2.2- Treatment Approaches

Question 1

_________ - focus on therex and neuromuscular facilitation to prevent learned nonuse and overcompensation by intact segments

Answer 1

traditional approach

Question 2

What are the 3 basic principles to PNF?

Answer 2

1. facilitation of total patterns of movement and posture
2. normal synergies
3. normal patterns of movement are spiral and diagonal

Question 3

PNF- extremities - use ___ and ____ patterns

Answer 3

D1 and D2

Question 4

PNF- head and trunk- combines _______

Answer 4

flexion/extension with rotation (chops)

Question 5

PNF- uses _____ and _____ to facilitate muscle contraction

Answer 5

resistance and stretch

Question 6

What promotes normal development to help learn/relearn motor control through structured activities within context of functional tasks?

Answer 6

Neurodevelopmental treatment (NDT) - Bertha and Karel Bobath

Question 7

What is the theory/method behind Neurodevelopmental treatment?

Answer 7

breaking down functional tasks into component parts

Question 8

NDT- focus on ____________________

Answer 8

normal movement sequences and balance

Question 9

NDT- normalize __________ through _________

Answer 9

sensory and perception through tactile stimulation

Question 10

NDT- ________ and _______ cause abnormal movement patterns = focus on eliminating these

Answer 10

abnormal tone and primitive reflexes

Question 11

NDT- normalize _______ and _____ = use tactile cues for ____________, ______________

Answer 11

normalize postural tone and control = use tactile cues for facilitation for low tone, inhibition for high tone

Question 12

NDT- use functional activities that are ____ and ______ (rolling, sitting up, etc)

Answer 12

meaningful and goal oriented

Question 13

NDT- start with ___________ progressing to _______ progressing to __________ activities

Answer 13

gravity eliminated progressing to weightbearing progressing to gravity resisted activities

Question 14

What is not permitted with NDT?

Answer 14

substitution (compensatory) movements

Question 15

NDT- work on _______ side

Answer 15

affected

Question 16

Treatment techniques for NDT
1.
2.
3.

Answer 16

1. Guided movement
2. Handling (key points of control)
3. Rhythmic rotation

Question 17

Recovery progresses in sequence from mass movement (synergy patterns) to movements that have components of both synergy patterns, to isolated joint movements

Answer 17

Movement therapy in Hemiplegia - Brunnstrom

Question 18

Out of synergy patterns, ____________ progress to ______

Answer 18

isometric and eccentric contractions progress to isotonic contractions

Question 19

What is Brunnstrom’s now contraindicated method?

Answer 19

encourage patient to use synergy first and then work out of it

Question 20

Techniques of movement therapy of hemiplegia

Answer 20

proprioceptive input (resistance, weightbearing, stretching, tapping), use of good side to facilitate movement on the involved side