Movement Motor Control Intervention Flashcards
What is the Importance of Motor Control & Movement in Development
Motor Control required to engage in daily occupations!
Addressing postural/motor control can target other areas of need!
Kids need movement so that they can
play!
Common Diagnosis seen in EI/Preschool:
Developmental Coordination Disorder (DCD)
Cerebral Palsy
Down Syndrome
Acquired Brain Injury (ABI)
Autism
Brachial Plexus birth injury
Torticollis
Developmental Delay
Various Syndromes
What causes low or high tone?
Most of the time - High tone is often caused by a brain injury
Low tone is often a result of chromosomal abnormality
What is the difference between muscle tone and strength?
Muscle tone is tension in the muscle at rest
Muscle strength is the ability of the muscle to contract when the brain signals.
Motor Learning:
The process of understanding and retaining motor skills
Motor control
Ability to regulate or direct mechanisms essential to movement
Motor Praxis:
Also referred to as “motor planning” is the ability of the brain to conceive, organize, and carry out a sequence of unfamiliar actions.
Bottom Up Approaches (treating underlying causes of motor impairment) what are some treatment you would use?
- Neurodevelopmental Treatment (NDT)
- Sensory Integration
- Reflex Integration Therapy
Bottom up approach Focus on addressing the underlying deficit to improve performance However there is
-Limited evidence improving occupations of childhood: should be used in conjunction with other approaches
Neurodevelopmental Treatment (NDT) Description:
Description: Specialized handling techs to facilitate normal movement experiences
NDT Principles
Principles: Benefits from “feeling” typical movement patterns
Abnormal tone interferes with movement
Goal to provide input to “normalize” tone & acquire normal movement
NDT strategies
Strategies: 1- Inhibit/Facilitate tone
2-Key points of control
3-Symmetrical alignment, full ROM, base of support and weight bearing, muscle strength, postural control
4- Intervention strategies to integrate reflexes
NDT Treatment - Look for:
Facilitation/Inhibition
Key points
Symmetrical alignment, ROM, weight bearing etc.
Integration of reflexes
Why is sensory integration considered a bottom up approach?
Working on child specific needs, foundational skills that you need to build upon to get to higher level activities.
Sensory Integration Description
Description: Engages children in movement during intervention which takes place in simulated environments to which the child adapts and responds to sensory stimuli
Sensory integration Principles:
When children complete adaptive responses, change occurs at the neuronal level
Sensory integration strategies
Strategies: Child directed vestibular, proprioceptive and tactile activities designed to facilitate the “just right challenge”
Proximal or power senses
Reflex Integration Approach - Description
Description: Based on the premise that reflexes that are not integrated in the sequence and rate of typical development interfere with the acquisition of normal movement.
Reflex integration principles
Principles: Based on hierarchical models for motor development