Rehab Techniques Test 1

if we had weakness to initiate the movement

didnt have the ability to sustain the movement necessary

2 reasons why would we use mobility?

inititate movement, and increase ROM (tightness or spasticity)

Key words for mobility

stability

used for isometric strengtheing, improve static postural control, and ability to hold in WB postures

hold, maintain, stabilize, stable

4 Key words for stability

WS or if your trying to move within a posture (must be able to hold in midline)

2 reasons to use controlled mobility?

dynamic, WS

2 key words to look for in controlled mobility

when at least 2 limbs are planted or in a closed position

one or 2 limbs are moving (transitional stage)

what or when is static dynamic used (2)

to work on ambulation, timing, sequencing (efficiency and speed)

3 reasons why would you use skill?

gait, ambulation, timing, endurance, sequencing

key words for skill (5)

All of them can be used, they just all use different principles

What stages of motor control can be used for strength out of the first 3?

Mobility and repeated stretch

IF you wanted to work on muscular endurance, which motor control would you use and what technique?

Overflow

where when a muscle is stronger than the opposite, then it overflows and it helps the other one (kind of compensatory)

cognitive (what to do), associative(how to do it), autonomous (how to succeed)

what are the three stages of motor learning?

Cognition

use vision and alot of trial and error

Associative

mainly rely on prorprioception, but still some vision

Autonoumous

things come almost automatically, thinks are almost perfect

pathology

(the disease, disorder, or the condition) an abnormality characterized by a particular cluster of s/s and recognized by either the patient or physician or the practitioner as abnormal (broke foot or parkinson's disease)

Impairment

the loss or abnormality of anatomical, physiological, menatal, or psychological structure or function

(decrease ROM, decrease strength, endurance, gripping strength, etc)

Functional Limitation

(ADL) the restriction of the ability to perform o at the level of the whole person, a physical action, task or activity in an efficient, typically expected manner (unable to thred a belt, or put a shirt on, or brush teeth)

Disability

the inability to perform or a limitation in the performance of actions, tasks, and activities usually expected in specific social roles that are customary for the individual or expected for the person's status or role in a specific sociocultural context and physical enviroment (home management, work, job, school, community or lesisure)

retention, adaptability (generalizability), and resistance to contextual changes

what are the 3 ways to manage motor learning?

retention

can demonstrate skill over time and after a period with no practice (riding a bike)

adaptability, generalizability

ability to apply a skill to learning of other similar tasks (adapt a skill to a new skill)

Resistance to contextual change

can perform motor task in altered enviromental situations

through practice, and dependent on sensory information/ feedback

How do we learn and what is it dependent on?

NO

Just because you practice, does that mean you will experience retention?

Massed Practice

practice more than you rest (if you have a highly motivated patient, and the task if highly meaningful or functional ex, transfer)

-can still split up as long as practice time is longer

Distributed Practice

rest more than practice (use if something is complex or energy costly or SUPERIOR performance is desired)

-also if someone has low motivation, attention span, or fatigues easily

Mental practice

cognitive rehersal =/visual imagery

-if the patient is highly anxious or safety is of concern

-Left CVA

Blocked Practice Pattern

one task is repeated

Random Practice Pattern

variety of task (pt doesnt know the order that they are coming)

Blocked Practice Order

single task with SPECIFIED reps

-skill acquisition and performance

Serial Practice Orders

series of task (predictable sequence of exercise, patients knows the order)

-ex. 10 abd, 10 flex, etc.

-skill and retention

Random Practice Order

unpredictable sequence (pt doesnt know what is coming)

-skill and retention

Jean Ayers

-OT and clinical psychologist

-sensory integration theory

-autistic kinds

Sensory Integration theory

integrates structured and order sensory experiences with desired motor behaviors

Berta Bobath

-PT

-NDT neurodevelopmental treatment

-synergies are bad

NDT

neurodevelopmental treatment: based on the importance of developing normal muscle tone as a prep for normal movement

-uses postures and movements patterns to inhibit abnormal things

Signe Brunnstrom

-PT and OT

-developed the 6 recovery stages of adults after strokke

6 recovery stages of adults after stroke

-synergies are good

-approach encourages use of available movements as they appear, abnormal presents first but works toward normal movement patterns (figure out how to use synergies and spasticity)

Margaret Knott

PT and PNF

proprioceptive neuromuscular facilitation: uses carefully time and applied proprioceptive stimultu to elicit and improve motor activity

-->can be used beyond neuro (whenever muscle weakness is a problem)

What is PNF?

Rood

PT and OT: rood approach

Rood approach

appropriate sensory stimulation can elicit specific motor responses; muscles can be activated, facilitated, or inhibited through the use of sensory system; ontogenic developmental patterns

Perception

ability to take sensory information and be able to figure out what is important, and what information you can throw out)

-persepsion necessary for interpreting sensations and responding correctly

-ex. hot stove (sensory with memory)

Arousal

overall level of alertness or excitement of cerebral cortex (level 4 TBI is very arrousable)

Attention

capacity of BRAIN to process info from the enviroment or long term memory; consistency is key

ex. erratic in thought and concentrate on a task

Cognition

capacity of CNS to process info from the enviroment or long term memory; includes knowing, understanding, awareness, etc

-figure out new ways to teach

CVP and MS

capacity for movement

N and MS

control of movement (otherwise uncoordinated or ataxic)

CVP and N

neural profusion (communication with what is happening between brain and what is happening with heart and respiratory system)

Overlappy all body systems is the

Autonomic NS and Immune system ( motor control will be affect if one is hindered)

who, what, how is it measured, and under what conditions

What are the 4 components of long term goals

duration, frequency, intensity (maybe speed)

What are some examples of parameters of capacity (4)

activities, stages of control, and parameters of capacity

what is involved in the intervention model? (3)

Acitivities

postures and movements

Stages of control

-classification of motor abilities

increase in complexity as we go (mobility, stability, controlled mobility, and skill)

normal timing

promotes proximal to distal timing to integrate normal function (reveresed in trunk)

-->manually prevents distal segment from moving until the proximal segment is done

resisted progressions

applied during the gait cycle: facilitates and reinforces sequencing of proximal components

(the greater the resistance, the larger the motions will occur

Static Hold Resisted Contraction

Postoral Antigravity extensors

weakness, poor static postural control, instability in WB and holding

3 indications for stability

Shortened held resisted contraction, stabilizing reversal, and Rhythmic stabilization

list the 3 techniques of stability

Skill

involves highly coordinated movements that allow for adapatibillity to meed demands of an individual and the enviorment

Skill

Describes the QUALITY

Timing for emphasis and Repeated Stretch or contraction

two techniques used for strength

-to increase ROM: Hold relax, contract relax, and rhythmic stabilization

-initiate movement: replication, repeated stretch, and rhythmic initiation

techniques used for Mobility (2 and 3 things to do the 2 things)

Techniques used for stability

=shortened held resisted contraction

-stabilizing reversal

-rhythmic stabilization

techniques used for controlled mobility

dynamic reversal,

dynamic reversal hold

combination of isotonics

techniques used for skill

NOrmal timing

Resisted progression