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Rood Approach
Address muscle tone with sensory approach to facilitate movement and motor learning
Inhibition and facilitating
Rood Mnemonic
I’m hyper-sensitive your rood tone
Brunnstrom Approach
Progression through stages of recovery, follows a developmental sequence
Flaccid > reflexive/synergistic > active movement
Brunnstrom Approach focus
Functional success NOT looking normal
NDT
Facilitate NORMAL movement; inhibit abnormal
Proprioceptive Neuromuscular Faciltation (PNF)
Active movement to inhibit unwanted tone/reflexes
D1 Pattern PNF
Fasten seatbelt (contralateral shoulder > ipsilateral hip)
1 driver
D2 Pattern PNF
Sheathing Sword (Ipsilateral shoulder > contralateral hip)
Done Dueling
DO NOT use CIMT if
limb is flaccid
Cognitive Strategies for Motor
Mental practice, mirror therapy
Using both hands in OT can look like…
using the affected hand (helper hand) to bear weight
Don’t have to use as main user hand