Lecture 2 Flashcards
1
Q
Brunnstrom’s stages of recovery for U/E
A
- Flaccidity
- Beginning of spasticity
- Active initiation of synergy
- Movement deviating from synergy
- Movement independent from synergy
- Isolated joint movement
2
Q
Brunnstrom’s stages of recovery for L/E
A
- Flaccidity
- Minimal voluntary mvmt
- Hip-knee-ankle flexion in sitting and standing
- Sitting knee flex>90 with foot slide
- Standing, isolated non-WB knee flexion, hip ext
- Standing hip abd. Beyond range obtained from elev. of pelvis, sitting reciprocal mvmts
3
Q
Ashworth’s scale for grading spasticity (extremes)
A
0 - no increased tone
4 - affected part(s) rigid in flexion or extension
4
Q
Common neuro impairments
A
Strength Muscle tone ROM Sensation Balance/coordination Postural
5
Q
Functional limitations
A
Transfers
Mobility
ADLs
6
Q
Examples of hypotonia
A
Floppy
Flaccid
Ataxic
Athetoid
7
Q
Examples of hypertonia
A
Athetoid/ataxic Mild/mod spasticity Clonus Severe spasticity Rigidity
8
Q
UMN syndromes
A
Brain injury CVA CP Seizure disorder Parkinson's
9
Q
LMN syndromes
A
Polio
Trauma
Guillain-Barre
Tumours
10
Q
Facilitation techniques
A
Contact over agonist Quick stretch to muscle Distraction at the joint Tapping or stroking involved muscle Mvmt in functional patterns Contact with palm or sole
11
Q
Inhibition techniques
A
Contact over antagonist
Avoid contact on palm or sole
Compression to the joint
12
Q
PNF names
A
Dr. Kabatt
Knott and Voss
13
Q
Essential components of PNF
A
Manual contraction Body position/mechanics Quick stretch Manual resistance Irradiation Joint facilitation Timing of movement Patterns of movement Visual cues Verbal input
14
Q
5 components of normal movement
A
- Trunk control and mobility
- Head control
- Midline orientation of self and vertical orientation of body to environment
- Weight bearing/shifting
- Limb movement
15
Q
Muscle grading
A
0 - no movement 1 - flicker 2 - full range, no gravity 3 - full range against gravity 4 - full range, min resistance 5 - normal
