(2) Treatment Approaches for TBI/CVA - Lab Flashcards

1
Q

Hands on, client centered approach that seeks to improve gross motor function in children and adults with neuro problems

A

NeuroDevelopmental Treatment

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2
Q

What must NDT include

A

sensorimotor experience bc/ learning comes from mvmt perception

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3
Q

what is the major focus on NDT

A

postural responses and mvmt patterns while avoiding abnormal mvmts

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4
Q

what 4 things does NDT encourage

A
  • using both sides of body
  • WB on affected side
  • decrease use of adaptive equipment
  • managing m tone
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5
Q

what are the main populations NDT was historically used with

A

adult CVA/hemi and Cerebral palsy

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6
Q

what theory was NDT based on

A

reflex-hierarchical theory

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7
Q

dynamic approach to the evaluation and treatment of neuromsk dysfunction that take into account neurophysiological and kinesiologic principles of sensory-motor system

A

PNF

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8
Q

what 2 patterns of mvmt are used in PNF

A

diagonal and spiral

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9
Q

PNF can be used to improve strength to improve what 2 things in TBI pts

A

balance recovery and gait

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10
Q

when should PNF be started?

A

ASAP

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11
Q

why was CIMT developed

A

initial unsuccessful use of affected limb post stroke

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12
Q

what is the theory that CIMT is based on

A

learned non-use theory

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13
Q

what is the learned non-use theory

A

pt gets negative FB in the form of pain or task failure when trying to use affected limb –> teach pts how to compensate

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14
Q

what did Taub find when he applied his theory of CIMT to human subjects

A

restraining stronger side and using weaker side could improve the amt and quality of mvmt

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15
Q

what are 3 components of CIMT

A
  • intensive, repetitive motor training
  • constraint of non-paretic limb
  • behavioral techniques to facilitate transfer of gains
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16
Q

what principle of neuroplasticity is represented by CIMT preventing use of compensatory behavior, forcing pt to relearn involved UE

A

use it and improve it

17
Q

why was mirror therapy originally invented?

A

for post amputation pts struggling with phantom limb pain and learned paralysis

18
Q

what is a theoretical condition in which phantom limb was paralyzed in similar position to the original limb pre-ampuation

A

learned paralysis

19
Q

what is mirror therapy

A

uses mirror to create a reflection of affected limb, thought to trick the brain into thinking that mvmt has occured

20
Q

what cells in the brain are active during mirror therapy

A

mirror cells

21
Q

what cells react equally when we perform an action and when we see somebody else perform an action

A

mirror cells

22
Q

what was the first application for exoskeleton

A

gait rehab in stroke and SCI pts

23
Q

what is a peripheral device that attaches to the wrist and allows person to interact with their task

A

end-effector

24
Q

what are the primary neuroplasticity principles for use of exoskeleton

A

high repetition and high intensity practice

25
what 3 ways in exoskeleton used for early mobilization in CVA/TBI
- gait training - guiding weight shifts - improving step pattern and cadence
26
what tool has reduced the subjectivity of studying mental imagery and credited its effectiveness
dynamic brain imaging
27
the cognitive rehearsal of a skill w/o mvmt body
mental imagery/practice
28
what are 2 types of mental imagery
- visualizing feeling associated with mvmt - visualizing actually performing the mvmt
29
when is mental imagery most beneficial
early stages of learning that require more cognitive demands
30
what 4 neuroplasticity principles are supported by mental imagery
repetition, specificity, salience and transference
31
what is a precaution for use of mental imagery
CVA in parietal or premotor area --> chaotic mental imagery
32
how was virtual reality previously used
flight simulation, surgical training, treatments of phobia/PTSD/body image disorders
33
technology with interactive simulation creating near-reality environment for users
VR
34
what is the most important neuroplasticity principles for VR
salience
35
what does VR NOT show improvement in
cognitive function
36
what is the goal of NMES re-education
re-teach pts how to contract/activate m