NDT Flashcards
Primary goal
FUNCTION
Addresses what level of ICF?
Activity and participation
Primary impairment in pts with neurological dysfx…
Impaired patterns of postural control and movement coordination
Clinicians “teach” how?
Using their hands to help pt understand what their better movement is
Handling
Tx with hands on the client that provides proprioceptive, tactile, kinesthetic, and vestibular input
Includes key points of control for guidance of movement
Key points of control (KPC)
Parts of the body used by the therapist to guide the client’s movement
Proximal - trunk, shoulders, pelvis
***Used more often
Distal - arms, legs, feet, hands
Facilitation
Sensorimotor input that creates the possibility of new movements
Assists in the activation of mm or mm groups to perform
Facilitation of components of posture and movement that are essential to the successful performance of a task
Tapping Sweep tapping Intermittent tapping Approximation/compression Place and hold Environment, speed, and gravity
Tapping
To facilitate mm contraction
Sweep tapping
To facilitate mm contraction/co-activation
Use 1-2 hands in the direction you want the mm to contract
Intermittent tapping
To facilitate holding of position, response to perturbation
Approximation/compression
Facilitate co-contraction
Place and hold
Good when weakness is present
Put arm in a position and have them hold it
Inhibition
Sensorimotor input that reduces the possibility of movement
The act of inhibiting abnormal reflex activity or movement patterns via handling and positioning
Vibration Maintained pressure Traction Rhythmic rotation Relaxation techniques Environment, speed, and gravity
Vibration
Light tremor applied manually or by vibrator to INHIBIT
Maintained pressure
At mm origin or insertion to inhibit specific mm activity
Common in hamstrings