Tag Archives: bilateral isokinematic training

Bilateral Isokinematic Training in Action

Hello everyone! It has been quite sometime since my last post on Bilateral Isokinematic Training (BIT) and today, I would like to share a Video Clip on the Initial Relaxation Exercises before commencement of the actual BIT Exercises. Just a bit of background introduction to the main Actresses shown here. They are my wife rock, the stroke survivor and Puan Norani the Senior Occupational Therapist at the University Hospital in Petaling Jaya, Selangor. The video was shot in her Clinic and I have to say Puan Norani is a very experienced, well-trained OT with many years of experience in this field and she is gentle and patient

Like all Physiotherapy and OT Exercises, bringing the person into a state of relaxation is very important for effective therapy. Proper movement of the other parts of the hand in this case are related to the state of relaxation. Never, never start the exercises when the person is not relaxed because then it will be the Spasticity that is causing the movements and not the proper linkages, muscles of the hand.

As her caregiver, I am learning the whole exercise process and the various routines so that at home I can repeat the exercises properly and for at least three times a day. Each exercise routine lasts about 30 minutes and allow time for the person to rest. The Relaxation Exercises are repeated for each and every routine. Patience, gentle coaxing, verbal affirmations are the right approach for caregivers who assist stroke survivors going through the exercises.

I had shared quite a bit of information on stroke, you can view my articles at the
stroke archive by click on the link.

BIT (Bilateral Isokinematic Training)

BIT stands for Bilateral Isokinematic Training and my wife (who is a stroke sufferer) is currently undergoing this training by a trained Occupational Therapist. I did some personal research into this so call ‘New Technology’ or should I say ‘New Approach’ to treat people with unilateral (one side) damaged to the brain due to stroke or accidents etc.

Many studies and research are being done now to study the effects of this form of treatment and honestly, it is so technical that it is difficult for me to explain this in layman terms! I am sure you have noticed how babies when they kick, they often use both legs! This is what the doctors call our human inherent natural body Symmetrical Motion with respect to the mid-sagittal plane! Such studies comes under Neuro-Physiology.

In simple terms, BIT is being introduced into Stroke Recovery Programmes for upper body limbs training and there are contradicting research results from the medical practitioners. Some said BIT do not contribute significant improvements as compared to Unilateral training and others strongly recorded significant improvements! I went through the research papers and the test results are dependent on selected patient samples, extent of damaged, age factor etc. All I can say is that there are more proponents who observed positive improvements than negative ones.

In my wife’s case, she is on this program for about 2 months now and we noticed a marked improvement Continue reading