Interventions

Question 1

Sprouting and Rerouting Principle
— and —- dependent
2 neuroplasticity principles are key
what grows neuron connections

Answer 1

skill and motor learning dependent
BNDF- miracle grow for neuron connections
MAKE IT FUNCTIONAL ( salience and intensity) - strength training alone is NOT enough

Question 2

What enhances BDNF?
where is it found

Answer 2

aeorobic exercise
found in basal forebrain, motor cortex, and hippocampus

Question 3

bad habit #1- what will early OKC activities that go beyond movement demand capacity do to the muscle

Answer 3

impair ability to grade muscle forces

Question 4

transfer training: encourage pt. to move/ load on what side

Answer 4

move towards involved side to prevent learned nonuse

Question 5

mobility training: which side is harder to roll onto - the involved or the uninvolved
should still practice both sides

Answer 5

uninvolved side

Question 6

Stair training for THERAPEUTIC reasons
lead with —- and then —-
this supports what intervention

Answer 6

lead with impaired side and then the unimpaired side will follow –> CIMT ( constraint induced mvmt therapy) and PREVENTS LEARNED NONUSE
educate pt. this is just for therapy for SAFETY “up with good, down with bad”

Question 7

Neuromuscular facilitation goal
4 types

Answer 7

facilitate muscle activation
tapping
quick stretch
joint approximation
joint traction
manual resistance

Question 8

Tapping

Answer 8

Repetitive force over a muscle belly to stim fibers to contract

Question 9

Quick Stretch

Answer 9

contract agonist
inhibit antagonist

Question 10

Joint Approximation

Answer 10

tells proprioceptive receptors to facilitate co-contract
end result= joint stability

Question 11

PNF goal

Answer 11

elicit motor response
GOOD FOR SIGNIFICANT WEAKNESS

Question 12

5 red flags with interventions

Answer 12

1. Lightheadedness or Dizziness
2. Chest heaviness, pain, tightness, angina
3. Heart palpitation and/or irregularity
4. Shortness of breath NOT due to exercise
5. Volitional Fatigue or exhaustion

Question 13

task oriented training focuses on

Answer 13

whole task
most effective but most challenging for pt.

Question 14

repetitive task training focus on

Answer 14

part task

Question 15

Simultaneous bilateral training
purpose
what structure involved
which type of stroke would be used for

Answer 15

links to function –> folding sheets( using arms at the same time ) = BILATERAL INTEGRATION
corpus callosum damaged = ACA stroke affects this structure

Question 16

Repetitive sensory discrimination activities
good for what structures

Answer 16

anterolateral and medial lemniscus
survival vs. preferred tracts