Margaret Johnstone treatment approach

Question 1

Margaret Johnstone treatment approach

Answer 1

Like Bobath, she advocates inhibiting the abnormal patterns of
movement associated with spasticity to allow postural control to be re-established
-she initiated the use of inflatable air splints

Question 2

uses of Margaret air splints

Answer 2

They are used
* to stimulate proprioceptive and cutaneous receptors by
application of deep pressure,
* to provide required support for extremity stabilization during
exercise,
* to control combined motion patterns, and
* to inhibit pathological ref

Question 3

what can air splints employed to assist

Answer 3

 positioning,
 tone reduction, and
 sensory awareness

Question 4

advantages of using air splints

Answer 4

biomechanical
sensory

Question 5

contraindications of air splints

Answer 5

deep vein thrombosis diagnosed or suspected
acute edema

Question 6

precautions of air splints

Answer 6

*Remove jewelry
*Cover broken areas
*Not to be worn in direct sunlight
*never use for overnight positioning

Question 7

Spasticity pattern

Answer 7

 Depressed, adducted, internally rotated
shoulder with retraction
 Flexed elbow with pronated forearm
 Wrist flexion with finger flexion and adduction
 Lower extremity external rotation and
retraction of pelvis  Foot plantar flexion and inversion with knee
and hip extension
 Trunk lateral flexion through the affected side

Question 8

Antispasticity pattern

Answer 8

 Shoulder external rotation and protraction with 45o shoulder abduction
 Elbow extension with supination
 Finger extension and abduction
 Lower extremity internal rotation and protraction of pelvis
 Hip, knee and ankle flexion
 Stretching and extension of the trunk

Question 9

PRO-Active approach to Neurorehabilitation integrating air splints and other therapy tools [PANaT]

Answer 9

PRO: The decision making process and clinical reasoning
to justify the use of air splints and other therapy tools.
(Who, what and why)
Active: The training programme is based upon the principles
of contemporary motor learning theories. (How)