CoreFirst Strategies and Principles Flashcards

1
Q

Motor Learning Is:

A

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

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2
Q

Effective motor learning occurs when the training program:

A

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

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3
Q

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

A

Reintegrated into the whole

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4
Q

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

A

Repetition of the whole

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5
Q

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

A

Problem Solving

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6
Q

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

A

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

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7
Q

The Typical Steps to teaching a CoreFirst strategy are:

A
Base of support
Alignment
Automatic Core Engagement
Weight Shift
Weight Acceptance.
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8
Q

Base of Support is defined as

A

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

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9
Q

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

A

The portion and placement of the structures above

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10
Q

The base of support should allow for easy:

A

Weight transference and mobility of the structures above.

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11
Q

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

A

Best
Optimum balance
Vertical Weight transference

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12
Q

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.

A

Initiator

Generator

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13
Q

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

A

Alignment

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14
Q

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

A

Patients Needs

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15
Q

What is the definition of alignment?

A

The arrangement of the skeletal support structures.

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16
Q

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 _________

A

Balanced Position
Relaxation
Holding Patterns

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17
Q

_______ and ________ are used to identify efficient alignment and posture

A

Saliba Postural Classification

Functional tests

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18
Q

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

A

Vertical weight transference

Vertical Compression

19
Q

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

A

Ligamentous and articular

Disc

20
Q

Good alignment requires a minimal amount of ________ to maintain

A

Muscular work

21
Q

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

A

Motor activation
LPM
ACE

22
Q

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.

A

Buckling or Strain

23
Q

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

A

Vertical compression to the head

24
Q

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

A

Strength
Endurance
Properly positioned over the base of support

25
Q

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

A

Low amplitude activation.

26
Q

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

A

Global

27
Q

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

A

Relax or settle

28
Q

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

A

Gravity

29
Q

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

A

Muscles

30
Q

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

A

Protective or Reactive

Intentional

31
Q

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

A

Feed Forward

32
Q

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

A

Lumbar Protective Mechanism

Elbow Flexion Test

33
Q

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

A

Trunk

34
Q

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

A

Trunk and scapula

35
Q

Weight shift is defined as:

A

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

36
Q

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

A

Unloading

37
Q

Weight shifts should be initiated at the _________

A

Base of support

38
Q

During weight shifting efficient _________ must be maintained

A

Alignment

39
Q

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

A

Hip flexion, hip hinging.

40
Q

Weight acceptance is the principle that defines

A

The transition that occurs with a complete weight shift

41
Q

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

A

Above alignment

Balanced Support

42
Q

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

A

Base of support
Alignment
Locomotion

43
Q

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

A

Alignment
Base of support
Core segmental response
Alignment