Final Lecture Flashcards
What is the primary goal of rehab?
Optimal functional recovery and maximize independence
Which factors impact movement patterns?
- Aging
- Changing body dimensions
- Level of physical activity
- Nutrition
- Environmental factors
Differentiate between motor recovery and motor compensation
Motor Recovery: Reacquisition of skills lost through injury (variable, and may not return to preinjury performance)
Motor Compensation: Performance of old movement in a new manner (patient should be educated on compensatory strategies if motor recovery is not available)
List the 3 stages of motor learning
- Cognitive stage
- Associative stage
- Autonomous stage
Describe the cognitive stage
- Dramatic gains
- Instruction is most beneficial
Describe the associative stage
- Gains are gradual (days to weeks)
- ENCOURAGEMENT is most beneficial
Describe the autonomous stage
- Gains are subtle
- Patient is already “proficient” with task
Describe “functional training”
- Uses principles of motor learning to assist patient in accomplishing task
- Establish a plan of care based on “function”
- Requires thorough and accurate assessment of patient’s movement patterns and impairments
- Use repeated practice to ensure adequate motor learning
Describe “mental imagery”
- Rehearsal of a task without engaging in physical performance
- More effective in initial and intermediate phases of learning
- Most effective when combined with physical practice
Differentiate between ADLs and IADLs
Activities of Daily Living (ADLs)
- Bathing, dressing, using the bathroom, cooking
Instrumental Activities of Daily Living (IADLS)
- Functional and community mobility, managing finances, medication management
In order to have normal mobility, a patient must be able to _________, ___________, __________ movement
- Initiate
- Sustain
- Stop
Describe “stability”
- The ability to maintain COM over BOS
- The ability to maintain posture with minimal sway, no loss of balance, no assistance
Describe “dynamic postural control”
- The ability to maintain postural stability while body parts are moving
- Maintain stability when weight shifting
Describe “skill”
- The ability to consistently perform coordinated movements
- The ability to quickly adapt their movements and postures to tasks and demands
Which factors contribute to normal function?
- Trunk stability
- Balance
- Coordination
- Gait
- Cardiovascular endurance
- Impairments
- Overall health status
