2.2- Treatment Approaches Flashcards
_________ - focus on therex and neuromuscular facilitation to prevent learned nonuse and overcompensation by intact segments
traditional approach
What are the 3 basic principles to PNF?
- facilitation of total patterns of movement and posture
- normal synergies
- normal patterns of movement are spiral and diagonal
PNF- extremities - use ___ and ____ patterns
D1 and D2
PNF- head and trunk- combines _______
flexion/extension with rotation (chops)
PNF- uses _____ and _____ to facilitate muscle contraction
resistance and stretch
What promotes normal development to help learn/relearn motor control through structured activities within context of functional tasks?
Neurodevelopmental treatment (NDT) - Bertha and Karel Bobath
What is the theory/method behind Neurodevelopmental treatment?
breaking down functional tasks into component parts
NDT- focus on ____________________
normal movement sequences and balance
NDT- normalize __________ through _________
sensory and perception through tactile stimulation
NDT- ________ and _______ cause abnormal movement patterns = focus on eliminating these
abnormal tone and primitive reflexes
NDT- normalize _______ and _____ = use tactile cues for ____________, ______________
normalize postural tone and control = use tactile cues for facilitation for low tone, inhibition for high tone
NDT- use functional activities that are ____ and ______ (rolling, sitting up, etc)
meaningful and goal oriented
NDT- start with ___________ progressing to _______ progressing to __________ activities
gravity eliminated progressing to weightbearing progressing to gravity resisted activities
What is not permitted with NDT?
substitution (compensatory) movements
NDT- work on _______ side
affected
Treatment techniques for NDT
1.
2.
3.
- Guided movement
- Handling (key points of control)
- Rhythmic rotation
Recovery progresses in sequence from mass movement (synergy patterns) to movements that have components of both synergy patterns, to isolated joint movements
Movement therapy in Hemiplegia - Brunnstrom
Out of synergy patterns, ____________ progress to ______
isometric and eccentric contractions progress to isotonic contractions
What is Brunnstrom’s now contraindicated method?
encourage patient to use synergy first and then work out of it
Techniques of movement therapy of hemiplegia
proprioceptive input (resistance, weightbearing, stretching, tapping), use of good side to facilitate movement on the involved side
