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Neuromuscular Conditions I > Neuro-Therapeutic Facilitation--Lab > Flashcards

Neuro-Therapeutic Facilitation--Lab Flashcards

1
Q

Heel Slides

  • Definition
  • Philosophic Basis
A
  • Definition: PT facilitate hip and knee flexion of involved LE (hand on knee and lat foot)–>reverse to extended position
  • Basis: Brunnstrom, NDT
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2
Q

Heel Slides

-Rationale

A
  • Prep for bridging/bed mobility
  • Break up extensor tone
  • facilitate movement into flexion
  • Rolling/scooting in bed
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3
Q

Bridging

  • Definition
  • Philosophic Basis
A
  • Definition: LEs flexed with feet on flat surface; PT hands on gluts (up) or knees (fwd and up)
  • Philosophic Basis: NDT, PNF, Brunnstrom
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4
Q

Bridging

-Rationale

A
  • WB on LE
  • Hip extension/knee flexion
  • strengthen hip extensors
  • bed scooting
  • Core stabilizer
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5
Q

Half-Bridging

  • Definition
  • Philosophic Basis
A
  • Definition: Involved LE flexed with foot flat on surface; LE IR/add at hip; pt lifts hip; PT hands on glut/knee to facilitate up and over movement
  • Philosophic Basis: NDT
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6
Q

Half-Bridging

-Rationale

A
  • WB involved LE
  • Dissociation of R-L LEs
  • Trunk elongation
  • Rolling
  • Scooting in bed
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7
Q

Hip Abd-Add in Hook-Lying

  • Definition
  • Philosophic Basis
A
  • Definition: LE flexed with feet on flat surface; pt bring knees apart and together; PT hands on knees; For pts with no active contraction, can resist other LE to encourage associated reaction of involved LE
  • Philosophic Basis: NDT, Brunnstrom
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8
Q

Hip Abd-Add in Hook-Lying

-Rationale

A
  • Increase active movement of LE
  • Precursor to rolling and moving in bed
  • Rolling strength
  • Low level strengthening
  • Bed mobility: rolling/swing legs over edge of bed
  • Help initiate Mm contraction
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9
Q

Inhibition of Knee Extension w/ Hip extension

  • Definition
  • Philosophic Basis
A
  • Definition: Pt supine with invoved hip on edge of bed; LE flexed; bring LE into flexion and then over side of bed; contact at knee and lat foot
  • Philosophic Basis: NDT, Brunnstrom
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10
Q

Inhibition of Knee extension w/ hip extension

-Rationale

A
  • volitional inhibition of spasticity
  • precursor to gait
  • getting out of bed
  • Strengthening for gait
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11
Q

Facilitation of Active DF

  • Definition
  • Philosophic Basis
A
  • Definition: Pt supine w/ involved LE flexed (foot flat); hand contact on knee and lateral foot; facilitate DF; gradually extend knee and practice DF
  • Philosophic Basis: NDT, Brunnstrom
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12
Q

Facilitation of Active DF

-Rationale

A
  • Reduce tone
  • precursor to gait
  • don shoes/socks
  • increase ant tib strength
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13
Q

Trunk forward bending

  • Definition
  • Philosophic Basis
A
  • Definition: pt sit on mat and cradles involved UE with other; PT sits in front and supports elbows; PT guides pt fwd encouraging flexion at hips
  • Philosophic Basis: Brunnstrom
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14
Q

Trunk forward bending

-Rationale

A

Improve control/balance in sitting

  • trunk control for sit-to-stand
  • anticipatory balance
  • confidence
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15
Q

Oblique trunk flexion

  • Definition
  • Philosophic Basis
A
  • Definition: same as trunk fwd bending but diagonal movement of trunk with flexion
  • Philosophic Basis: Brunnstrom
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16
Q

Oblique trunk flexion

-rationale

A

-Improve control/balance in sitting

  • Reaching
  • Confidence
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17
Q

Scapular Mobilizations

  • Definition
  • Philosophic Basis
A
  • Definition: pt sidelying with involved UE up; PT hand on scapula and supports UE; facilitate protraction and upward rotation of scapula (can be done in supine or sitting)
  • Philosophic Basis: NDT
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18
Q

Scapular mobilizations

-Rationale

A
  • reduce neglect
  • reduce tone in UE
  • scap stability
  • gain ROM with passive stretching
  • Prep for reaching
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19
Q

Scapular Elevation

  • Definition
  • Philosophic Basis
A
  • Definition: pt seated; PT hands on shoulders; ask for contraction of uninvolved shoulder into elevation and look for associated reaction on involved; then try only involved shoulder without associated reaction
  • Philosophic Basis: Brunnstrom
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20
Q

Scapular Elevation

-Rationale

A

-Used to elicit contraction of shoulder Mm

  • posture
  • hold/carry objects
  • washing hair
  • reaching
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21
Q

Humeral Movements

  • Definition
  • Philosophic Basis
A
  • Definition: pt supine; PT hands on scapula (to protract) and wrist/hand; PT facilitates protraction during UE elevation (can do by clasping hands with pt)
  • Philosophic Basis: NDT
22
Q

Humeral Movements

-Rationale

A
  • develop proximal control of UE
  • reduce neglect
  • reduce tone
  • Reaching
  • UE tasks
23
Q

WB on stable surface

  • Definition
  • Philosophic Basis
A
  • Definition: pt sitting with UE on table; PT contact on shoulder and UE to assist w/ WB (ensure humeral head doesn’t sublux); pt move trunk over UE in all directions
  • Philosophic Basis: NDT
24
Q

WB on stable surface

-Rationale

A
  • Develop prox stability of UE via WB
  • reduce neglect
  • normalize tone
  • Shoulder stability
  • decrease subluxation
  • wrist flexor stretch
  • elbow flexor stretch
  • prep for sit to stand (pushing off chair)
25
Q

UE PNF D1

  • Definition
  • Philosophic Basis
A
  • Flexion: start arm by side palm facing out; close fist, supinate forearm, flex shoulder and elbow diagonally across trunk
  • Extension: start where flexion ends; open hand, pronate (palm out), extend elbow and shoulder back to starting position
  • Eyes/head follow arm

-Philosophic Basis: PNF

26
Q

UE PNF D1

-Rationale

A

-improve functional performance and coordination

  • coordination
  • strength
  • trunk rotation
27
Q

UE PNF D2

  • Definition
  • Philosophic Basis
A
  • Flexion: start with arm at opposite hip hand closed/forearm pronated; open hand, supinate, flex shoulder and extend elbow above on ipsilateral side
  • Extension: start where flexion ends; close hand, pronate forearm, reach back across to opposite hip
  • Eyes/head follow arm

-Philosophic Basis: PNF

28
Q

UE PNF D2

-Rationale

A

-improve functional performance and coordination

  • coordination
  • strength
  • trunk extension (bilateral D2 flexin; parkinson’s)
  • Rotate trunk
29
Q

LE PNF D1

  • Definition
  • Philosophic Basis
A
  • Flexion: LE out (hip ext, abd, IR), knee extended, ankle PF and Everted; starting at ankle move into: ankle DF/inversion, knee flexion, hip add/ER/flex
  • Extension: Start where flexion ended; return to beginning position of flexion

-Philosophic Basis: PNF

30
Q

LE PNF D1

-Rationale

A

-improve functional performance and coordination

31
Q

LE PNF D2

  • Definition
  • Philosophic Basis
A
  • Flexion: start with LE hip ext/add/ER, knee ext, & ankle PF/inverted; end with ankle DF/everted, knee flexed, hip abd/flex/(IR or ER ?????)
  • Extension

-Philosophic Basis

32
Q

LE PNF D2

-Rationale

A

-improve functional performance and coordination

33
Q

Rhythmic Rotation

  • Definition
  • Philosophic Basis
A
  • Definition: passive rhythmic rotation around long axis of bone; to end range with stretch; or sidelying for trunk
  • Philosophic Basis: PNF, NDT
34
Q

Rhythmic Rotation

-Rationale

A
  • decrease tone
  • increase ROM
  • decrease co-contraction
  • promote mobility
35
Q

Rhythmic Initiation (RI)

  • Definition
  • Philosophic Basis
A
  • Definition: passively (slowly) take pt through movement several times–>AAROM–>AROM; along long axis
  • Philosophic Basis: PNF
36
Q 
Rhythmic Initiation (RI)
-Rationale
A
  • assist movements in pts who can’t initiate or complete movement; give pt idea of motion
  • relaxation and decrease tone

-decrease co-contraction

37
Q

Contract Relax (CR)

  • Definition
  • Philosophic Basis
A
  • Definition: position joint/limb at end ROM; ask for strong ISOTONIC contraction of range constricting muscle; hold 5-8 sec; voluntary relaxation; active movement into new range of agonist muscle
  • -FOCUSES ON ROTATION
  • -increase ROM
  • Philosophic Basis: PNF
38
Q 
Contract Relax (CR)
-Rationale
A

-Improve ROM via autogenic inhibition/reciprocal inhibition

39
Q

Hold Relax (HR)

  • Definition
  • Philosophic Basis
A
  • Definition: position joint at end ROM before pain; ask for strong ISOMETRIC contraction of range restricging muscle; hold; voluntary relaxation; move into new range
  • -NOT focused on rotation
  • Philosophic Basis: PNF
40
Q 
Hold Relax (HR)
-Rationale
A

-Improve ROM via autogenic inhibition/reciprocal inhibition

41
Q

Hold Relax Active Motion (HRAM)

  • Definition
  • Philosophic Basis
A
  • Definition: appropriate for weak Mm (2/5 or less); passvely move into shortened range; perform isometric hold; have pt relax; passively move back to beginning of ROM; ask for active movement to end of range
  • Philosophic Basis: PNF
42
Q

Hold Relax Active Motion (HRAM)

-Rationale

A

-reinforce end ROM to give pt idea where to move to

43
Q

Approximation

  • Definition
  • Philosophic Basis
A
  • Definition: compression through joint

- Philosophic Basis: PNF

44
Q

Approximatino

-Rationale

A
  • stimulate joint receptors
  • increase stability around joint
  • pressure/proprioception
  • decrease neglect
45
Q

Tapping

  • Definition
  • Philosophic Basis
A
  • Definition: use fingertips to tap on muscle belly that is contributing to movement
  • Philosophic Basis: PNF, NDT
46
Q

Tapping

-Rationale

A
  • provide quick stretch to muscle (maybe)

- Sensory feedback

47
Q

Resisted flex/ext of trunk/limb
(aka stabilizing reversals/alternating isometrics)
-Definition
-Philosophic Basis

A
  • Definition: body segment in midline or WB position; resist isometric contraction of one side of joint; move hands to other side (no relaxation) isometric contraction of muscle on other side
  • Philosophic Basis: PNF
48
Q

Resisted flex/ext of trunk/limb
(aka stabilizing reversals/alternating isometrics)
-Rationale

A

-increase stability at mid range

49
Q

Resisted rotation of trunk/limb
(aka Rhythmic stabilization)
-Definition
-Philosophic Basis

A
  • Definition: simultaneous isometric contraction of agonist and antag Mm w/o relaxation in between contractions; resist rotatory components
  • Philosophic Basis: PNF
50
Q

Resisted rotation of trunk/limb
(aka Rhythmic stabilization)
-rationale

A

good progression from resisted flex/ext due to increased number of Mm involved

51
Q

Dynamic Reversals (or hold)

  • Definition
  • Philosophic Basis
A
  • Definition: pt weight shift while tracking PT hand (or weight shift and resist PT there)
  • Philosophic Basis: PNF
52
Q 
Dynamic reversals (or hold)
-rationale
A

-controlled mobility (and core strength)

Neuromuscular Conditions I (11 decks)

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