2.2- Functional Training

Question 1

_______________ - uses functional postures and activities to help clients regain motor control.

Answer 1

Functional Training

Question 2

Many functional skills are first acquired during ________________.

Answer 2

earlier developmental stages

Question 3

What are the 7 developmental skills in order?

Answer 3

rolling -> lying prone on elbows -> quadraped -> sitting -> kneeling -> standing -> walking

Question 4

Functional training focuses on variety of motor skills needed for everyday life, including ______.

Answer 4

transitions between and within postures

Question 5

What focuses on variety of motor skills needed for everyday life, including transitions between and within postures?

Answer 5

Functional training

Question 6

With functional training, patient learns to control
1.
2.
3.

Answer 6

1. larger body segments against smaller BOS
2. increased gravity
3. increased body weight (BOS narrowed while COG raised)

Question 7

Functional training increases demands on _______

Answer 7

postural control and balance

Question 8

What does functional training teach patients in regards to their muscle groups?

Answer 8

to use muscle groups in multiple planes/axis and combinations of types of muscle contraction

Question 9

What should a PT/PTA do when a patient is unable to do a skill?

Answer 9

break the skill down into component parts for practice

Question 10

What 2 types of support can a therapist give during learning?

Answer 10

manual and verbal support

Question 11

________ - guided movement, active assisted movement, facilitated movement

Answer 11

manual support

Question 12

________ - instructions, verbal cueing

Answer 12

verbal support

Question 13

Therapist should gradually remove _______ and ______ systematically.

Answer 13

assistance and support

Question 14

What should a therapist do when the return to normal function is not always possible?

Answer 14

focus on compensatory strategies in those situations

Question 15

What are the 4 stages of motor control?

Answer 15

1. Mobility
2. Stability
3. Controlled Mobility
4. Skill

Question 16

• not well controlled, postural control and antigravity control is missing

Answer 16

mobility

Question 17

• ability to maintain a steady position in a weightbearing antigravity position

Answer 17

stability

Question 18

• dynamic postural control, ability to alter positions while maintaining postural stability (mobility superimposed on stability)

Answer 18

controlled mobility

Question 19

• movement is not sustained or well coordinated, base is large, and movement occurs in dependent postures

Answer 19

mobility

Question 20

• requires effective co-contracture of flexors and extensors

Answer 20

stability

Question 21

• endurance is important

Answer 21

stability

Question 22

• movement is added once postural control is achieved

Answer 22

controlled mobility

Question 23

• stabilization of proximal segments and trunk is important to provide stable base for extremity movement

Answer 23

stability

Question 24

• highly coordinated, allows client to meet demands of changing environment

Answer 24

skill

Question 25

• must be able to reverse directions while maintaining stability

Answer 25

controlled mobility

Question 26

• includes weight shifts and transition from one posture to another and against gravity

Answer 26

controlled mobility

Question 27

• dynamic balance responses are essential

Answer 27

controlled mobility