2.2- Functional Training Flashcards
_______________ - uses functional postures and activities to help clients regain motor control.
Functional Training
Many functional skills are first acquired during ________________.
earlier developmental stages
What are the 7 developmental skills in order?
rolling -> lying prone on elbows -> quadraped -> sitting -> kneeling -> standing -> walking
Functional training focuses on variety of motor skills needed for everyday life, including ______.
transitions between and within postures
What focuses on variety of motor skills needed for everyday life, including transitions between and within postures?
Functional training
With functional training, patient learns to control
1.
2.
3.
- larger body segments against smaller BOS
- increased gravity
- increased body weight (BOS narrowed while COG raised)
Functional training increases demands on _______
postural control and balance
What does functional training teach patients in regards to their muscle groups?
to use muscle groups in multiple planes/axis and combinations of types of muscle contraction
What should a PT/PTA do when a patient is unable to do a skill?
break the skill down into component parts for practice
What 2 types of support can a therapist give during learning?
manual and verbal support
________ - guided movement, active assisted movement, facilitated movement
manual support
________ - instructions, verbal cueing
verbal support
Therapist should gradually remove _______ and ______ systematically.
assistance and support
What should a therapist do when the return to normal function is not always possible?
focus on compensatory strategies in those situations
What are the 4 stages of motor control?
- Mobility
- Stability
- Controlled Mobility
- Skill
- not well controlled, postural control and antigravity control is missing
mobility
- ability to maintain a steady position in a weightbearing antigravity position
stability
- dynamic postural control, ability to alter positions while maintaining postural stability (mobility superimposed on stability)
controlled mobility
- movement is not sustained or well coordinated, base is large, and movement occurs in dependent postures
mobility
- requires effective co-contracture of flexors and extensors
stability
- endurance is important
stability
- movement is added once postural control is achieved
controlled mobility
- stabilization of proximal segments and trunk is important to provide stable base for extremity movement
stability
- highly coordinated, allows client to meet demands of changing environment
skill
- must be able to reverse directions while maintaining stability
controlled mobility
- includes weight shifts and transition from one posture to another and against gravity
controlled mobility
- dynamic balance responses are essential
controlled mobility