Inductive and deductive processes in developing new strategies for neurological physiotherapy
Movement disturbances originating in the central nervous system remain the most challenging problems encountered by physiotherapists. Therapeutic approaches over the years have varied from those which ignore the neurological background completely to those which assume rigidly determined hierarchical mechanisms. Some approaches have ignored the automatic postural changes which not only accompany but even precede movement; others have discounted the cognitive component inherent in functionally directed movement. Analysis of the components and sequencing of functional movement has only recently assumed importance. This paper sketches the development of neurological physiotherapy over the years, looking in particular at developmental and distributive models of functional movement. Deductive and inductive strategies are proposed which may result in more effective treatment models. These strategies are based on recent findings related to movement science and on accurate analysis of normal and abnormal movement patterns.