Continuum Of Motor Control Theory Flashcards
What are the traditional motor control approaches
Rood
Brunnstrom
Proprioceptive neuromuscular facilitation(PNF)
Bobath(NDT)
What approach do the traditional motor control theories have
Top down approach
What is negative impairment and what are examples
Loss of something; decreased muscle tone, sensory loss, fatigue, decreased movement speed
What is a positive impairment and what are some examples
Additional or new problems; spasticity, presence of abnormal reflex activity/tremors
What is a secondary impairment
Preventable deficits that develop over time in response to,immobility, inactivity, or asymmetries in posture
What is an example of a primary and secondary impairment
1: spasticity
2: lack of ROM
1: low muscle tone
2: aspiration of food
What do you do for high tone
INHIBIT
What do you do for low tone
FACILITATE
What are facilitation methods for low muscle tone
Tapping Quick stretch Joint compression more than body weight Vibration Brushing Resistance
What are inhibition techniques for high muscle tone
Touch/slow stroking Maintained pressure Deep tendon pressure Joint compression less than body weight Slow rolling Neutral warmth
What should you immediately work on with a patient
Trunk control and bed mobility
Once trunk control and bed mobility is addressed what should treatment progression be
Normalize muscle tone
Facilitate movement proximal to distal
What is brunnstrom used for
Stroke
What is unique about brunnstrom
Okay to use reflexes to facilitate normal movement
What is mirror synkinesis
Resisted grasp of uninvolved hand causes grasp reaction in involved hand
What is homolateral limb synkinesis
Flex of involved arm causes flex on involved leg
What is souques
Raising of involved UE above shoulder level causes fingers to abduct and extend
What’s ramistes phenomenon
Resistance to ab/adduction of uninvolved LE results in similar of involved LE
What is a typical cva UE synergy
Arm is addicted and IR. Elbow flexed. Forearm probated. Wrist and fingers flexed
What approach is PNF
Integration because it makes you cross midline
What are external control parameters
Regulatory conditions or object affordances, they influence a persons plan of action for executing a task
What are internal control parameters
Body alignment, muscle length/strength that influence the motor program for a task
