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Unit 17 > Neuro peds UE training and strengthening > Flashcards

Neuro peds UE training and strengthening Flashcards

1
Q

what is the difference btwn learned non-use and developmental disregard?

A

learned non-use we see a lot in the adult population after stroke

Developmental disregard: peds patients because they haven’t even had the chance to develop it yet

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2
Q

throughout development connections are pruned off, what happens when you have a lesion?

A

your brain has to rewire the existing synapses, this wont happen if you wont use it!

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3
Q

what is the difference btwn forced use and CIT (constraint induced therapy)?

A

forced is is they just go home with a cast and they go throughout their day, its not therapeutic in nature.

CIT: intense therapy

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4
Q

true or false: all models of CIT have shown improvement in UE function

A

true!

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5
Q

what is the big pro of HABIT?

A

younger kids being able to learn to use both hands together, its the PRACTICE that matters

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6
Q

did CIT or HABIT have improved grasp?

A

CIT

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7
Q

what are the four key components to neuromotor recovery?

A

repetition

shaping

functional practice

behavior change

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8
Q

what is shaping

A

individualized tasks to work on specific movements

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9
Q

signature CIT how much % of waking hours is it worn

intense training for how many hours a day for 2 weeks

A

90%

intense training for 3 hours EVERYDAY for at least 2 weeks

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10
Q

how many hours a day and days a week is the restraint worn for modified CIT?

A

5 hours a day
5 days a week

intense training 2 hours a day 3x a week

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11
Q

brushing teeth and opening baggies vs. stacking blocks or placing push pins

A

functional practice

vs.

shaping

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12
Q

critical piece of UE training she said

A

behavior change!! can make a behavior contract

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13
Q

what creates gains 2.4 x higher than if you don’t use it

A

behavior contracts/going through life everyday as practice

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14
Q

Saeboflex would be used for what population

A

someone who has a lot of spasticity impeding function

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15
Q

reoGO is what kind of device

A

robotic: can give different things depending on what they need

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16
Q

what does physiological flexion allow infants

A

mechanically stable base; they constantly practice active movement which builds trunk and proximal limb strength which you need before distal mobility

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17
Q

in atypical development what does an infants posturing normally look like

A

hips, knees, elbows extended

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18
Q

in atypical development when children are extended what does this do to the proximal muscles?

A

they are at a mechanical disadvantage to initiate movement.

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19
Q

which is normal development: repetitive movement or no movement?

A

repetitive: leads to increased strength and better control

20
Q

which is normal development: more movement patterns or less?

A

more! atypically developing kids have.a limited number of movement patterns they can use

21
Q

large arcs of motion vs. ballistic patterns, which is normal development?

A

large arcs of motion: allows strengthening with more degrees of freedom

22
Q

which is normal development: practice of components or no practice?

A

practice of components: they go through smaller trials of movements

23
Q

reciprocal inhibition is normal or not?

A

it is normal, you need to be able to shut off muscles to do certain movements

atypically developing children have decreased reciprocal inhibition therefore increased co-contraction

24
Q

what 2 things are normally weak in the trunk area and what are the issues with these things

A

spinal extensors: can’t move against gravity and creates hypermobility at joint junctions

abdominals; impacts breathing!

25
Q

what are the three common problem muscles in the hip and what is the impact of this

A

extensors: not enough strength to gain full range
flexors: shortened

hip ABD; moment arm disadvantage due to muscle size

26
Q

Match the following
distal
proximal

elongation
shortening

talking about the patella and rectus

A

distal elongation of patella tendon

proximal shortening of the rectus

27
Q

match the following
distal
proximal

elongation
shortening

talking bout the hamstrings

A

distal shortening: med

28
Q

no foot to mouth play due to extended posturing and no supported bouncing lead to what weaknesss?

A

DF and PF

29
Q

true or false: strength training was previously thought to be contraindicated for children with neurologic conditions

A

true! especially those with hypertonicity

they believed that poor motor control precluded performance of strength training exercises

30
Q

true or false: isolated motor control is a prerequisite for participation in strength training programs

A

false! we now kids with CP we can strengthen

31
Q

is strength training a new idea in neurologic population!

A

nope we know its going to work for a long time now

32
Q

how do you chose which muscles to target?

A

base it on your examination, interview the patient and family and find out what is the most important for them!

33
Q

Name the four muscles typically strengthened for CP

A

quads
glutes
abdominals
extensors

34
Q 
whats the deal with strengthening 
gastroc 
hamstrings
hip ABD
DF
A

theyre difficult to isolate for desired motion

may require NMES or FES intervention

35
Q

what is the ideal % for OC exercise

what about CC exercise

A

65%

50 to 100% more

36
Q

how do you progress the training load?

A

retest MVIC every 2 weeks

37
Q

whats the rule if you don’t have a HHD for OC exercises

how do you check if you’re right

A

double or triple what you’re thinking

with this weight strapped on see if they can ACTIVELY move through 50% of their ROM

38
Q

what are some things to think about when doing CC exersises

A

maximize technique and alignment first, move through shorter ROM if needed

39
Q

what is the dosage for these kids.

reps
sets
rest

A

5-8 reps
5-6 sets
90-120 sec rest:

THINK FIVE SETS OF FIVE they need a lot more rest! can be just the other side working

40
Q

what is the deal with frequency for these kids

A

3-5days a week

2 days rest between is optimal!

Back to back days is seen to be just as effective as training once a week

41
Q

open chain non functional exercises use distal or proximal load placement?

A

distal!

42
Q

open chain functional exercises use distal or proximal load?

A

proximal! their bodies are already heavy enough, put it on their proximal muscles

43
Q

what does the theraband provide that cuff weight does not

A

graded resistance

44
Q

any closed chain exercise where do you want the load, distal or proximal?

A

Proximal

45
Q

for closed chain exercise you are trying to maintain sagittal plane alignment, who is this super important for?

A

super important for skeletally immature population

46
Q

what is super important for these kids HEP

A

one exercises a week, work up to 6-8

Unit 17 (9 decks)

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