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Neuro 2 - Exam 2 > Alternate Therapies - PD > Flashcards

Alternate Therapies - PD Flashcards

1
Q

PD’s impact on motor fxn

A

potential for long term MS complications

focus on axial mobility

fxnal axial rotation

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2
Q

potential for long term MS complications

A

loss of spinal flexibility

changes in core strength

postural changes

asymmetry

reduced respiratory volume

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3
Q

reduced respiratory volume –> long term MS complications

A

contributes to change in activity and pain

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4
Q

what has been seen in early stages of PD –> focus on axial mobility

A

loss of spinal flexibility

in fxnal tasks

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5
Q

what are important to incorporate –> focus on axial mobility

A

relaxation strategies

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6
Q

how do we do postural training –> focus on axial mobility

A

through heightened awareness and visual feedback

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7
Q

what should we include –> focus on axial mobility

A

flexibility/stretching activities

core strengthening and pain management

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8
Q

what could we use fxnal axial rotation for

A

increase FAR

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9
Q

examples of exercises

A

tai chi

kayaking

agility course

boxing

lunges

pre-pilates

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10
Q

what should we have the pt do

A

use their BW

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11
Q

what can the pt using their BW reduce

A

akinesia

bradykinesia

rigidity

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12
Q

principles of PD intervention

A

intensity

difficulty

specificity

saliency

repetition

pole walking

use of bungys

treadmill training

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13
Q

intensity –> Principles

A

dosage

push beyond self selected energy expenditure

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14
Q

difficulty –> Principles

A

cognitive engagement

progressive challenge

constant high attentional focus

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15
Q

specificity –> Principles

A

focus on fxnal tasks used daily

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16
Q

saliency –> Principles

A

emotional engagement

empower/educate/ reward

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17
Q

pole walking –> Principles

A

aerobic and PD specific

whole body activation

forced arm swing

cues posture

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18
Q

use of bungys

A

big movements w/ no fear/anxiety

whole body activation

encourages repetition to retrain activation for whole body movements

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19
Q

treadmill training

A

amplitude and timing of movement

agility

balance

20
Q

motor learning

A

fxnal training

21
Q

fxnal training –> ML

A

utilizing the info gathered in the movement analysis

22
Q

what should we be doing w/ fxnal training –> ML

A

breakdown the task and take note of the fxnal limitations

23
Q

what should we determine w/ fxnal training –> ML

A

current biomechanics and changes that are required

24
Q

why do we practice gait

A

freezing d/t floor color changes or cement/grass

practicing turning. speeds, initiating and terminating

25
Q

dual task –> ML

A

increase capacity for attentional load and incorporate secondary/cognitive task

26
Q

training sit to stand –> ML

A

break the task into parts

27
Q

balance –> ML

A

equilibrium rxns in all planes of movement and different controls

28
Q

what should we use w/ balance –> ML

A

rhythmic stabilization to increase static balance

practice

29
Q

practice –> balance –> ML

A

refining balance rxns

weight shifting

30
Q

neurologic music therapy

A

therapeutic application of music

31
Q

what does neurologic music therapy treat

A

cognitive, sensory and motor dysfxns

d/t neurologic dz of the CNS

32
Q

what does neurologic music therapy do

A

enhances exercise performance

b/c music is not processed in the BG

33
Q

is exercise neuroprotective

A

forced use

forced non-use

conclusion

34
Q

forced use

A

found a decrease in sxs

increase in striatal dopamine levels and number of cells in SN

35
Q

forced non use

A

found significant worsening of their dz

36
Q

conclusion of exercise –> neuroprotective

A

exercise increases the release of dopamine and decreases dopamine reuptake

37
Q

impact on motor fxn

A

fatigue or reduced activity tolerance

stress

38
Q

why do pts have fatigue or reduced activity tolerance

A

increased energy expenditure d/t bradykinesia and rigidity

39
Q

what could impact a pt’s fatigue or reduced activity tolerance

A

sleep pattern changes

balancing work/home activities w/ need for both appropriate rest and exercise

40
Q

what may fatigue be exacerbated by

A

apathy

depression

41
Q

what do increased stress levels lead to

A

exacerbation of all motor sxs

42
Q

how many pts have anxiety

A

40%

may worsen as an “off” phenomenon

43
Q

interventions to decrease stress/fatigue

A

activity modifications

conditioning exercise

positioning and bed mobility

relaxation exercises/strategies

alternative therapies

44
Q

activity modification –> interventions to decrease stress/fatigue

A

to decrease repetitive motions and conserve energy

45
Q

conditioning exercise –> interventions to decrease stress/fatigue

A

increase endurance and as a strategy for stress reduction

46
Q

positioning and bed mobility –> interventions to decrease stress/fatigue

A

if sleep is disrupted d/t pain or discomfort

47
Q

alternative therapies –> interventions to decrease stress/fatigue

A

massage

music

hydrotherapy

Neuro 2 - Exam 2 (16 decks)

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