facilitation of proximal vital signs Flashcards
functions that are mainly under reflex control but can also be stimulated voluntarily are?
proximal functions
give examples of proximal functions
Respiration, facial, eye, tongue movements and swallowing
Making facilitation patterns against minimum resistance stimulates movements related to proximal functions
true or false?
false, maximum resistance
what king of applications we have for strengthening respiratory muscles?
direct and indirect application
Aims to improve inspiratory and expiratory functions by focusing on the sternal, costal and diaphragmatic
Exercise the abdominal muscles to strengthen forced exhalation
is related to which application?
direct application
what is the indirect application?
increasing the mobility of the chest, trunk and shoulder, reducing pain and spasticity, and relaxation.
Inspiration-related patterns are ?
neck extensions
upper and lower trunk extensions
flexion patterns of UL
Expiration-related patterns are?
neck flexors
upper and lower trunk flexions
extension patter of UL
what are the respiration positions?
supine
sideline
prone
where is the position of the hands when placed in supine position for breathing?
on sternum then downward pressure is applied obliquely going to the lateral chest on the lower ribs.
Both hands are placed parallel and diagonal to the lateral chest wall, on the lower ribs
this position for ?
side lying position
where is the placement of the hand while the patient in prone position in breathing exercises?
Hands are parallel and diagonal to the lower ribs.
Give pressure caudally along the line of the ribs.
where is the placement of the hand while the patient in prone position supported by forearm in breathing exercises?
one hand is placed on the sternum, giving pressure in a dorsal and caudal direction.
The other hand in the intercostal region
how to stimulate the diaphragm?
Thumb and palms are placed along the cartilaginous edges of the lower ribs
how to get abdominal muscles relaxed for diaphragmatic breathing exercise?
flex both hips
place your hands over the abdomen and ask the patient to inhale while pushing up into the gentle pressure is?
indirect facilitation for diaphragmatic motion
facial movements occur in 4 pivots
true or false?
false, 3
how to apply force irradiation?
giving resistance to strong movements, weak muscles are stimulated
Lift your eyebrows up. (Look surprised)
to which muscle is this commmand?
M. Frontalis
in M. frontalis exercise is done with eye closed and reinforced with neck flexion
true or false?
false, eye opened and reinforced with neck extention
Look worry, Pull your eyebrows down this command to which muscle?
M. Corrugator Supercilii
in M. Corrugator Supercilii exercise is done with eye closed
true or false?
true
what is the command for orbicularis oculi muscle?
close your eyes totally
M. Levator Palpebrae Superior exercise how we apply it?
Give resistance to the upper eyelids while the patient is trying to lift hie eyelid
Wrinkle your nose. It smells bad this command to which muscle?
M. Procerus
M. Procerus works with with m. corrugator and with eye closing
true or false?
true
how can we apply the exercise for M. Orbicularis Oris?
make the patient whistle
Command: Smile to which muscles ?
M. Risorius and M. Zygomaticus Major
Lift your upper lip up. Show your upper teeth applied to which muscle?
. Levator Labii Superior
Command: Push your lower lip down. Show me your lower teeth.
for?
M. Depressor Labii İnferior
M. Depressor Labii İnferior works with which muscle?
platysma
Command: Wrinkle your chin for which muscle?
M. Mentalis
M. Buccinator helps in?
sucking motion
when applying chin closed, we are targeting which muscles?
. Masseter and M. Temporalis
when applying mouth opened, we are targeting which muscle?
M. Infrahyoid and M. Suprahyoid
Resistance to the neck extensor muscles reinforces active jaw closing
neck flexor muscles reinforce active jaw opening
true or false?
true
Pull your chin down and inwards without opening your mouth
this command applied to which muscle?
M. Platysma
Resisted neck extension reinforces M. platysma
true or false?
false, neck flexion
list the face muscles
1-frontalis muscle.
2-Procerus muscle.
3-Orbicularis oculi muscle.
4-orbicularis oris
5-Corrugator supercilii muscle.
6-.
7-M. Levator Palpebrae
Superior
8-M. Risorius and
9-M. Zygomaticus Major
10-levator labi superior
11-depressor labi inferior
Mentalis
12-M. Buccinator
13-M. Masseter
14- M. Temporalis
15-M. Infrahyoid
16-M. Suprahyoid
17-M. Platysma
Neck extension and rotation patterns
will lead to which movement of the eye?
upward and lateral
neck flexion and rotation patterns will lead to which movement of the eye?
downward and lateral
neck rotation will spread force in lateral direction only of eye movement
true or false?
true
what are the tongue movements?
elevation, depression, protrusion, retraction, lateral and rotator movements
Neck extension causes force to spread to?
neck flexion to?
neck rotation to?
elevation
depression
lateral
Opening of the mouth is related to elevation of the tongue, closing of the mouth is related to depression of the tongue
true or false?
false, it’s the opposite
repeated contractions
inverse antagonist tech
facilitation tech
can be used to?
strengthen tongue movements
abeslank can be used to strengthen tongue movements
true or false?
true
which muscles function for swallowing?
suprahyoid and infrahyoid muscles
tongue, jaw and mouth movements should be developed first to?
improve swallowing function
Simultaneous breathing exercises can also increase the effectiveness of treatment in ?
reducing the hyperactive gag reflex