L17 Movement Coordination Deficits

Question 1

Clinicians should provide the following

Answer 1

• education to return to normal activties before injury, minimize use of cervical collar, perform postural and mobility exercises to decrase pain
• reassurance that recovery is within 2-3 months
• multi-modal intervention approach, including manual mobs plus exercise

Question 2

Cervical Isometrics

Answer 2

build up force slowly, maintain neutral spine, ramp down slowly

build up to 10s holds x3 reps each direction

Question 3

Cervical Stabilization with UE movements

Answer 3

can begin in seated position if excessive trunk movement

can add or take away feedback of head against wall

Question 4

Strength training or postural re-ed for neck conditions?

Answer 4

• patients with tension type HA had lower cervical extension force steadiness AND lower RFD of shoulder muscles
• both postural endurance/ergonomic changes and strength training groups improved over 10 weeks
• doing either will help, doing both may be better

Question 5

Sensorimotor Training

Answer 5

• best to combine traditional terhapy with laser tracking, eye tracking, balance training to get the best results
• helps with endurance, improvement in joint position

Question 6

Exercise Variables

Answer 6

weight bearing
ROM
muscle contraction type
external load
feedback
speed
repetitions
duration
frequency
planes of motion
base of support
open vs closed
isolated vs multi muscle
rest periods