CoreFirst Strategies and Principles Flashcards
Motor Learning Is:
The automatic retention of training which alters or enhances one’s postural and movement patterns.
Effective motor learning occurs when the training program:
Segregates individual components of the “whole” functional activity for repetition and kinesthetic enhancement.
When motor learning once part of a movement is automatic the individual component is:
Reintegrated into the whole
Once a part of an individual component is reintegrated the focus of training returns to:
Repetition of the whole
The CoreFirst strategies for motor learning are presented from a __________ perspective.
Problem Solving
By using a problem solving perspective the patient develops the ability to:
Apply knowledge learned during physical therapy to other activities not explored or practiced.
The Typical Steps to teaching a CoreFirst strategy are:
Base of support Alignment Automatic Core Engagement Weight Shift Weight Acceptance.
Base of Support is defined as
The foundation that accepts all body weight and which supports the structures above.
The width and placement of the base of support is often dependent upon
The portion and placement of the structures above
The base of support should allow for easy:
Weight transference and mobility of the structures above.
The base of support should allow for the _____ position of the structures above to promote __________ and __________
Best
Optimum balance
Vertical Weight transference
The base of support should be in such a position as to allow it to not only serve as a foundation for posture and movement, but as the ______ of movement and the _______ of force as well.
Initiator
Generator
Base of support must be taught prior to attempt to alter or change one’s perception of _______
Alignment
For exercise - make sure to tailor prescription of sets, reps etc to the ________
Patients Needs
What is the definition of alignment?
The arrangement of the skeletal support structures.
Efficient alignment promotes a _________ of each segment in relation to its Base of Support and should allow for a state of balance which promotes ________ not _________
Balanced Position
Relaxation
Holding Patterns
_______ and ________ are used to identify efficient alignment and posture
Saliba Postural Classification
Functional tests
Efficient alignment is that position which allows for efficient ___________ to the base of support and can be confirmed with _________
Vertical weight transference
Vertical Compression
Good alignment and posture provides for decreased _________ stress and ______ pressure
Ligamentous and articular
Disc
Good alignment requires a minimal amount of ________ to maintain
Muscular work
Good alignment allows for the most efficient _________of core trunk stabilization and therefore a better ________ and ______ response
Motor activation
LPM
ACE
When one is positioned in an efficient alignment, vertical compression can be applied through the shoulders and result in an efficient weight distribution to the base of support with no _______ or _________ manifested in the structure.
Buckling or Strain
A gentle assessment of alignment of the cervical spine can be assessed by:
Vertical compression to the head
Bracing is an integral part of training to improve ___________ and __________ but evidence shows that when a patient is ______________ the core will respond automatically to stabilize the spine when an external force is applied
Strength
Endurance
Properly positioned over the base of support
Basic muscle physiology reveals that muscles which are already in a state of __________ are more easily facilitated
Low amplitude activation.
When in a holding pattern the ___________ muscles will will provide the primary response to an external load, inhibiting core response
Global
When training the patient to assume an efficient alignment it is important to convey the concept of _______ or _______ onto the base of support so as to allow the global muscles to let go
Relax or settle
The emphasis is made when teaching an efficient alignment to work with __________ to achieve this state of balance
Gravity
We use the metaphor of stacking blocks when teaching posture because there are no _________ to hold on to each block
Muscles
Automatic core engagement should be present in both ____________ responses to the change in the environment as well as during all ________ movements
Protective or Reactive
Intentional
As defined by Hodges the ____________ mechanism of our central nervous system promotes a proximal stability in anticipation of any functional activities
Feed Forward
The ACE can be assessed utilizing the functional tests _____________ and _____________
Lumbar Protective Mechanism
Elbow Flexion Test
The LPM assesses the ACE of the __________ in both sitting and standing
Trunk
The EFT can be utilized in sitting or standing to evaluate the ACE of the ________ and _________
Trunk and scapula
Weight shift is defined as:
The transference of weight from one point in the base of support to another
Weight shift included the partial or complete ________ of one point of the base of support
Unloading
Weight shifts should be initiated at the _________
Base of support
During weight shifting efficient _________ must be maintained
Alignment
In active sitting, weight shift should be initiated with________ otherwise stated as ________
Hip flexion, hip hinging.
Weight acceptance is the principle that defines
The transition that occurs with a complete weight shift
The target weight bearing surface during weight acceptance must be stable enough to support the __________ and provided ___________ to the above structure
Above alignment
Balanced Support
Weight acceptance is dependent upon an efficient ___________ and ________ and allows for the freeing of a distal extremity for __________
Base of support
Alignment
Locomotion
Weight acceptance is not just unilateral weight bearing. It is a balanced __________ over the _________ that automatically facilitates a _________ which facilitates a more efficient ________
Alignment
Base of support
Core segmental response
Alignment
