4 Reach To Grasp Flashcards
What are the Critical events for RTG?
-
Prepatory phase
- visual ID of object
-
Transport phase
- dissociation of trunk and arm
- preshaping
- Acceleration/deceleration
-
Grasp phase
- Slip Grip
- Modulation
What are some muscle activation techniques?
- FES
- Guidance
- Load
- EMG
- Mirror box
- Kinesiotape
What are smoothness and accuracy techniques?
Visual target of path
Vibration of forearm for velocity, smoothness and accuracy of reach
What increases cortical excitation (readiness) for RTG activites?
Mental imagery
somatosenation stimulation
T or F bilateral training is more effectve than unilateral training
False
What are Constrait induced movement therapy (CIMT) procedures?
- Shaping
- functional activity practice in a specific way for a set of 10-30 sec trials
- Immediate FB provided
- Task practice
- LEss structured task
- Functional activity practiced for 15-20min
- The tasks are not designed to be carried out as identical and rigid movements
What are some outcomes to use with mirror box therapy?
Fugl meyer
brunnstrom arm and hand
box and block
What is the training volume for trunk restraint?
1 hr intervention
3/week
5 weeks
use RTG activities in 10 minute blockes using large and small objects
In what was does trunk restraint benefit RTG?
- reduction in anterior trunk displacement
- Increase shoulder flexion
- Increase elbow ext
- Coorination of shouler and elbow
What is the vibration intervention for RTG?
- 70hz
- Augmented stimulation was provided during tracking list (smoother target path)
- wrist tendon vibration improces velocity of reaching, smoothnes of reaching and accuracy
How does kinesiotape help RTG?
- Facilitaes muscle activation and provides proprioception for alignment
- paraspinal kinesiotape facilitates upright trunk postion
- Deltoid kinesiotape results in patients reporter greater support when reaching
