THE REHABILITATION OF BODY SCHEMA ON PARAPLEGIC PATIENTS Introduction Inferior limb paraly i !

en ory "i #$rban%e an" p&in%#er "i #$rban%e are %a$ e" by "ama'e #o #&e pinal %or"! all #&ree of #&e e yn"rome in a (i"e ran'e "epen"in' on #&e %lini%al an" #&e in#en i#y of #&e "ama'e from e)ere form of #o#al in#err$p#ion of bone marro(! #o ro$'& parapare i *+,! *-,. Paraple'ia i "efine" by "e%rea e" m$ %$lar #ren'#& of lo(er limb */,! *0,. I# may be a o%ia#e" #o #o#al or par#ial #r$n1 "efi%ien%y. If #&e $pper limb are in%l$"e" in #&e pare#i%! #&e %on"i#ion i %alle" 2$a"riple'ia *+3,. O#&er %on"i#ion #&a# pre en# f$n%#ional impo#en%e! b$# no# ba e" on m$ %le "efi%i# are4 %erebellar a#a5ia! )e #ib$lar yn"rome ! O #eopa#& ! e)ere ar#&ropa#&ie le' ! e#%.! "e%rea e" m$ %le #ren'#& bein' #&e only "ifferen%e be#(een paraple'ia an" #&e o#&er "i or"er *+6,! *++,. T&e bo"y %&ema i one of #&e f$n"amen#al %on%ep# in &$man "e)elopmen#. S%&il"er 7+896: "efine bo"y %&ema a a #&ree; "imen ional ima'e of o$r o(n bo"y (&i%& (e form in min"! &o( (e per%ei)e #&e bo"y *3,. <i#&o$# bo"y %&ema! men#al #r$%#$re #&a# are ne%e ary for ymboli% repre en#a#ion of o#&er #&in' %an no# b$il# a lon' a #&ey "epen" on pre)io$ p$r%&a e *9,! *=,. S%&il"er 7+896: &i'&li'&# #&e %orrela#ion be#(een mo)emen# an" bo"y %&ema. He ar'$e #&a# mo)emen# lea" #o a be##er orien#a#ion in rela#ion #o o$r o(n bo"ie *9,! *=,. <e "on># 1no( m$%& abo$# o$r bo"y if (e "on># mo)e! an" #&e mo)emen# i a $nifyin' fa%#or be#(een #&e "ifferen# par# of #&e bo"y *?,. Many e5per# a'ree S%&il"er! #&a# by mo)in' (e %ome in %on#a%# (i#& #&e $rro$n"in' (orl" an" #&e ob@e%# ! an" only by mo)emen# an" ne( en)ironmen#al %on#a%# ! 1no(le"'e of o$r o(n bo"y (ill in%rea e *8,. Methods T&e #$"y (a %arrie" o$# on a 'ro$p of #&ree $b@e%# . Fre2$en%y of mee#in' in (&i%& I applie" #&e bo"y %&eme re&abili#a#ion pro'ram (a one mee#in' e)ery (ee1. Ini#ial #e #in'

(a #o a e #&e 1no(le"'e of bo"y %&eme. For #&i I applie" fo$r #e # 4 +. A. DE MEAR TEST ; 1no(le"'e of bo"y par# 4 #&i #e # aim #o i"en#ify #&e 1no(le"'e of &$man bo"y par# by %&il"ren! a%%or"in' #o a'eB for ea%& a'e %a#e'ory #&ere are a n$mber of 1ey #&in' #&a# #&ey &o$l" learn *+-,. /. GOODENOAGH TEST4 pa#ien# i a 1e" #o "ra( a &$man fi'$re. He "oe n># 'e# any $''e #ion B &e i $r'e" #o "ra( a &e (an# . Any i#em #&a# may be an in#en#ion #o pre en# a bo"y par# a r$"e a "ra(in' i 2$o#e". If ne%e ary! #&e pa#ien# i 2$e #ione" on a "ra(in' "e#ail (i#&4 C<&a# i #&i DC. Sample a a (&ole! in%l$"e elemen# mar1e" by + or 6! an" %on#ain #&e main elemen# #&a# %o$l" "ra( pa#ien# *+-,. -. EEALAATION GRILLE ON BODY SCHEMA AND SELF; A<ERENESS (&i%& &o( "ynami% %&ara%#eriFa#ion of #&e $b@e%# af#er i# &a $n"er'one a erie of #e # *++,! *+/,. 0. TEST FOR HIGHLIGHTING THE CAPACITY ON SPATIAL ORIENTATION AND O<N>S BODY GNO<LEDGE P$rpo e4 To &i'&li'&# #&e abili#y of orien#a#ion in pa%e an" a(arene of o(n bo"y! re%o'niFin' pa#ial rela#ion an" opera#in' (i#& pe%ifi% lan'$a'e 7%lo e;a(ay! $p;"o(n! fron#;ba%1! o$# i"e;in! #op;bo##om! ri'&# ! lef#! &an"! foo#! on! $n"er:. Ma#erial4 familiar ob@e%# 7ball! boo1! pen%il! #oy! boo1! e#%..: pla%e" in #&e (ay #o ren"er #&e follo(in' pa#ial rela#ion &ip 7%lo e; a(ay! $p;"o(n! fron#;ba%1! o$#;in! o)er;bo##om! ri'&#! lef#! (i#&! in:! a e# of re2$iremen# /6 *+-,. Af#er #&e e a e men# ! pa#ien# > p y%&omo#or "i or"er &a)e been re)eale" an" #&e main ob@e%#i)e of #&e 1ine#i% plan (ere e#. S$b e2$en#ly! #&ey (ere $b@e%#e" #o bo"y %&eme re&abili#a#ion pro'ram! (&i%& in%l$"e" a erie of e5er%i e for 1no(le"'e an" name &$man bo"y par# ! re%o'ni#ion an" repro"$%#ion of "ifferen# bo"y po i#ion ! "emon #ra#in' #&e f$n%#ion of #&e bo"y e'men# ! repor#in' #o #&eir o(n bo"y in pa%e or #o o#&er ob@e%# ! in%rea in' %onfi"en%e in #&eir %apabili#ie ! %apa%i#y #o learn "ifferen# emo#ion an" moo" .

Results Tabel +
Applie" #e # A. DE MEAR Ini#ial re TEST H Final re ma5im$m +6 GOODENOAGH Ini#ial re TEST H Final re ma5im$m 9+ TEST FOR HIGHLIGHTING Ini#ial re THE CAPACITY ON SPATIAL ORIENTATION AND O<N>S Final re BODY GNO<LEDGE H ma5im$m /6 $l# $l# $l# $l# $l# S$be@%# + 3 +6 /+ -0 +0 S$b@e%# / 0 ? +8 -6 8 S$b@e%# +6 +6 -8 00 +3

$l#

/6

+3

/6

Tabel /
EEALAATION GRILLE ON BODY SCHEMA AND SELF; A<ERENESS H 3- #a 1 F$lfille" #a 1 Ini#ial re $l# Final re $l# Pa#ial f$lfille" Ini#ial re $l# #a 1 Final re $l# Anf$lfille" Ini#ial re $l# #a 1 Final re $l# S$b@e%# + +3 -6 -0 /? +9 S$b@e%# / 3 /+ -9 -3 // 3 S$b@e%# -0 0= /8 +3 6 6

Discussions A &o(n in Table + an" Table /! #&e e)ol$#ion of #&e $b@e%# i no#i%eable. T&ey &a)e ma"e pro're in 1no(le"'e an" name &$man bo"y par# ! re%o'ni#ion an" repro"$%#ion of "ifferen# bo"y po i#ion ! "emon #ra#in' #&e f$n%#ion of #&e bo"y e'men# ! repor#in' #o #&eir o(n bo"y in pa%e or #o o#&er ob@e%# ! in%rea in' %onfi"en%e in #&eir %apabili#ie ! %apa%i#y #o learn "ifferen# emo#ion an" moo" .

Conclusions In %on%l$ ion! i# %an be een #&a# #&e e5er%i e $ e" in #&i #$"y (ere fo$n" #o be effe%#i)e! (i#& a po i#i)e effe%# on re&abili#a#e #&e bo"y %&eme of paraple'i% pa#ien# ! impro)in' #&e 2$ali#y of #&eir li)e a (ell. Al o! by or'aniFin' 'ro$p mee#in' #&ro$'& (&i%& $b@e%# (ere able #o e #abli & frien"ly rela#ion ! a o%ial benefi# (a %rea#e" for #&em. Re&abili#a#ion of bo"y %&eme #rea#men# &o$l" be %on#in$e" an" a"ap#e" a%%or"in' #o #&e remainin' elemen# of all $b@e%# in or"er #o in#e'ra#e #&em in#o o%ie#y! an" orien#a#e #&em #o(ar" a rea onable %areer. Dr$' in#er)en#ion ! pe%ialiFe" in#er)en#ion 7p&y io#&erapy! pee%& "i or"er #&erapy! p y%&omo#or e"$%a#ion: "o no# o)erlap an" are no# m$#$ally e5%l$ i)e! b$# %omplemen#! fa%ili#a#in' #&e a%2$i i#ion of 1ill re2$ire" for p&y i%al an" mo#or "e)elopmen# of #&e $b@e%# *+0,. Be i"e #&erapi # ! #&e %&il" al o nee" in i# "e)elopmen# #&e pre en%e of #&e mo#&er! (&o e emo#ional inp$# &a an e en#ial role in in#e'ra#in' #&e bo"y %&eme. T&$ ! a paraple'i% %&il" nee" #o play (i#& &i mo#&er! #al1in' abo$# r$nnin'! @$mpin'! #&in' #&a# &i mo#&er 1no( (ell! a o#&er(i e &e 1no( #&a# &e (ill ne)er "o a an in"i)i"$al "oe n># $ffer from #&i "i ea e *+3,. He "e i'n a &eal#&y bo"y ima'e! ymboliFe" by (or" an" 'rap&i% ! in re#$rn from #opi% #o #opi%. T&e fa%# #&a# &i "e ire are #&$ p$# in#o (or" (i#& omeone (&o a%%ep# #&i pro@e%#i)e 'ame be i"e &im! allo( #&e $b@e%# #o in#e'ra#e #&e e "e ire "e pi#e reali#y. *+=, <&en a %&il" i affe%#e" by a "i abili#y! i# i e en#ial #&a# &i p&y i%ally "efi%i# #o be e5plaine"! lin1e" (i#& &i $ ;%ripple pa #! or (&ere appropria#e! %on'eni#al "ifferen%e be#(een &im an" o#&er %&il"ren. May be &e %an! in mimi% lan'$a'e an" (or" ! #o fan#a ie "e ire ! (&e#&er realiFe" or no# $n"er &i infirm %&eme bo"y. References *+,CONSTANTIN! D.! Neurologie clinic curs i lucrri practice, B$%$re#i! E"i#$ra Ani)er i#Iii Ti#$ Maiore %$! /668 */,HJNCA! A.! Recuperarea n bolile neurologice, Con #ana! E"i#$ra F$n"aiei An"rei a'$na! /66?

*-,HAFSCHMIDT! A.! Neurologie integral de la simptom la tratament, Iai! E"i#$ra Polirom! /66/ *0,GORY CALOMFIRESCA! .! Curs de neurologie pentru studenii Seciei de Kinetoterapie a Facultii de Educa ie Fizic i Sport, Cl$@;Napo%a! E"i#$ra Ri oprin#! /6+6 *9,ALBA! A.! ALBA! C.! IACOB! I.! ELAD! T.! Psihomotricitatea metodologia educrii i reeducrii psihomotrice, Iai! In #i#$#$l E$ropean! /663 *3,DOLDO! F.! maginea incontient a corpului, )ol. II! B$%$re#i! E"i#$ra Trei! /669 *=,ALBA! A.! ALBA! C.! Psihomotricitateala !"rsta de cretere i dez!oltare, Iai! E"i#$ra Spir$ Hare#! +888 *?,CACA! M.! Psihomotricitatea i actul gra#ic e!aluare i inter!en ii terapeutice, Cl$@;Napo%a! E"i#$ra Ri oprin#! /660 *8,CIOBANA! M.! Stimularea dez!oltrii psihomotricitii prin $oc, Sla#ina! E"i#$ra Di"a%#i% Pre ! /66= *+6,ALBA! C.! Kinetoterapia pasi!, Iai! E"i#$ra Polirom! /660 *++,OCHIANK! G.! %udoterapia n recuperarea disabilitilor psiho& neuro&motorii ale copiilor ndrumtor metodologic, Iai! E"i#$ra Performan#i%a! /663 *+/,PKANESCA! C.! Recuperarea medico&pedagogic a copilului handicapat mintal, B$%$re#i! E"i#$ra Me"i%alI! +886 *+-,RADA! D.! ALICI! G.! E!aluarea i educarea psihomotricitii, B$%$re#i! E"i#$ra F$n"aiei H$mani#a ! /66*+0,DE MEAR! A.! Ps'chomotricit(, Education et r((ducation ps'chomotrices! Br$5elle ! E"i#$ra De Boe%1! +8?? *+9,EPARAN! M.! Psihologia Educaiei Fizice, B$%$re#i! E"i#$ra Spor#;T$ri m!+8=3 *+3,PENDEFANDA! G.! Semiologie neurologic, Iai! E"i#$ra Con#a%# In#ernaional! +88/ *+=,SBENGHE! T.! Kinetologie pro#ilactic, terapeutic i de recuperare, B$%$re#i! E"i#$ra Me"i%alI! +8?=