Lab prez Flashcards
What does botox improve the most?
spasticity and ROM
Which populations does botox help the most?
CP
stroke
What outcomes on gait are improved with botox?
speed, quality of gait - stroke
What does PT and botox improve?
decrease spasticity
increase ROM
UE/LE function
What can botox and casting improve?
increase PROM and spasticity
gait - less range of spasticity
ankle selective motor activity
What patient criteria is needed for CIMT?
10 degrees of active motor function of wrist/finger extensors and thumb abductors/extensors
What is the rationale behind CIMT?
inhibiting learning non-use
What is the difference between CIMT and mCIMT?
CIMT - repetitive practice of affected arm and restrained unaffected
mCIMT - less intensive over longer period of time
What does CIMT and mCIMT help improve?
motor function of UE
decrease dependence of ADL
QoL
muscle tone
This type of VR is a virtual scenario on the screen and user uses mouse/joystick or keyboard
non-immersive
This type of VR is a virtual scenario on screen still connected to the environment, gesture detect movement
semi-immersive
This type of VR is a 360 degree view through a head-mounted display interact with objects
immersive
new images from digital info in real environment stimulate environment artificial and real mixed
augmented reality
What outcome does VR improve the most?
motivation and adherence
What type of training is VR/AR
repetitive and variable training
This type of robotic is volitional LE muscle firing
rehabilitative
This type of robotic is autonomous control, able to shift COG to generate movement
compensatory
this type of robotic is heavier, electronic/computerized, supportive
hard robotic
this type of robotic is lighter, fluid/pneumatic, encourages natural movement
soft robotic
What is the patient criteria for robotics?
sensory, physical, cognitive ability
adequate standing balance
adequate upper body strength for SCI
joint ROM within NFL
What does robotics improve the most?
gait - become independent walker
What are the benefits of RAS/RAC?
improvements in gait
motor learning
inexpensive
What does RAS/RAC improve in gait?
freezing and initiation
gait velocity, stride length, cadence, speed
What are the limitations of RAS/RAC?
cognitive
visual deficits
auditory deficits
How should RAS/RAC be applied in PT?
during gait training, determine tempo with normal gait first then progress and speed up
What type of beat is better for stroke?
strong beat
Faster tempo or RAS/RAC in PD improves
mobility
The slower tempo of RAS/RAC in PD improves
stability
What changes in gait speed are seen with RAS/RAC?
speed or velocity
cadence
What changes are seen in gait patterns with RAS/RAC?
stride length
improved balance
What can FES improve in walking?
drop foot
lower limb impairment
What can FES improve in upper limb function?
grasp and reaching
grip strength
shoulder sublux - stroke
Rehabilitative use of FES
short term, temp use
Compensatory or orthotic use of FES
long term, dependent use
repetitive pulses is (rTMS/tDCS)
rTMS
constant, low level current, alternating excitability is (rTMS/tDCS)
tDCS
rTMS high frequency (increases/decreases) cortical excitability
increases
rTMS low frequency (increases/decreases) cortical excitability
decreases
rTMS high frequency is applied to the (contra/ipsi) lesion hemisphere
ipsilateral
rTMS low frequency is applied to the (contra/ipsi) lesion hemisphere
contralateral
tDCS anodal is (excitatory/inhibitory) charge
excitatory
tDCS cathodal is (excitatory/inhibitory) charge
inhibitory
robotics for patients with SCI is
compensatory
patients need good cognitive function for robotics (true/false)
true
with the rewalk robotic the patient needs to be able to
stand using a device
in patients who are non-ambulatory, robotics is a _ strategy
compensatory
VR is highly recommended for which population to improve UE function
stroke
what outcomes of gait improve with CP and botox
gait parameters
botox and PT for stroke improve
speed of gait
quality of gait
CIMT increases function of _ the most
upper extremity
CIMT and mCIMT promote what type of training
repetitive task-specific training
How does FES help a patient with CP?
increase pulse generation for push off
reduced spasticity
improved muscle activation
FES is best for which population
SCI
stroke
