Exam 2-Unit 10: Motor Treatment 2 Flashcards
CIMT details
- Restriction of unaffected UE for 90% of WAKING hours
- Active movement of more involved UE in therapy and/or HAP
- Utilized neuroplasticity
Proprioceptive Neuromuscular Facilitation (PNF) techniques & goal
For head, neck, & UE conditions resulting in decreased proprioception, ROM, & strength:
* Rhythmic initiation
* Rhythmic stabilization
* Rhythmic reversals
* Rhythmic oscillations
* Contract, hold, relax
Goal: Achieve highest level of function
Observe functional problems in terms of diagonal movements.
Indications for Rhythmic Initiation
Tension or difficulty initiating mvmt = Aid in initiation of movement.
Movement too slow or too fast = Normalize rate of motion.
Regulate or normalize muscle tone = Help client relax.
Uncoordinated or dysrhythmic motion = Improve coordination & sense of motion. Teach the motion.
(D1 & D2)
Goal of Rhythmic Initiation
- Aid in initiation of movement
- Improve coordination & sense of motion
- Normalize rate of motion
- Teach the motion
- Help client relax
Reversal of Antagonists: Purpose & use
Purpose: Coordinate & improve movement between agonists & antagonists.
Used for impaired balance, strength, stability, & coordination.
Rhythmic Stabilization: Purpose & how to
Isometric contractions to facilitate stabilization.
Contact & Relax: Purpose & how to
Increase ROM
–Client takes tight muscle group to end-ROM then engages isometric contraction.
–Client then relaxes while OT takes muscle group into further ROM, increasing ROM.
D1 flexion…
“Reach up to grab glasses”
Begin with arm reached up to cabinet, then bring it close to chest.
D1 extension…
“Throwing glass away”
Begin holding glass close to chest, then put it back in the cabinet.
D2 flexion…
“Pulling a sword”
Being by grabbing the sword lodged in your chest (w/ ulnar deviation)
Ends in D2 extension.
D2 extension…
“Replacing the sword”
Begin with bicep flexed, wrist supinated, pouring water on your body.
Ends in D2 flexion.
