Lecture 13: Approaches to Neuro Rehab: Task Specific

Question 1

When will a compensatory approach be used with neuro pts?

Answer 1

when recovery prognosis is poor or not possible

ex: SCI or hospice etc.

Question 2

What is the definition of compensation?

Answer 2

make up for a deficit to improve function

ex: use of RW

Question 3

What is definition of substitution?

Answer 3

restore function by replacement, use of posterior delt for extension if triceps has no innervation

Question 4

What are goals for rehab with compensation/substitution?

Answer 4

maximize safety, independence, function, improve QOL, pain management, caregiver training

Question 5

What is task oriented training?

Answer 5

functional activities important for daily living for that patient

ex: transfers, standing, walking

Question 6

What is training in task specific?

Answer 6

happens in context or environment in which the task occurs

Question 7

What is the overall goal in task oriented training?

Answer 7

active movements bc then patient will actually learn

Question 8

What are examples of task specific training?

Answer 8

repetitive fine motor: grasping, releasing, and placing objects

task related strengthening: high reps of sitting, rolling, mobility

Question 9

What was very important finding about CIMT study and fMRI?

Answer 9

first time neuroplasticty studies actually showed change in brain structure

Question 10

What are 4 steps in task oriented training?

Answer 10

1. task analysis- develop and test HCF’s
2. practice missing components- identify goals, high reps
3. practice whole task- example is gait
4. transfer of training- practice learned task in context

Question 11

What is role of therapist in task oriented training?

Answer 11

training coach, minimize hands on therapy,