What happens on the way to learned non-use? #learnedhypouse

No matter the stimulus or breaking point, be it vestibular neuronitis leading to dependence on vision; a stroke leading to dependence on a non-dominant arm; neuropathy leading to dependence on sensory information from the hands (wall or furniture walking); or a meniscal derangement leading to asymmetrical weight bearing in gait, cuts, jumps, landing…the outcome CAN be learned nonuse. Our brains adapt to noxious stimuli, danger, and pain very quickly. We adapt. However, the term “adapt” does not do the process justice. Adapt has too many positive connotations that may spin it toward a positive capacity to change for the good under environmental pressures. Let’s call it what it is…we compensate. Let’s make a push to do better. To find a way to reconnect the threads of correct movement through the thousands of procedural memory repetitions that a PERSON had before they became a PATIENT. I could go on… #learnedhypouse is sometimes accepted, informed, and directed in therapy. We can do better. We must. Disability can last a lifetime. An opportunity to see meaning, see change, see capacity, can only take minutes and can mean the world if delivered at the right time.