(2) Treatment Approaches for TBI/CVA - Lab Flashcards
Hands on, client centered approach that seeks to improve gross motor function in children and adults with neuro problems
NeuroDevelopmental Treatment
What must NDT include
sensorimotor experience bc/ learning comes from mvmt perception
what is the major focus on NDT
postural responses and mvmt patterns while avoiding abnormal mvmts
what 4 things does NDT encourage
- using both sides of body
- WB on affected side
- decrease use of adaptive equipment
- managing m tone
what are the main populations NDT was historically used with
adult CVA/hemi and Cerebral palsy
what theory was NDT based on
reflex-hierarchical theory
dynamic approach to the evaluation and treatment of neuromsk dysfunction that take into account neurophysiological and kinesiologic principles of sensory-motor system
PNF
what 2 patterns of mvmt are used in PNF
diagonal and spiral
PNF can be used to improve strength to improve what 2 things in TBI pts
balance recovery and gait
when should PNF be started?
ASAP
why was CIMT developed
initial unsuccessful use of affected limb post stroke
what is the theory that CIMT is based on
learned non-use theory
what is the learned non-use theory
pt gets negative FB in the form of pain or task failure when trying to use affected limb –> teach pts how to compensate
what did Taub find when he applied his theory of CIMT to human subjects
restraining stronger side and using weaker side could improve the amt and quality of mvmt
what are 3 components of CIMT
- intensive, repetitive motor training
- constraint of non-paretic limb
- behavioral techniques to facilitate transfer of gains
what principle of neuroplasticity is represented by CIMT preventing use of compensatory behavior, forcing pt to relearn involved UE
use it and improve it
why was mirror therapy originally invented?
for post amputation pts struggling with phantom limb pain and learned paralysis
what is a theoretical condition in which phantom limb was paralyzed in similar position to the original limb pre-ampuation
learned paralysis
what is mirror therapy
uses mirror to create a reflection of affected limb, thought to trick the brain into thinking that mvmt has occured
what cells in the brain are active during mirror therapy
mirror cells
what cells react equally when we perform an action and when we see somebody else perform an action
mirror cells
what was the first application for exoskeleton
gait rehab in stroke and SCI pts
what is a peripheral device that attaches to the wrist and allows person to interact with their task
end-effector
what are the primary neuroplasticity principles for use of exoskeleton
high repetition and high intensity practice
what 3 ways in exoskeleton used for early mobilization in CVA/TBI
- gait training
- guiding weight shifts
- improving step pattern and cadence
what tool has reduced the subjectivity of studying mental imagery and credited its effectiveness
dynamic brain imaging
the cognitive rehearsal of a skill w/o mvmt body
mental imagery/practice
what are 2 types of mental imagery
- visualizing feeling associated with mvmt
- visualizing actually performing the mvmt
when is mental imagery most beneficial
early stages of learning that require more cognitive demands
what 4 neuroplasticity principles are supported by mental imagery
repetition, specificity, salience and transference
what is a precaution for use of mental imagery
CVA in parietal or premotor area –> chaotic mental imagery
how was virtual reality previously used
flight simulation, surgical training, treatments of phobia/PTSD/body image disorders
technology with interactive simulation creating near-reality environment for users
VR
what is the most important neuroplasticity principles for VR
salience
what does VR NOT show improvement in
cognitive function
what is the goal of NMES re-education
re-teach pts how to contract/activate m
