Finish Strong - Chapter 21 - J's study tool - basically following along in the chapter. For my own benefit really Flashcards
__________ treatment approaches are used with patients who have CNS dysfunction.
Neurotherapeutic
This refers to the natural tension within a muscle
muscle tone
Muscle tone can be high (_____) or low (___)
spasicity, flaccidity
These two areas are typically affected in pts with CNS dysfunction.
balance and posture
Reflexes are _________ movements
automatic
Neurotherapeutic tx approaches are geared toward _______ the abnormal changes just described.
reducing
The neurotherapeutic treatment approaches are based on the idea that abnormal motor responses can be ___ and that the ___ can relearn more normal motor responses.
reduced, CNS
______ stimulation acts on the exteroreceptors of the skin
cutaneous
______ stimulation affects joint and muscle receptors and employs techniques such as stretching, weight bearing, and resistance
proprioceptive
________ receptors, located immediately under the skin, respond to stimuli such as touch temp and pain
exteroreceptors
____ stimuli can be used to facilitate or inhibit muscle responses.
cutaneous
name some common CNS injuries (3)
CVA, TBI, Cerebral Palsy
4 Neurotherapeutic treatment approaches -
Rood, Brunnstrom (movement therapy), PNF, NDT
The basic assumption of Rood’s theory is that appropriate sensory stim can elicit ___________.
specific motor responses
Rood’s basic assumptions (RBA) Normal _______ is a prereq to movement
muscle tone
RBA - Treatment begins at the ________ level of functioning
developmental
RBA - _______ enhances purposeful movement
motivation
RBA - ____ is necessary for the reeducation of muscular responses and helps develop coordination
Reputition
Roods 4 General Principles (R4GP) - ______ can be used to assist or retard the effects of sensory stim
reflexes
TNR stands for
Tonic Neck Ref
TLR stands for
Tonic Labyrinthine Reflexes
TNRs are triggered by changes in the relationship of the head to the ___.
neck
TLRs are triggered by changes in the relationship of the head to ___
gravity
R4GP - Sensory stim of receptors can produce _____ responses
predictable
R4GP - Muscles have ______ duties
different
R4GP - Heavy-work muscles should be integrated ______ light-work muscles
before
Rood’s 4 sequential phases related to the development of motor control include reciprocal ________, co-_________, Heavy _____, and ____.
inhibition, contraction, work, skill
Reciprocal ______ is an early mobility phase that serves a protective function
inhibition
Co-________ occurs when opposing muscles (usually those surrounding a joint) contract simulataneously, resulting in stabilization of the joint.
contraction
Heavy _____ has been defined as “Mobility on Stability”
work
___ is the highest level of control and combines the efforts of mobility and stability
skill
Rood has __ ontogenic motor patterns.
8
Rood’s 8 ontogenic motor patterns (R8OMP) - #1 - Supine _____ is a total flexion response toward the navel.
withdrawal
R8OMP - Roll _____ - it’s a mobility pattern for the UEs and LEs and activates the lateral trunk musculature
over
R8OMP - Pivot ____ - this position is difficult to assume and hold. It plays an important role in prop for stability in the upright position
prone
R8OMP - Neck Co-_________ is the first real stability pattern. used to develop head control and stability of the neck
contraction
R8OMP - On Elbows - following cocontraction of the neck and prone extension, weight bearning on the elbows is the next pattern to acheive
On Elbows - tough one to put in flash card format
R8OMP - All 4s - also known as _________ position
quadruped - think crawl position
R8OMP - ______ Standing - is thought to be a skill of the upper trunk because it frees the UEs for prehension and manipulation
static
R8OMP - Walking
walking is pretty self explanatory
When you hear about skin, think
cutaneous
when you hear compression, stretch, tapping, vestibular stim, warmth, vibration, elongation, weightbearing, etc, think
proprioceptive stim
In treatment the OTA should consider _______ patterns when he or she is positioning patients for activities
ontogenic
Brunnstrom treatment approach
movement therapy
Brunstrom - evidence of stroke _________in reverse
evilution
