Intervention Theories Flashcards
Who developed NDT? And in what year?
Bobaths
40s and 50s
NDT: based on the current scientific theory at the time, which was what?
Hierarchical Theory of NS
NDT: The _____ concept has been modified over the years
Living
_______ comes from NDT
Facilitation
Now we use a blend of ____ and ____ _____/_____
NDT
Motor learning/control
Initial beliefs: ______ and ________ postural reflex system
Normal and abnormal
If abnormal system, abnormal movement
Initial beliefs: RIPs/inhibition then ________
Facilitation
Currently, we do both at the same time
Initial beliefs: Discourage _____ and ______ movement
Effort
Abnormal
(Discouraged to walk, too much effort… so crawled, which is not functional)
Initial beliefs: Facilitation of righting and ______ ______
Equilibrium reactions
Inhibition of primitive reflexes
Initial beliefs: _______ sequence
Developmental
Initial beliefs: Provide _______ components of movement
Missing
Do a task analysis
Aims of Treatment:
Facilitate normal movement patterns with _______ input
Proprioceptive
Aims of Treatment: Modify _____ through _____ movement
CNS
Normal
Aims of Treatment: Breaking up ______ ______
Abnormal synergies
Aims of Treatment: Inhibit _____ ____ and ______ ______
Abnormal tone
Primitive reflexes
Aims of Treatment: Prevent CNS from learning ______ patterns
Abnormal
Assumptions w/ NDT:
Central program control movement…. why is this wrong?
CPGs do
Assumptions w/ NDT: Top down model, why is this wrong?
Cortex is not responsible for all movements
Assumptions w/ NDT: Separation of voluntary and reflex; Why is this wrong?
Wiring is based on reflexes and is not eliminated from volitional movement
Limitations w/ NDT: ______ center response for locomotion
LOWER
Limitations w/ NDT: Development is not ______
Step like
Limitations w/ NDT: Blurred separation btw _____ and _______
Voluntary
Reflex
Limitations w/ NDT: Some movement can have ______ ______
Different activation
What are four reasons that there was dissatisfaction with the model?
- No carryover to functional activities
- Clients are PASSIVE recipients
- Fails to consider the musculoskeletal and environmental effects
- Inhibition of primitive reflexes does not release normal movements
Current beliefs: Simultaneous ______ and ______
Facilitation
Inhibition
Current beliefs: Client as _______ participant and problem solver/Self initiation
ACTIVE
Current beliefs: Movement has to be ____ _____ and functional
GOAL directed
Current beliefs: Variation from the ______ ______
Developmental sequence
Current beliefs: Prediction and ________ (feedforward)
Anticipation
Facilitation: Therapist as _____ of normal movement patterns
We should always teach ______ movement
Teachers
Rotational
Facilitation: Assist…. but assisted transfer is _____ Facilitation
NOT!
Facilitation: Affected by ____ input
______: PT’s hands
______: moving through space
Sensory
Extrinsic
Intrinsic
Facilitation: Keep points of ______
If high level pt, you should move _____
Control
Distally
Facilitation: Is facilitation variable?
YES
Goals of facilitation: \_\_\_\_\_\_ body segments \_\_\_\_\_\_ body segments \_\_\_\_\_\_\_ movement at body segments \_\_\_\_\_\_\_ movement at body segments
- Participant must be ________
- Must be practiced within _____ context
Align
Stabilize
Initiate
Prevent
ACTIVE
Functional
What does TAMO stand for? Who developed it? And Why
Tscharnter Academy of Movement Organization
Ingrid Tscharnter
because she was also frustrated… originally an NDT instructor
TAMO: Incorporates _____ ______ models in her treatment models
Dynamic systems
TAMO: Closely examines the ____
Need an appropriate ____ to actively move away from
BOS
BOS
TAMO: Facilitation in a ______ (3D)
Helix
Rood: Example of mobility?
Example of stability?
Arm movements
Forearm propping
Rood: Example of distal stability with prox mobility?
Example of distal mobility with prox stability?
Weight shift on forearms
Reaching arm when on forearms
Who developed patterning? And do we use this?
Doman Dellacatto
NOOOOO
What is patterning?
Believe that phylogenetic movement patterns must be experienced for normal development
How is patterning performed?
PASSIVELY performed on all body segments in particular timing (5 people, 1 body)
Patterning: _____ movement in those patterns is stimulated
ACTIVE
Motor Control: Task Oriented Models: What are three beliefs?
Interactive system
Adaptive, anticipatory mechanisms
Normal strategies to limit DOF
Motor Control: Task Oriented Models: What are the 5 aims?
PRACTICE
Problem solving
Learn strategies for coordinated behavior
Develop effective compensations
Use environmental and musculoskeletal constraints
Motor Control: Task Oriented Models: Limitations: What is \_\_\_\_\_\_ compensation? Less \_\_\_\_\_\_ on More \_\_\_\_\_\_\_ How to train \_\_\_\_\_\_\_\_ \_\_\_\_\_\_ \_\_\_\_\_\_ time for practice Primarily based on research with \_\_\_\_\_\_
Effective Hands Cognitive Anticipatory control Limited Normals
Conductive Education: Do PTs do this?
No.. anyone trained out of HS could do this
Conductive Education: Originated by who?
Andras Peto
Conductive Education: Emphasis on _____ _____
In classroom, with everyone doing it
Utilizes ______ _____ that are not impaired
Functional development
“Deeper centers”
Conductive Education: ______ view, rather than therapeutic view
Educational
Conductive Education: ______ work vs. _______
Group
Individual
Conductive Education: Design is by task series fro the individual but embedded in a common _______ _____
Group goal
Conductive Education: not _______ ______; it isgoal oriented
Quality based
Conductive Education: What would be an example of rhythmic intention that is used?
Music
Repetitive words
Conductive Education: Environment set up for _______
Stabilization
Conductive Education: Facilitation if necessary by ______ or _______
_____ support —> promotes ______
Handlers
Conduktors
Decreased, independence
Conductive Education: _____ intensive, need a ___ to ___ ratio
LABOR
1 to 1
Move program: Who developed this?
Linda Bidabe (special educator)
Move program: ______ based —-> _____ based program
Curriculum
Activity
Move program: For children who are not _______ in functional skills, such as _____, ______, _______
Minimal ____ control or _____ movement
Independent
Sitting, standing, walking
Head, Active
Move program: Incorporates functional skills into ______ routine; more practice
Daily
Move program: Not _____ specific; Not ______ specific
It is just for _______ movement
Discipline
Diagnosis
Educating
Move program: Special _______ (provides additional _______)
Equipment
Support
