lecture 3: tradtional treatment approahes and evidence based practive Flashcards
what are movements synergies
group of mm that work together as a bound unit in a primitive/automatic way
where are movements synergies present at
spinal cord level
what is the resting LE synergy
Pelvis: elevation and retraction
Hip: flexion and adduction
Knee: extension
Ankle/foot: PF with inversion
what are the UE resting synergy
Scapula: Scapular depression & retraction
Shoulder: Extension, adduction, & internal rotation
Elbow: Flexion
Forearm: Pronation
Wrist/Hand: Wrist & finger flexion
who are postural/ attitudinal reflexes present in
adults with/wtihout brain damage
what are associated reactions of the brunnstrom approach
automatic movements that change the position of a body part
an associated reaction is an automatic movement that changed tha position of body part when …. (5 things)
- another body part moves voluntarily
-increased effort is used
-patient sneezes , coughs
-artificially simulated - can include raimiste’s phenomenon (1st lab)
When we sneeze our arm moves but when a pateint sneezes their arm doesn’t move this is an example of what reaction
associated
do you use brunnstroms stages of recovery for stroke or TBI patients
stroke
pertaining to Brunnstroms stages of recovery for strokes …. what are the 5 rules
- recovery can stop at any stage
- stages are never skilled
- may see aspects of more primitive stages when patients under stress
- motor recovery reflects CNS
- UE and LE staged SEPARATE
• Flaccidity
• No voluntary or reflexive activity is present
• No associated reactions elicited
• No DTRs
this describes what stage for Brunnstrom Approach
stage 1
- Spasticity is developing.
- DTRs present
- Min voluntary movement, all within synergy
- Partial limb synergies elicited reflexively
this represents what stage for the Brunnstrom Approach
2
are DTR’s presents for stage 1 for the Brunnstroms Approach
no
- Can perform basic movement synergies voluntarily
- May not be able to complete within full PROM
- Spasticity increases to maximum/peak levels
what stage of the Brunnstrom Approach does this represent
stage 3
what stage of the Brunnstroms Approach does spasticity increase to maximum levels
stage 3
what stage is basic movement shown for the Brunnstrom Approach
3
- Spasticity starts to decrease.
- Can voluntarily perform min movements out of synergy
this describes what stage of the Brunnstroms Approach
stage 4
what happens during stage 4 of the Brunnstrom Approach
spasticity starts to decrease and performed voluntary movements out of synergy
- Spasticity continues to decrease.
- Basic synergies losing their dominance over movement
- Can perform some movement combinations outside of synergies
this describes what stage of the Brunnstrom Approach
stage 5
what stage of the Brunnstroms APproach is there 2 joints doing differen things at 2 different times and spasticity and synergies is decrease
stage 5
- Slight remnants of spasticity
- Isolated muscle action with variety of movement patterns
- Slow speed/coordination
what stage of the Brunnstrom Approach does this describe
stage 6
what happens during stage 6 of the brunnstrom approach
-decreased spasticity
-isolated mm action w variety of movement patterns
-slow speed/coordination
what happens during stage 7 of the Brunnstrom Approach
-no spasticity
- restoration of normal movemtn and function
what is the definition of PNF
the activation of the neuromuscular system through stimulation of proprioceptors
patients need ___ for motor learning
reps
what are the 4 main purposes of PNF
- mm strength
- develop increased mobility
-promote motor learning
-improve functional movement
what is the agonists mm
most hat are shortengin while contracting
it is the direction of the movements desired