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Physical Rehabilitation > Lecture 7-Improving Function-bed mobility, prone, quadruped, hook lying > Flashcards

Lecture 7-Improving Function-bed mobility, prone, quadruped, hook lying Flashcards

1
Q

Side lying to prone is minimally ______ by gravity

A

Assisted

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2
Q

Supine is a very stable posture because it has a

____ BOS and _______ COM

A

Large BOS

Low COM

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3
Q

More people roll using what kind of pattern?

A

Segmental rolling pattern

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4
Q

The least common type of rolling pattern is?

A

Log-rolling pattern

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5
Q

What are the common strategies to generate momentum in rolling? (Due to trunk weakness)

A
  1. Lifting upper or lower extremities up and across the body (reaching across)
  2. Positioning 1 LE in hip and knee flexion with foot flat to push uff
  3. From prone to supine use flexed abducted UE to push off
  4. Head positioning-body will follow the head so incorporate head/neck movements
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6
Q

Should you start with large or small movements when rolling?

A

Small movements

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7
Q

What is rhythmic initiation? And what is it used for in rolling?

A

Passive-active assistive-resisted-independent

-used to instruct the patient desired movement and facilitate initiation of movement

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8
Q

What is replication? And what is it used for in rolling?

A

Passive to end range-hold against resistance-active movement

-used to teach the end result of a movement and improve coordination

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9
Q

What is dynamic reversals? And what is it used for in rolling?

A

Active concentric movement in one direction followed by active movement in reverse direction without relaxation & add resistance in both directions

-to progress from small range to full-range control (full prone to full supine)

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10
Q

How can you increase the BOS in side lying?

A

Flexing either LE

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11
Q

What are the different techniques to improve trunk strength/stability/control in side lying?

A
  • Stabilizing reversals
  • rhythmic stabilization
  • upper or lower trunk rotation with dynamic reversals
  • trunk counter rotation using rhythmic initiation
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12
Q

Prone extension (pivot prone) has a ______BOS and _____COM with ______WB

A

Large BOS
Low COM
No WB in any joints

*side note-extremity lifts used for strengthening

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13
Q

What may limit pivot prone or prone on elbows?

A

Hip flexor and lumbar spine tightness may limit assumption and maintenance of position

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14
Q

Why may a prone position be contraindicated?

A

Cardiopulmonary involvement or respiratory weakness as it could compromise their breathing and compress chest wall

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15
Q

Prone on elbows has a _____BOS and _____COM

A

Large BOS
Low COM
Very stable posture

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16
Q

What are some considerations when using prone on elbows? (Sorry there’s a lot)

A
  • scapular and/or shoulder weakness
  • shoulder pain or limited ROM
  • can inc support with pillow under shoulders
  • UE spasticity may interfere with positioning (use inhibitory strategies)
  • abnormal reflex activity may interfere with patient’s ability to assume or hold position
  • contraindications in presence o elbow pathology, recent chest surgery or trauma, cardiopulmonary impairments
  • tightness in hip flexion may limit extension
  • tightness in thoracic and cervical mobility may also limit alignment
  • DJD in spine
17
Q

What are the different stability techniques with prone on elbows? And describe

A
  • Stabilizing reversals: medial/lateral OR ant/post resistance
  • rhythmic stabilization: twisting/rotation
18
Q

What are the different controlled mobility techniques with prone on elbows? And describe

A

-dynamic reversals: medial-lateral or diagonal weight shift
-combination of isotonics: ant-post shifts
Concentric-isometric hole-eccentric control back to starting position
-dynamic reversals: UE D1 thrust and withdrawal pattern
-other limb movements and weight-shifting activities:
Reaching, cone stacking, hitting visual targets

19
Q

Explain what quadruped is? position wise with extremities

A

Kneeling on all fours, hands and knees

  • shoulders and hips flexed to 90
  • elbows extended
  • knee positioned directly under hips
20
Q

Quadruped has a ______BOS and COM is ____ than prone on elbows

A

Large BOS

COM is higher than prone on elbows but still low

21
Q

What are the prerequisites for quadruped?

A

Head/neck control, upper trunk control, UE (shoulder/elbow) control and lower trunk/hip control

22
Q

What are static (holding)/stability activities or techniques for quadruped? And describe

A
  • Stabilizing reversals: medial/lateral resistance, ant/post resistance, diagonal resistance
  • Rhythmic stabilization: twisting
23
Q

What are the weight-shifting/controlled mobility activities or techniques for quadruped? And describe

A
  • dynamic reversals: medial/lateral shifts, ant/post shifts, diagonal shifts
  • dynamic reversals: movement from quadruped to heel-sitting position (bilateral or one side) && movement from quadruped to side-sitting
  • static-dynamic control, upper and lower extremity active limb lift
  • Application of PNF patterns: dynamic reversals with UE D2F and D2E or LE D1F and D1E patterns
24
Q

What is a movement that you can do in quadruped with manual resistance or resistance bands?

A

Creeping

25
Q

Hook-lying has a _______BOS and ____COM & is controlled by?

A

Large BOS and low COM & is controlled by lower trunk, hips and knees
Very stable

26
Q

Hook lying is important for what?

A

Lead up activities for controlled bridging, kneeling, and gait

27
Q

What can alter the hook lying position stability?

A

Shoulder abd to 90 vs arm crossed at chest

28
Q

What are static techniques for hook lying?

A
  • static hold of position

- stabilizing reversals

29
Q

What are lower trunk rotation activities in hook lying?

A
  • rhythmic initiation
  • replication
  • dynamic reversals
30
Q

Explain bridging moving from the hook lying position

A

Bridging involves extending the hips and elevating the pelvis from the support surface with the lumbar spine in neutral position

31
Q

Why is bridging important?

A
  • prerequisite requirement for moving in bed and for moving to edge of bed
  • lead up activities for later functional activities
32
Q

What are considerations for bridging?

A
  • allows early WB at foot and ankle without full body weight
  • breath holding is common so breathing should be closely monitored
  • elevating hips higher than head may be contraindicated with patients with uncontrolled HTN or elevated ICP
  • abnormal reflexes may interfere with assumption or maintenance of posture
  • bridging promotes selective control and may be indicated for patients recovering from stroke who demo abnormal mass movement synergies
33
Q

What are interventions/activities for bridging? (There’s a lot)

A
  • Stabilizing reversals:ant/post resistance & medial/lateral resistance
  • rhythmic stabilization
  • active pelvic shifts:lateral movement
  • bridge and place
  • combination of isometrics
  • Bridging and single leg lifts
  • bridging and alternating leg lifts Or marching
  • bridging with mobile base of support
  • modified bridge: static and dynamic activities using ball under upper trunk
34
Q

Supine side lying is minimally _____ by gravity?

A

Resisted

Physical Rehabilitation (18 decks)

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