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An original Scientific RESEARCH utilising the Wiring Patterns of the Neurological System, 'CSR', Cortico-Subcortical Relay practiced for over two decades in INDIA, aims to bypass abnormal pathways with parallel pathways to tap the remaining Enormous Central Nervous System potentials and utilizing alternative circuitry for Rehabilitation of the Dysfunction. Thus a neural bypass-allowing stimulus to reach it's destination as compared to Cardiac bypass restoring blood flow. The numerous interconnections within the Central Nervous System, a fact not always sufficiently considered either in the formation of ideas on the working of the Brain or in Therapeutic Procedures. Cortico-Subcortical Relay opens up new horizons in the evaluation of CNS function, dysfunction and subsequent Rehabilitation measures. White matter understanding although a gray matter lesion. This theory shifts the focus of attention from spot lesion to related intricate and complex pathway dysfunction. Studies in the past three decades have clearly demonstrated the complexity and multitude of interconnections in the Central Nervous System. Neural plasticity has pointed towards reorganization in the white matter. Thus revolutionizing management in Rehabilitation Sciences including prescription of appliances. The concept is based on NEUROANATOMY and the emphasis is wiring. Understanding of the network will definitely improve the care on our hands. Ignorance will consolidate disability to some extent. In this Millennium more Scientific expositions would be available to us and computerized knowledge of stimulus interaction in the nervous system would clarify for the first time normal functioning pathways and the pathways showing dysfunction. Therapeutic procedures which will compliment and counteract lost fiber function along with regeneration due to sprouting or irradiation thus reducing the effect of disability.The years to come, will be very exciting laying down the foundation of richer Rehab measures with the New Concept. The Author Dr Nandu Chhabria PT. shared this original scientific thinking with Alf Brodal M D, Father of Neuroanatomy. Alf Brodal quoted "I am glad to know that you stress the numerous inter connections within the CNS. I fully agree with you when emphasizing the importance of interrupted pathways for the resulting symptomatology. The problems of definite co-relations of anatomical lesions with functional deficits are indeed formidable. It is encouraging when Physiotherapists attempt to apply knowledge of the Anatomy and Physiology of the Brain in their therapeutic efforts." |