day 10 Flashcards
biomechanical FoR
focus is how the body maintains position against gravity
- how child attain and maintain proper posture
biomechanical FOR emphasizes the
importance of the proprioceptive sense
reflexes that assist the individual in transitioning form one position to another
righting
equilibrium
protective reactions
movements create shifts int eh center of gravity that require a
compensatory reactions
dysfunction of musculoskeletal system interferes with
postural reactions
neuroldevelopment FOR developed by
Dr. Bobath
neurodevelopment FOR was created for
children with cerebral palsy
emphases of neurodevelopment focuses on:
promotion of normal movement patterns is performed
spasticity
hypertonus created by tonic stretch, muscle contraction abnormal movements patterns
dystonia:
a movement disorder in which involuntary sustained intermittent muscle contraction results in twisting repetitive movements
ataxia:
lack of coordination during voluntary movements
rigidity
a type of hypertonia characterized by a resistance to externally imposed joint movements that occur at low speeds
hypotonia
diminished resting muscle tension and decreased ability to generate voluntary muscle force leading to postural instability and excessive flexibility
impaired muscular activation:
both appropriate muscles and inappropriate muscle are active. this over co-contraction can lead to increased stability and moto control of a joint and limit the degrees of freedom. this is an inefficient manner that can lead to fatigue
impaired muscle synergies
muscle synergy patterns emerge to develop more efficient ways of performing motor task children with impaired motor synergies use inefficient and ineffective muscle synergies to a perform a at task
impaired timing, sequencing, and ability to grade muscle force
timing sequencing and the ability to grade the correct amount of pressure are essential components of motor control and performance
overflow of limb contractions
often times children with CNS impairment may utilize more muscle group than needed to perform at task. this overflow may lead to problems especially when a child attempts to self-initiate
insufficient force generation
weakness related to the inability to generate a sufficient force in a msucle for a purpose of posture and movement
child not having enough strength to pull apart toys a pull out a chair for him/herself
impaired anticipatory control
anticipatory control is the ability of the muscule to perceive how to react to a force being placed upon it before the force is loaded
poverty of movement
refers to an overall decrease in movement due to CNS or msuclokeletal impairments
loss of dissociated movements
decreased ability to produce efficient movements where there is a rotation of one part of the body on another part
sensory processing impairments:
impairments with SP can lead to difficulty interpreting information correctly and thus the child may produce incorrect or inappropriate motoric responses
secondary impairments to CNS or musculoskeletal
these may occur indirectly form the primary motor impairment or environmental
NDT intervention will involve four things?
handing
preparation and facilitation
integration of activites
positioning