Neuro Interventions Flashcards

1
Q

Define motor program

A
  • A set of prestructured muscle commands that when initiated results in the production of a coordinated movement sequence (learned task)
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2
Q

Define motor plan

A
  • An overall strategy for movement
  • An action sequence requiring the coordination of a number of motor programs
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3
Q

Describe feedback versus feedforward

A
  • Feedback: afferent (sensory) info sent by various sensory receptors to control centers; allows motor responses to be adapted to the demands of the environment
  • Feedforward: readies the system in advance of movement; anticipatory responses that adjust the system for incoming sensory feedback for future movements
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4
Q

Define motor learning

A
  • A change in the capability of a person to perform a skill; the result of practice or experience
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5
Q

Define generalizability

A
  • The acquired capability to apply what has been learned to other similar tasks (transfer tests)
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6
Q

Define resistance to contextual change

A
  • Acquired capability to apply what has been learned to other environmental contexts
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7
Q

Describe intrinsic versus augmented feedback

A
  • Intrinsic: sensory info normally acquired during performance of a task
  • Augmented: externally presented feedback that is added to that normally acquired during task performance
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8
Q

Describe knowledge of results versus knowledge of performance

A
  • Results: augmented feedback about the outcome of a movement
  • Performance: augmented feedback about the nature of the movement produced
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9
Q

Describe the different types of practice

A
  • Blocked: practice of a single motor skill repeatedly
  • Variable: practice of varied motor skills in which the performer is required to make rapid modifications of the skill in order to match the demands of the task
  • Random: practice of a group of motor skills in random order
  • Serial: practice of a group of motor skills in serial or predictable order
  • Massed: relatively continuous practice in which the amount of rest time is small
  • Distributed: practice time is less than rest time
  • Mental: cognitive rehearsal of a motor skill w/o overt physical performance
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10
Q

Define transfer of a skill

A
  • The effects of having previous practice of a skill or skills upon the learning of a new skill or upon performance in a new context
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11
Q

Describe part-whole versus bilateral transfer

A
  • Part-whole: a learning technique in a which a complex motor task is broken down into its component parts for separate practice before practice of the integrated whole
  • Bilateral: improvement in movement skill performance with one limb results from practice of similar movements with the opposite limb
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12
Q

When to provide feedback to improve performance versus learning/retention

A
  • Performance: feedback after every trial
  • Learning/retention: feedback should be variable
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13
Q

What type of feedback is good for early/cognitive phase of learning versus later/associative phase

A
  • Cognitive: visual feedback
  • Associative: proprioceptive feedback
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14
Q

What should be the focus of feedback in early versus later stages of learning

A
  • Early: feedback on correct aspects of performance
  • Later: feedback on errors as they become consistent
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15
Q

Strategies to vary locomotor task demands

A
  • Walking forward/backward
  • Side-stepping
  • Cross-stepping (braiding)
  • Stopping, starting, and turning on cue
  • Head movements
  • Step-ups, step-up and over, and stair climbing
  • Obstacles
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16
Q

CPG for locomotor training for chronic (≥6 months) stroke, SCI, or brain injury

A
  • Perform: mod-high intensity over ground ambulation and virtual reality TT
  • Consider: strength training multiple sets at 70% 1RM, cycle training (high intensity), circuit training, and virtual reality standing balance exercise
  • Do not perform: sitting/standing balance w/o visual feedback, robotic assistance walking training, or BWS TT w/PT assistance
17
Q

Adherence-enhancing behavioral strategies for constraint induced movement therapy (CIMT)

A
  • Daily administration of motor activity log
  • Home diary
  • Problem-solving to overcome barriers to use of the more affected UE
  • Behavioral contract
  • Caregiver contract
  • Home skill assignment, home practice, & daily schedule
18
Q

Training parameters for BWS TT (body weight support treadmill training)

A
  • High frequency: 3-5 days/wk
  • Moderate duration: 20-30 minutes
  • Maximum tolerated intensity: speed and slope
19
Q

Training parameters for constraint induced movement therapy (CIMT)

A
  • High intensity: several hours/day
  • High frequency: daily for a period of 2-3 consecutive weeks
20
Q

Describe a short interval HIIT protocol

A
  • Typically use repeated 30s burst of high intensity exercise at maximum but safe speeds, alternated with 30-60 secs of lower intensity or rest periods
21
Q

Describe a long interval HIIT protocol

A
  • Often targeted at repeated cycles of 3 minutes of high intensity activity followed by 4 minutes of lower activity or rest
22
Q

What are the benefits of HIIT

A
  • Improved peak VO2
  • Improved balance (Berg Balance Scale)
  • Increased gait speed
  • Increased endurance (6-minute walk test)
  • Improved domains of cognition (Trail Making test part B)
23
Q

Contraindications to HIIT

A
  • Unstable cardiac condition
  • Significant arrhythmia or myocardial ischemia on treadmill ECG stress test
  • Poorly controlled resting BP (>180/100)
  • Subarachnoid hemorrhage
  • Other conditions where VO2 peak is contraindicated
24
Q

Describe UE D1 flexion and extension movements/diagonals

A
  • Flexion: flexion, adduction, and ER of shoulder
  • Extension: extension, abduction, and IR of shoulder
25
Q

Describe UE D2 flexion and extension movements/diagonals

A
  • Disco movement/pulling out a sword
  • Flexion: flexion, abduction, and ER of shoulder
  • Extension: extension, adduction, and IR of shoulder
26
Q

Describe LE D1 flexion and extension movements/diagonals

A
  • Flexion: flexion, adduction, and ER of hip
  • Extension: extension, abduction, and IR of hip
27
Q

Describe LE D2 flexion and extension movements/diagonals

A
  • Flexion: flexion, abduction, and IR of hip
  • Extension: extension, adduction, and ER of hip
28
Q

Describe a chop and lift movement/diagonal

A
  • Chop: upper trunk flexion with rotation to R/L, lead arm moves in D1E, assist arm holds on top of wrist
  • Lift: upper trunk extension with rotation to R/L, lead arm moves in D2F, assist arm holds beneath the wrist
29
Q

Describe spatial versus temporal summation

A
  • Spatial: multiple techniques
  • Temporal: repeated application of the same technique