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CAFMT > CoreFirst Strategies > Flashcards

CoreFirst Strategies Flashcards

1
Q

CoreFirst principles and strategies

A

BOS
Alignment
LPM/ACE
Weight acceptance
Weight shift

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2
Q

Functional tests

A

Postural classification
VCT
EFT
LPM and FACE

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3
Q

Postural classification

A

Thoracic on pelvic/Thoracic tip

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4
Q

Bed mobility

A

Assisted rolling
Self-assisted bridging
Up from side lying
Up from supine
Up from prone

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5
Q

CoreFirst Progression

A

Bed mobility
Unsupported sitting
Active sitting
Reclined/supported sitting
Static standing
Active Standing

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6
Q

Evaluation aspects

A

Pain
Irritability of pain
Functional assessments

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7
Q

Pain evaluation

A

Location
Frequency
Duration
Intensity

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8
Q

Irritability of pain

A

Immediate onset
Delayed Onset

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9
Q

Immediate onset

A

Linked to specific movement, activity or posture
Monitor pain during treatment and exercise
Mechanical in nature (often)
Deep massage

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10
Q

Delayed Onset

A

Non specific pain, slowly comes on
Not directly linked to specific movement, activity, posture
Pain day later
More inflammation
light massage
PEP

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11
Q

Progressive Exercise Program (PEP)

A

Instructed in 3 exercises -attempt each individually
-one day at a time
-gradually combine those that don’t agg. presenting symptoms

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12
Q

Functional Assessment

A

Load Sensitive
Pressure sensitive
Position sensitive
Stasis Sensitive

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13
Q

Stasis sensitive

A

“Squirmer”
Prolonged positioning=pain

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14
Q

Self care guidelines

A

Position of Comfort
Ice
Anti-inflammatory
PUP principle
Avoid Agg. activities

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15
Q

Position of Comfort (POC)

A
  1. Position in mid-range, loose-pack, tissue tension, pain-free position
  2. Support all areas of suspension, or unsupported areas
  3. Support from proximal to distal
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16
Q

Ice

A

Ice massage
Ice pack

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17
Q

Active Standing

A

BOS
Alignment
WS/WA
Functional squat
Reaching
Functional Training
Sit to stand
Stand to sit
Light lifting moderate height
Lifting/carrying
Heavy lifting
Push pull

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18
Q

Support

A

Towel, Pillow, Piece of foam, or any other structure or object which can be placed external to the body and be used to unload the weight of a particular body part from the proximal tissues

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19
Q

Fulcrum

A

Pillow, Towel, Piece of foam or any other structure which alters the alignment of the body to emphasize a movement in one direction or another

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20
Q

Kinesthetic Comparative Training (KCT) / Proprioceptive Comparative Training (PCT)

A

(A) Experience existing position or function
(B) Alter pt structure, position, function and/or apply support and have pt note Proprioceptive and kinesthetic changes
(A) Return to original posture, position, function and/or remove supports the verbally describe changes kinesthetically
*Pt define proprioceptive awareness after ABA sequence

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21
Q

Dysfunctions in Side lying

A

-Head and neck unsupported
-Upper or Lower extremity not supported
-Lumbar spine over or under supported
-Too much weight on lower shoulder

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22
Q

Side-lying positioning

A

Assess
- Head and neck
- pillow support proximal
- for Mid cervical lateral shear
- Lack C/T junction support
- Arm support
- need to unload shoulder with T/S support
- lumbar shear
- position and support of upper leg
-Pregnancy: support under breast and abdomen

23
Q

Dysfunctions in Supine

A

Cervical pillow is too thick
Support does not unload head
Support not proximal or roll creates a fulcrum
Lumbar support no positioned appropriately or right thickness
Leg support no proximal or does not sufficiently support LE

24
Q

Supine positoining

A

Assess
- leg support (first)
- lumbar support
- Head and neck support
- T/S support
- Arm support

*Towel scrunch

25
Q

Prone with Extension positioning

A

Pillows under stomach and feet (or just stomach to avoid excessive or compressive extension)
Use of cradle, folded towel or pillows and towels under shoulders to support head and neck
*Not encouraged (encourage to partial prone); Typically only used for resting, to reduce a derangement, or during prone treatment without a head rest

26
Q

Partial Prone positioning

A
  • pillows under chest and abdominal region, anterior to pelvic region, under the thigh.
  • Down arm positioned posterior to trunk or 45 degree flexion at shoulder
  • Down leg extended
  • upper leg flexed
  • neck supported in mid-range, slightly flexed and rotated supported by folded towel in flag shape or pillow corner
  • folded towel for additional lumbar support if needed
  • upper shoulder supported
27
Q

Acute Care Exercises

A
  • Log Rolling
  • Functional Hip release
  • Diaphragmatic Breathing
  • Hands and knees
  • Supine over Prop
  • Pelvic Clock
  • Lateral Shear in Side-lying
  • Prone knee bend, unilateral and bilateral
  • Prone press up segmentally
  • Extension in standing
  • Extension with distraction and flexion with distraction
  • Basic bracing
28
Q

Unsupported sitting seating surfaces

A
  1. Height of seating surface
  2. A-P depth of the seating surface
  3. Shape and tilt of the seat pan
29
Q

unsupported sitting verbal commands

A
  1. how much excursion you have on this surface
  2. how much effort it is to sit up on this surface
  3. Exactly where the effort is occurring to sit up on this surface
30
Q

Functional Training Height (FTH)

A

Most efficient height for the training of the patient in unsupported sitting
-stool too high: end feel first in lumbar spine (extension block)
-stool too low: first in the hips

31
Q

Dissociating Sequence

A
32
Q

Non-Dissociating sequence
-Cannot fully extend and allow sternum to lift away from abdomen

A
33
Q

Unsupported sitting sequence

A
  1. Proper sitting surfaces
  2. Evaluation/Observation
  3. BOS
  4. FTH
  5. Pelvic Floor
  6. Lumbo-pelvic hip movement
  7. Dissociating sequence or Non-dissociating sequence
  8. Shoulder girdle position
  9. Head and neck position
  10. Post test
  11. Motor control training
34
Q

Active sitting incorporates principles of…

A

Weight shift
Weight Acceptance
BOS
Alignment

35
Q

Inappropriate initiation during active sitting

A

Flexion or extension in the trunk and at the lumbo-pelvic junction

36
Q

Inappropriate weight acceptance during active sitting

A

Extension of the neck and back

37
Q

Inappropriate timing during active sitting

A

Pt allowing movement to continue once the end range of the hips has been reached. Trunk flexion and lumbo-pelvic flexion is observed at the end ROM

38
Q

Active sitting evaluation

A
  1. Observe pts natural movement hinging forward and backward in the chair; arms folded across chair
  2. Notice maintenance of alignment or compensations. Position BOS
  3. Compensation secondary to tightness in the hips
  4. Position of the head
39
Q

Active Sitting training

A
40
Q

Active sitting Weight acceptance

A
41
Q

Active sitting efficient timing

A
42
Q

Active sitting balanced alignment is maintained during movement by:

A
  1. Initiating movement from BOS
  2. Allowing the axis of motion to occur at the hips
  3. Allowing BOS to accept weight and inversely facilitate automatic activation of the core
43
Q

Active sitting: Head and neck considerations

A

dysfunction: counters momentum of ws by lifting head and backward bending in the C/S
*Instruct to relax chin and keep the neck in a neutral position through the movement.

44
Q

Active sitting: Thoracic region

A

Tendency to either lift or drop Thoracic region out of balance alignment.
Focus on feeling weight of the thoracic spine immediately accepted into forward BOS when WS begins. Cueing to continue weight bearing through abdominal wall is important during WS phase

45
Q

Active sitting: Lumbar region

A

Common dysfunction: flexion but occasionally will extend as counter to WS. Extension indicates patients weight accept into new BOS. Flexion indicates lack of LPM and effective timing with appropriate hip hinging

46
Q

VCT and EFT used during static standing to…

A
  1. Confirm Saliba Postural classification
  2. Determine automatic trunk response
  3. Highlight subtle dysfunctions to the therapist and patient
47
Q

Static Standing CFS

A
  1. continuously asked to find “Happy place” on feet
  2. Ankles flexible with A-P direction of weight shift
  3. Knees flexible (some flexion needed)
  4. Hip relaxed
48
Q

Vertical Posterior correction

A
49
Q

Vertical posterior self correction

A
50
Q

Posterior/Posterior correction

A
51
Q

Posterior/posterior self correction

A
52
Q

Posterior/Anterior Correction

A
53
Q

Posterior/Anterior self correction

A
54
Q

Core trunk musculature

A

Multifidi
deep fibers of psoas
deep fibers of quadratus lumborum
Transverse Abdominus
Deep rotators

CAFMT (8 decks)

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