Neuro Rehab Flashcards

1
Q

What are the 3 models of neuromuscular rehab

A

1, reflex model

  1. hierarchical model
  2. Systems model
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2
Q

What is the reflex odel

A

classic reflex theory of mm control

revealed the integrated activation of stimulus and mm activation

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3
Q

During initial post injury rehab what is the benefit of building contraction of mm

A

modulation of mm tone

control of coactivation from other stim

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4
Q

How is reflexive movement therapeutically doen

A

Tapping- Tap skin over a mm belly to recruit more mm units and facilitate contraction. Usually done over mm weakened from disuse./injury

3-5 taps

Facilitation and enhancement of mm activity
achieve motor control

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5
Q

techniques to facilitate mm

A
Heay jt compressions
stretch
stretch pressure
tapping
vestibular stim
vibration
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6
Q

techniques for inhibitory

A
gentle shaking or rocking
slow stroking
slow rolling
light jt compression
tendinous pressure
maintained stretch
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7
Q

What does the reflex model lack

A

losing out on cognitive/high brain functin

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8
Q

What is the heirachial model

A

Proposed 3 levels to CNS

Lower- least complex motions (medulla/spinal cord)
Middle- Motor area of cortex
higher- Prefrontal area

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9
Q

What does the systems model focus on

A

Forces needed for mvmt

  1. Environment where action occurs
  2. Internal forces to accomplish motion
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10
Q

door example of systems mod

A

Opening what appears to be heavy door but its actually light

–next time to modify grip, effort, etc

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11
Q

What did Bernstein’s work in russia show

A

He showed the most mints are composed of smaller mvmts, any of these smaller mms if altered afferent movement as a whoel

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12
Q

What is impairment

A

A problem or symptom resulting from abnormal function of structure

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13
Q

Problem with ICIDH model of impairment

A

Handicap percieved as negative, perminant, unworthy

Unclear distinction between disability and handicap

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14
Q

What do acute tx adress

A

s/s underlying biomedical aspects of the condition (bot tox for speciosity)

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15
Q

Why is descriptions of normal mvmt strategies important

A

_Recognize compensations

  • see abnormal motions that contribute to impairments
  • age related chages
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16
Q

4 phases of sit to stand

A
  1. Flexion motion
  2. Momentum transfer
  3. Extension
  4. Stabalization