Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Heel Slides

-Rationale

A
  • Prep for bridging/bed mobility
  • Break up extensor tone
  • facilitate movement into flexion
  • Rolling/scooting in bed
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Bridging

-Rationale

A
  • WB on LE
  • Hip extension/knee flexion
  • strengthen hip extensors
  • bed scooting
  • Core stabilizer
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Half-Bridging

-Rationale

A
  • WB involved LE
  • Dissociation of R-L LEs
  • Trunk elongation
  • Rolling
  • Scooting in bed
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Facilitation of Active DF

-Rationale

A
  • Reduce tone
  • precursor to gait
  • don shoes/socks
  • increase ant tib strength
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Trunk forward bending

-Rationale

A

Improve control/balance in sitting

  • trunk control for sit-to-stand
  • anticipatory balance
  • confidence
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Oblique trunk flexion

-rationale

A

-Improve control/balance in sitting

  • Reaching
  • Confidence
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Scapular mobilizations

-Rationale

A
  • reduce neglect
  • reduce tone in UE
  • scap stability
  • gain ROM with passive stretching
  • Prep for reaching
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Scapular Elevation

-Rationale

A

-Used to elicit contraction of shoulder Mm

  • posture
  • hold/carry objects
  • washing hair
  • reaching
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
UE PNF D1 - Definition - Philosophic Basis
- 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
UE PNF D1 | -Rationale
-improve functional performance and coordination - coordination - strength - trunk rotation
27
UE PNF D2 - Definition - Philosophic Basis
- 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
UE PNF D2 | -Rationale
-improve functional performance and coordination - coordination - strength - trunk extension (bilateral D2 flexin; parkinson's) - Rotate trunk
29
LE PNF D1 - Definition - Philosophic Basis
- 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
LE PNF D1 | -Rationale
-improve functional performance and coordination
31
LE PNF D2 - Definition - Philosophic Basis
- 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
LE PNF D2 | -Rationale
-improve functional performance and coordination
33
Rhythmic Rotation - Definition - Philosophic Basis
- Definition: passive rhythmic rotation around long axis of bone; to end range with stretch; or sidelying for trunk - Philosophic Basis: PNF, NDT
34
Rhythmic Rotation | -Rationale
- decrease tone - increase ROM - decrease co-contraction - promote mobility
35
Rhythmic Initiation (RI) - Definition - Philosophic Basis
- Definition: passively (slowly) take pt through movement several times-->AAROM-->AROM; along long axis - Philosophic Basis: PNF
36
``` Rhythmic Initiation (RI) -Rationale ```
- assist movements in pts who can't initiate or complete movement; give pt idea of motion - relaxation and decrease tone -decrease co-contraction
37
Contract Relax (CR) - Definition - Philosophic Basis
- 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
``` Contract Relax (CR) -Rationale ```
-Improve ROM via autogenic inhibition/reciprocal inhibition
39
Hold Relax (HR) - Definition - Philosophic Basis
- 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
``` Hold Relax (HR) -Rationale ```
-Improve ROM via autogenic inhibition/reciprocal inhibition
41
Hold Relax Active Motion (HRAM) - Definition - Philosophic Basis
- 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
Hold Relax Active Motion (HRAM) | -Rationale
-reinforce end ROM to give pt idea where to move to
43
Approximation - Definition - Philosophic Basis
- Definition: compression through joint | - Philosophic Basis: PNF
44
Approximatino | -Rationale
- stimulate joint receptors - increase stability around joint - pressure/proprioception - decrease neglect
45
Tapping - Definition - Philosophic Basis
- Definition: use fingertips to tap on muscle belly that is contributing to movement - Philosophic Basis: PNF, NDT
46
Tapping | -Rationale
- provide quick stretch to muscle (maybe) | - Sensory feedback
47
Resisted flex/ext of trunk/limb (aka stabilizing reversals/alternating isometrics) -Definition -Philosophic Basis
- 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
Resisted flex/ext of trunk/limb (aka stabilizing reversals/alternating isometrics) -Rationale
-increase stability at mid range
49
Resisted rotation of trunk/limb (aka Rhythmic stabilization) -Definition -Philosophic Basis
- Definition: simultaneous isometric contraction of agonist and antag Mm w/o relaxation in between contractions; resist rotatory components - Philosophic Basis: PNF
50
Resisted rotation of trunk/limb (aka Rhythmic stabilization) -rationale
good progression from resisted flex/ext due to increased number of Mm involved
51
Dynamic Reversals (or hold) - Definition - Philosophic Basis
- Definition: pt weight shift while tracking PT hand (or weight shift and resist PT there) - Philosophic Basis: PNF
52
``` Dynamic reversals (or hold) -rationale ```
-controlled mobility (and core strength)

Neuromuscular Conditions I (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions