Interventions for Impairments due to UMN Lesions Flashcards
What is the primary impairment interfering with balance recovery in children with CP?
Paresis of agonist postural muscles
What surgery has been found to be beneficial in some children with CP when combined with therapy?
Dorsal rhizotomoy
What type of therapy should be utilized in children with CP?
Task-oriented gait training and constraint-induced movement therapy
How can Botox be used in therapy procedures for children with CP?
It is injected directly into the muscles that produce excessive force during active muscle contraction in order to prevent active muscle contraction and target other muscles of interest
Forceful movement is _____ in adults following stroke and _____ increase spasticity
beneficial
doesn’t
What are the 2 most important factors limiting function post-stroke?
- paresis
- fractionation
What types of therapies has been proven to improve movement in people after stroke?
- Hand and finger movements against resistance
- Robotic therapy for the upper limb
- Constraint-induced movement
- Botox injections as an adjunct to therapy
- Cycling
- Task-oriented gait training
- Gait training using treadmill
What type of therapy should be utilized in SCIs?
Activity-based therapy that activates the neuromuscular system below the level of the lesion
How does treadmill training following a SCI beneficial?
The somatosensory input to the spinal cord during treadmill training with body weight support elicits neuromuscular activation that does not occur during overground walking
What type of electrical stimulation is used in SCI rehabilitation?
Functional electrical stimulation (FES)
What 3 medications have been suggested to be beneficial in treating people with spasticity?
- baclofen
- tizanidine
- dantrolene
Is stretching an effective treatment for contractures?
No
What is Amyotrophic Lateral Sclerosis (ALS)?
A disease that destroys only somatic motor neurons
What motor neurons does ALS degenerate?
UMNs and brainstem and spinal cord LMNs bilaterally
