Alternative Interventions Flashcards
How is the mirror positioned for mirror therapty
Parallel to midline , in front of patient
Mirror block view of affected limb
How does mirror therapy work
Makes visual illusion such that movement or touch of intact limb may be perceived as affecting the affected limb
What can mirror therapt allow dissociation between
Sensation of pain from movement
When can u use mirror therapt
- hemiparesis (hemineglect , motor control)
- bradykinesia
- pain (complex regional pain syndrome , phantom limb pain)
Moderate quality of evidence says that MT improved what in strokes
- motor function
- ADL
Limited but sig evidence says that MT improved what in strokes
- pain
- hemi neglect
How do u place the mirror for hemineglct
Mirror places on intact side , reflected the neglected side
What do some studies say how long u should for MT
5days/week x 4 weeks
.5 to 5 hours a day
What does whole body vibration provide
Meachnical vibration through platform that impact the entire body
Early studies have should improved what in while body vibration
• Balance
• Bone mineral density
• Flexibility
• Pain levels
• Strength
Whole has whole body vibration been used w
• Athletes
• Adults & children with
various neurological
conditions
• Well & frail older adults
What is the physiological effects of WBV
Motor unit recruitment thru receptive stimulation of mm spindles and alpha motor neurons thru Ia afferents (sensor)
What afferents are sensitive to rate of mm length changes
Ia
The repeated vibrations (stertch) stimulate what reflex
Tonic vibration
Meta-analyses suggests effects for WBV are: similar to what and greater when
• Similar to resistance training
• Greater among untrained people than athletes
• Greater among women than men
• Greater in people over 50
• Greater with high frequency & intensity platforms
What are the theories for imporvoed flexibility
- neural inhibiton
- altered proprioception
- thermal effect
What neuromuscular changes: pain inhibiton has WBV seen improvements with
- delayed onset muscle soreness
- chronic low back pain
- fibromyalgia
- post polio syndrome
What is the physiological effects of WBV for biomechanical
Bone strengthen by high mechanical loading
- wolff’s law
What are teh physiological effects for WBV- vascular
- increased blow flow
- reduced arterial stiffness
What is a main contra/precautions from WBV
Implants at the joints , metal fixation or pacemarker
`What is the WBV treatment parameters for bone density (amplitude and frequency)
❖Bone density low amp (0.3 g) hi freq (30-50 Hz)
What is the WBV treatment parameters for mm/ legs (amplitude and frequency)
❖Muscles/ligs hi amp hi freq (30-50 Hz)
What is the WBV treatment parameters for balance/pain (amplitude and frequency)
❖Balance/pain low amp low freq (<20 Hz)
What is the WBV treatment parameters for blood flow (frequency)
hi freq (20-60 Hz)
