NDT Flashcards

1
Q

Primary goal

A

FUNCTION

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2
Q

Addresses what level of ICF?

A

Activity and participation

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3
Q

Primary impairment in pts with neurological dysfx…

A

Impaired patterns of postural control and movement coordination

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4
Q

Clinicians “teach” how?

A

Using their hands to help pt understand what their better movement is

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5
Q

Handling

A

Tx with hands on the client that provides proprioceptive, tactile, kinesthetic, and vestibular input

Includes key points of control for guidance of movement

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6
Q

Key points of control (KPC)

A

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

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7
Q

Facilitation

A

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
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8
Q

Tapping

A

To facilitate mm contraction

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9
Q

Sweep tapping

A

To facilitate mm contraction/co-activation

Use 1-2 hands in the direction you want the mm to contract

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10
Q

Intermittent tapping

A

To facilitate holding of position, response to perturbation

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11
Q

Approximation/compression

A

Facilitate co-contraction

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12
Q

Place and hold

A

Good when weakness is present

Put arm in a position and have them hold it

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13
Q

Inhibition

A

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
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14
Q

Vibration

A

Light tremor applied manually or by vibrator to INHIBIT

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15
Q

Maintained pressure

A

At mm origin or insertion to inhibit specific mm activity

Common in hamstrings

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16
Q

Traction

A

On limbs or through trunk

17
Q

Rhythmic rotation

A

Axial rotation to break up total patterns of movement, trunk stiffness, and limb rotation (within their socket) to decrease stiffness

18
Q

Relaxation techniques

A

Slow gentle movement
Rocking
Gentle talking

19
Q

Treatment session progression

A

Prepare for movement
Muscle activation
Movement responses
Position transitions

20
Q

Original framework based on…

A

Hierarchical theory
Reflex theory
Link of motor and sensory aspects of movement