PT Interventions

Emphasis is focused on improving function for the pt to return to participation in ADLs, work and recreation

Approach to Interventions

moment by moment decision making throughout treatment
be creative but have RATIONALE behind your choice of intervention
- if it’s too easy make it harder

Evolution of PT Interventions

1920-1940s
- muscle re-ed approaches
- focus was on muscle strengthening and conditioning
1940-1980s
- neurofacilitation approaches
- looking at focusing on what pt has lost and recover that function (function-based)
- Rood, Brunnstrom, NDT, PNF
- Rood Approach
  - 2 primary components
    - motor development sequences
    - sensory stimulation techniques (strong emphasis on sensory function)
- Brunnstrom
  - identified:
    - abnormal synergy patterns
      - ex: if stressful, synergy will occur w/ movement
    - stages of motor recovery after stroke
- Neurodevelopmental Treatment (NDT)
  - guides pt toward normal posture and movement patterns
  - begins w/ core stability and postural alignment
  - determine points of contact and direction of pressure
- Proprioceptive Neuromuscular Facilitation (PNF)
  - series of specific diagonal patterns for UE and LE w/ combo of these patterns to apply to the pt during functional activities or as ther-ex
  - manual contacts are placed OPPOSITE the movement or direction of motion in order t o apply stretch and resistance
    - rotation at the hips and shoulders often lacking
    - D1
      - Flexion, adduction, ER
      - Extension, abduction, IR
    - D2
      - Flexion, abduction, ER
      - Extension, adduction, IR
1980s-present
- task-oriented approaches
- Gentile’s taxonomy
- regain motor function thru task related activities

Motor Relearning Program