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7313/7333 Bringman > 4.19 Eyes, Rood's > Flashcards

4.19 Eyes, Rood's Flashcards

1
Q

What happens if there’s a lesion in the optic chiasm?

A
  • lose nasal on both sides
  • get a blind spot in the middle (opposite to horse blinders)
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2
Q

Homonymous hemianopsia is common in this type of stroke. What happens?

A
  • left CVA
  • right sided blindness
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3
Q

Important things for a pt who has homonymous hemianopsia to understand

A
  • they will have to turn their head to read everything
  • affects both near and far distance
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4
Q

pts with homonymous hemianopsia: What is a common problem?

A
  • they often run into things because they can’t see or feel them
  • have to teach them how to move their heads as they go
  • can also get a focal point of vision loss
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5
Q

What are Rood’s techniques? (list them)

A
  1. stretch
  2. joint manipulation
  3. cutaneous stimulation
  4. icing
  5. deep pressure
  6. neutral warmth (with maintained touch)
  7. vestibular stimulation
  8. auditory
  9. visual
  10. gustatory
  11. olfactory
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6
Q

Rood’s techniques: stretch types

A
  • facilitatory
  • inhibitory
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7
Q

What is a facilitatory stretch?

A

quick stretch gets the person to contract

  • calls for motion
  • creates increase in muscle threshold to create contraction
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8
Q

What external stimulus can be used for facilitatory/inhibitory stretch?

A

vibratory massager

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9
Q

vibratory massager: inhibitory frequency

A

≤ 100 Hz

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10
Q

vibratory massager: facilitatory frequency

A

≥ 100 Hz

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11
Q

Inhibitory stretch

A
  • long stretch
  • allows to possibly get more ROM
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12
Q

types of joint manipulation (Rood’s)

A
  • compression
  • distraction
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13
Q

Compression is (facilitatory/inhibitory)

A

facilitatory

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14
Q

Distraction is (facilitatory/inhibitory)

A

inhibitory

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15
Q

Why is joint compression facilitatory?

A
  • usually happens through WB and creates cocontraction at the joint
  • anything that creates force through the joint will cause contraction
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16
Q

types of cutaneous stimulation

A
  • light touch
  • slow stroking
  • maintained
17
Q

cutaneous stimulation: light touch

A
  • down paraspinals, will likely contract
  • facilitatory
  • people have different thresholds to elicit contraction
18
Q

cutaneous stimulation: slow stroking

A
  • slow stroke over a muscle belly
  • inhibitory
19
Q

cutaneous stimulation: maintained

A
  • underarmor, wrapping
  • not super tight
20
Q

icing techniques (timing)

A
  • quick
  • maintained
  • prolonged
21
Q

icing: quick

A
  • single, quick stroke
  • facilitatory
22
Q

icing: maintained

A
  • 3-5 sec
  • builds up, then get them to contract
  • facilitatory
23
Q

Why does maintained icing cause facilitation?

A

neuro input: muscle is cold and wants to contract

24
Q

prolonged icing

A
  • 15-20
  • inhibitory
  • will reach a point where it relaxes
25
Q

deep pressure

A
  • over a muscle or tendon
  • inhibitory
  • good for PROM
26
Q

neutral warmth

A
  • with maintained touch
  • inhibitory
27
Q

vestibular stimulation

A
  • slow rocking, spinning, rolling
  • inhibitory
28
Q

auditory (Rood’s)

A
  • loud noise typically makes people jump
  • soft sounds relaaaaaaaaaaax
  • maaaaaybe putting someone with spasticity in a super loud environment would be counterproductive
29
Q

visual (Rood’s)

A
  • visually busy: lots of crap everywhere
  • want a muted environment with fewer distractions to relax
30
Q

gustatory

A
  • taste
  • sour, spicy things are excitatory
  • sweeeeeeeet are relaxing
31
Q

When would the Rood’s technique for taste be used?

A
  • early in brain injury, use food when trying to get any type of reaction
  • coma, semi-coma
  • easy to elicit
32
Q

How is gustatory used in coma/semi-coma pts?

A
  • citric acid rubbed on tongue
  • shows brain is creating the appropriate response
33
Q

olfactory (Rood’s)

A
  • sharp odors (bleach, ammonia, etc) excitatory
  • vanilla, lavender
  • can use this shit to your advantage

7313/7333 Bringman (56 decks)

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