CoreFirst Strategies and Principles

Question 1

Motor Learning Is:

Answer 1

The automatic retention of training which alters or enhances one’s postural and movement patterns.

Question 2

Effective motor learning occurs when the training program:

Answer 2

Segregates individual components of the “whole” functional activity for repetition and kinesthetic enhancement.

Question 3

When motor learning once part of a movement is automatic the individual component is:

Answer 3

Reintegrated into the whole

Question 4

Once a part of an individual component is reintegrated the focus of training returns to:

Answer 4

Repetition of the whole

Question 5

The CoreFirst strategies for motor learning are presented from a __________ perspective.

Answer 5

Problem Solving

Question 6

By using a problem solving perspective the patient develops the ability to:

Answer 6

Apply knowledge learned during physical therapy to other activities not explored or practiced.

Question 7

The Typical Steps to teaching a CoreFirst strategy are:

Answer 7

Base of support
Alignment
Automatic Core Engagement
Weight Shift
Weight Acceptance.

Question 8

Base of Support is defined as

Answer 8

The foundation that accepts all body weight and which supports the structures above.

Question 9

The width and placement of the base of support is often dependent upon

Answer 9

The portion and placement of the structures above

Question 10

The base of support should allow for easy:

Answer 10

Weight transference and mobility of the structures above.

Question 11

The base of support should allow for the _____ position of the structures above to promote __________ and __________

Answer 11

Best
Optimum balance
Vertical Weight transference

Question 12

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.

Answer 12

Initiator

Generator

Question 13

Base of support must be taught prior to attempt to alter or change one’s perception of _______

Answer 13

Alignment

Question 14

For exercise - make sure to tailor prescription of sets, reps etc to the ________

Answer 14

Patients Needs

Question 15

What is the definition of alignment?

Answer 15

The arrangement of the skeletal support structures.

Question 16

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 _________

Answer 16

Balanced Position
Relaxation
Holding Patterns

Question 17

_______ and ________ are used to identify efficient alignment and posture

Answer 17

Saliba Postural Classification

Functional tests

Question 18

Efficient alignment is that position which allows for efficient ___________ to the base of support and can be confirmed with _________

Answer 18

Vertical weight transference

Vertical Compression

Question 19

Good alignment and posture provides for decreased _________ stress and ______ pressure

Answer 19

Ligamentous and articular

Disc

Question 20

Good alignment requires a minimal amount of ________ to maintain

Answer 20

Muscular work

Question 21

Good alignment allows for the most efficient _________of core trunk stabilization and therefore a better ________ and ______ response

Answer 21

Motor activation
LPM
ACE

Question 22

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.

Answer 22

Buckling or Strain

Question 23

A gentle assessment of alignment of the cervical spine can be assessed by:

Answer 23

Vertical compression to the head

Question 24

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

Answer 24

Strength
Endurance
Properly positioned over the base of support

Question 25

Basic muscle physiology reveals that muscles which are already in a state of __________ are more easily facilitated

Answer 25

Low amplitude activation.

Question 26

When in a holding pattern the ___________ muscles will will provide the primary response to an external load, inhibiting core response

Answer 26

Global

Question 27

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

Answer 27

Relax or settle

Question 28

The emphasis is made when teaching an efficient alignment to work with __________ to achieve this state of balance

Answer 28

Gravity

Question 29

We use the metaphor of stacking blocks when teaching posture because there are no _________ to hold on to each block

Answer 29

Muscles

Question 30

Automatic core engagement should be present in both ____________ responses to the change in the environment as well as during all ________ movements

Answer 30

Protective or Reactive | Intentional

Question 31

As defined by Hodges the ____________ mechanism of our central nervous system promotes a proximal stability in anticipation of any functional activities

Answer 31

Feed Forward

Question 32

The ACE can be assessed utilizing the functional tests _____________ and _____________

Answer 32

Lumbar Protective Mechanism | Elbow Flexion Test

Question 33

The LPM assesses the ACE of the __________ in both sitting and standing

Answer 33

Trunk

Question 34

The EFT can be utilized in sitting or standing to evaluate the ACE of the ________ and _________

Answer 34

Trunk and scapula

Question 35

Weight shift is defined as:

Answer 35

The transference of weight from one point in the base of support to another

Question 36

Weight shift included the partial or complete ________ of one point of the base of support

Answer 36

Unloading

Question 37

Weight shifts should be initiated at the _________

Answer 37

Base of support

Question 38

During weight shifting efficient _________ must be maintained

Answer 38

Alignment

Question 39

In active sitting, weight shift should be initiated with________ otherwise stated as ________

Answer 39

Hip flexion, hip hinging.

Question 40

Weight acceptance is the principle that defines

Answer 40

The transition that occurs with a complete weight shift

Question 41

The target weight bearing surface during weight acceptance must be stable enough to support the __________ and provided ___________ to the above structure

Answer 41

Above alignment | Balanced Support

Question 42

Weight acceptance is dependent upon an efficient ___________ and ________ and allows for the freeing of a distal extremity for __________

Answer 42

Base of support Alignment Locomotion

Question 43

Weight acceptance is not just unilateral weight bearing. It is a balanced __________ over the _________ that automatically facilitates a _________ which facilitates a more efficient ________

Answer 43

Alignment Base of support Core segmental response Alignment