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Physical Rehabilitation I > Lecture 5 - Facilitation, Sensory, Stimulation, NDT > Flashcards

Lecture 5 - Facilitation, Sensory, Stimulation, NDT Flashcards

1
Q

What are the two popular neuromotor training approaches?

A
  1. Proprioceptive Neuromuscular Facilitation (PNF)

2. Neuro-development Treatment (NDT)

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2
Q

T/F - patients who demonstrate sufficient recovery and consistent voluntary movement controls WOULD benefit from an intensive hands-on training approach?

A

False - these patients are candidates for functional task-oriented training that emphasizes active control.

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3
Q

What patients are good candidates for hands-on guided therapy approach(s)?

A
  • stroke or TBI patients who are early in recovery and have limited voluntary movement abilities.
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4
Q

When using hands-on guided approaches with your patient when do you know when its time to progress to more functional task-oriented training focused on active control?

A
  • once the patient develops adequate voluntary control.
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5
Q

Interventions organized around a __________ goal are the best way to promote function versus targeting a specific impairment.

A

behavioral

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6
Q

Remediate impairments through ___________ ______.

A

functional activity

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7
Q

What are the (6) neuromuscular facilitation techniques?

A
  • resistance
  • quick stretch
  • tapping/repeated quick stretch
  • prolonged stretch
  • joint approximation
  • joint traction
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8
Q

What is facilitation?

A

refers to the enhanced capacity to initiate a movement response through increased neuronal activity and altered synaptic potential.

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9
Q

What is activation?

A

refers to the actual production of a movement response and implies reaching a critical threshold level of neuronal firing.

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10
Q

What is inhibition?

A
  • refers to the decreased capacity to initiate movement response through altered synaptic potential.
  • the synaptic threshold is raised, making it more difficult for the neuron to fire
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11
Q

What is neuromuscular facilitation?

A

refers to facilitation, activation, or inhibition of muscle contraction and motor response

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12
Q

What are the (7) sensory stimulation techniques?

A
  • maintained pressure
  • slow, repetitive stroking
  • light touch
  • neutral warmth
  • prolonged cooling
  • slow vestibular stimulation
  • rapid vestibular stimulation
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13
Q

What patient would benefit from biofeedback?

A
  • patients with server motor weakness (asset in regaining neuromuscular control)
  • patients who exhibit weak (trace, poor, or fair) muscle grades
  • patients with deficient sensory feedback systems
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14
Q

Biofeedback MUST be paired with __________ training.

A

functional

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15
Q

What can be used to re-educate muscle, improve ROM, decrease edema and treat disuse atrophy?

A

neuromuscular electrical stimulation (NMES)

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16
Q

T/F - NMES is effective in reducing spasticity by stimulating antagonist muscles?

A

true

17
Q

When using NMES where are the electrodes to be placed?

A

directly over the muscle to be stimulated

18
Q

The device can be used for foot drop or with ergometry (biking) in SCI that is programmed in sequence to improve functional movements?

A

functional electrical stimulation (FES)

19
Q

T/F - FES can be used for restorative or compensatory treatment strategies?

A

true

20
Q

In neuro-developmental treatment (NDT) ________ control is the foundation for all skilled learning.

A

postural

21
Q

How do patients learn postural control and movement according to the neuro-developmental treatment (NDT) approach?

A
  • through a sequence of progressively ore challenging postures and activities.
22
Q

What are the shoulder pelvis hands and feet important in the NDT approach?

A
  • they are key points of control used in physical handling techniques.
23
Q

T/F - NDT use both feedback and feed-forward mechanisms to support postural control?

A

true

24
Q

T/F - NDT avoids compensatory training strategies?

A

true

25
Q

With NDT postural alignment and stability are ___________ while ________ synergy movements are _______.

A

facilitated; abnormal; inhibited

26
Q

This intervention strategy is to help the patient perform an old task in a new way.

A

compensatory intervention strategy

27
Q

What types of patients should you be using compensatory strategies with?

A
  • when recovery is limited
  • if patient has severe impairments with little or no expectations for recovery
  • SCI, stroke patient who also has Alzheimer’s
28
Q

(3) goals/outcomes when using compensatory intervention strategy for promoting independence?

A
  • energy conservation techniques are taught
  • patient’s environment is adapted appropriately
  • assistive devices are incorporated as needed
29
Q

If your patient has recovery potential should you use compensatory intervention strategies?

A

no

Physical Rehabilitation I (5 decks)

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