Lecture 1 Flashcards
Restorative
Acute Injury with a positive prognosis
Neuroplastcity is possible
Goal is to improve physical impairment
Compensatory
Chronic Injuries
Progressive disorders
Improvement in acute injuries has plateaued
Promote function by compensating for physical impairment and maintaining abilities
Physical Impairments seen with neurological conditions
Sensory changes
Visual disturbances
Muscle weakness
Impaired muscle tone
Edema
Changes in motor control
Decreased AROM
Subluxation
Decreased coordination
Decreased balance
Pain
Edema
Excess fluid trapped in the body’s tissues
Often occurs when there is no muscle contraction to pump fluid to heart
Can result in stiffness, limited AROM, and contractures
Can occur in arms, legs, hands and feet
Edema Management
Movement
Compression
Positioning
Contrast Baths
Retrograde Massage
Positioning
Elevation of limbs as tolerated if possible above the heart
Contrast Baths
Rapid change in temperature quickly opens and closes capillaries that cause fluid to go back to the heart
Retrograde Massage
Massaging tissues where fluid is being pushed causing Edema to go back to the heart
Starts at distal joints
Compression Garments
Used to decrease Edema and tissue volume
Typically used after retrograde massage
Muscle Tone
Tension in a relaxed muscle
Resistance felt by examiner during passive stretching of a joint when muscle is at rest
Types of Tone
Normal
Low
High
Normal Tone
Right amount of tension in muscle at rest
Able to tell muscles to start and stop when you want with appropriate force
Low tone (flaccid)
Not enough tension in muscles at rest
Muscle is weak/floppy
High tone
Too much tension in muscles at rest
Muscles are tight and stiff making it difficult to move
Interventions for muscle tone
Weight bearing
Splinting and slings
Bilateral activities
ROM activities
Medication and clinics