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

(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
Q

what 3 ways in exoskeleton used for early mobilization in CVA/TBI

A
  • gait training
  • guiding weight shifts
  • improving step pattern and cadence
26
Q

what tool has reduced the subjectivity of studying mental imagery and credited its effectiveness

A

dynamic brain imaging

27
Q

the cognitive rehearsal of a skill w/o mvmt body

A

mental imagery/practice

28
Q

what are 2 types of mental imagery

A
  • visualizing feeling associated with mvmt
  • visualizing actually performing the mvmt
29
Q

when is mental imagery most beneficial

A

early stages of learning that require more cognitive demands

30
Q

what 4 neuroplasticity principles are supported by mental imagery

A

repetition, specificity, salience and transference

31
Q

what is a precaution for use of mental imagery

A

CVA in parietal or premotor area –> chaotic mental imagery

32
Q

how was virtual reality previously used

A

flight simulation, surgical training, treatments of phobia/PTSD/body image disorders

33
Q

technology with interactive simulation creating near-reality environment for users

A

VR

34
Q

what is the most important neuroplasticity principles for VR

A

salience

35
Q

what does VR NOT show improvement in

A

cognitive function

36
Q

what is the goal of NMES re-education

A

re-teach pts how to contract/activate m

NM PT (16 decks)

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