03/11/2026
There are a very particular set of challenges for people who remain very strong and highly functional even after neurological injuries. Coordination deficits at higher intensities, persisting brain patterning or posturing of the involved limbs, and a lot of wondering what missing pieces there still are in improving what is already "great" movement in the eyes of most people.
In James' case, like many others who are highly functional working on one particular movement goal, it's about grading the movement DOWN👇, not UP☝️.
The brain loves heavy work, lots of sensory input, BIG movements, pushing/pulling against something (fixing the limb)🧠 So if the goal is running with a freely swinging arm, then we start with what the brain loves and work our way DOWN to those small, fast, light, and free movements.
Many times people at this level have been doing the reverse throughout rehab because they started out at a much lower functional level in the hospital and transitioning into Outpatient therapy requires getting functional strength and coordination back by practicing movement over and over and over again until they can move something as heavy as their own bodyweight for a successful sit to stand. That was all extremely necessary at the time, but now the brain needs something different!
-Before and after coming soon! ⭐
