction, Ralph Hammond, Physiotherapist, Clinical Care Coordinator in England and President of the International Neurological Physical Therapy Association (INPA), a subgroup of the World Confederation for Physical Therapy (WCPT), spoke. He demonstrated the interest of exchanging between physiotherapists, but also between different medical entities not only at the national level but even more internationally to enrich existing knowledge and practices. As a result of his intervention, it is clear that it is essential to have a strategy to ensure coordination in the exchanges. To ensure the seriousness, quality and credibility of the organization, several key factors have been identified, including Evidence Based Practice (EBP).

We later went into the heart of the subject with J-P Regnaux, President of the SFP, who presented a meta-analysis that made an assessment of the effectiveness of rehabilitation approaches after a stroke. As a student in 2nd year of physiotherapy, I was able to discover the objectives when treating a patient suffering from stroke trauma (restoration and rehabilitation). This meta-analysis compared the classical approaches (Bobath) with other more recent approaches (Shepperd, Carr). The message was that no one approach was really more effective than another, and that the trend marked the end of “one fits for all” – in other words, that there is a solution for all patients.

Subsequently, we were able to have various interventions of physiotherapists and researchers on different therapies and approaches applicable in neurokinesitherapy. In particular, we had a presentation on motor imagery, which is a mental reconstruction of a gesture without physical execution. The findings of the studies demonstrate, a significant effect on the gestures or the equilibration. On the other hand, a patient who has a great deal of confidence in thinking about what he should do, will have more facility to reproduce it quickly, than a patient who has more difficulty imagining it. This remark confirms the trend raised by J-P Regnaux previously.
Another example of technique, as well as experience feedback on mirror therapy, was presented to us. The literature shows positive effects on the motor function of the lower and upper limbs with partial or complete paralysis. Nevertheless, it appears that this technique requires more research to refine its field effectiveness.

This topic made it possible to evoke an essential point in the practice of the functions of the masseur-physiotherapist : vigilance and critical mind, which he must adopt continuously in the face of numerous requests. The concepts of “neuroscience effect” and “neuromythe” have been developed. The neuroscience effect is that a greater credibility is given to an idea, when it exploits the codes of neuroscience (language, images related to the brain). As for neuromyths, they represent the set of erroneous beliefs about the brain stemming from false or misunderstood scientific data. The knowledge of these concepts, pushes to question the reasons that would lead us to adopt a technique. Is it the trust or sympathy with the person who presented it to us or the scientific evidence that was presented to us, that defined our choice?

This day was very rich thanks to the various speakers and topics discussed. Being in the second year of kinesitherapy studies, these presentations allowed me to discover or to deepen the data on the techniques practiced in neurokinesitherapy. This type of initiative seems to me to be an enriching experience for students as well as practicing masseur-physiotherapists, because it allows to keep an open mind to new techniques, while remaining critical towards them, thanks to the support of literature. ”