NM MC/ML/Feedback/Task-Specific/Remediation-Facilitation/PNF Flashcards

1
Q

Feedback given after every trial improves ___, while ___ feedback improves learning and retention

A

Performance

Variable

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2
Q

Early training should focus on ___ feedback (cognitive phase of learning), while later training should focus on ____ feedback (associative phase)

A

Visual

Proprioceptive

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3
Q

10 PNF techniques

A
  1. Rhythmic initiation
  2. Rhythmic rotation
  3. Stabilizing reversals (alternating isometrics)
  4. Rhythmic stabilization
  5. Dynamic reversals (slow reversals)
  6. Combination of isotonics (agonist reversals)
  7. Replication (hold-relax-active motion)
  8. Contract-relax active contraction (CRAC)
  9. Hold-relax (HR)
  10. Repeated stretch (repeated contraction)
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4
Q

UE D1F is what PNF pattern?

A

Flexion-adduction-ER

Diagonal D1 flexion

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5
Q

UE D1E is what PNF pattern?

A

Extension-abduction-IR

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6
Q

UE D2F is what PNF pattern?

A

flexion-abduction-ER

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7
Q

UE D2E is what PNF pattern?

A

Extension-adduction-IR

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8
Q

LE D1F PNF

A

Flexion-adduction-ER

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9
Q

LE D1E PNF

A

Extension-abduction-IR

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10
Q

LE D2F PNF

A

Flexion-abduction-IR

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11
Q

LE D2E PNF

A

Extension-adduction-ER

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12
Q

PNF: upper trunk flexion with rotation to R or L, lead arm moves in D1E, assist arm holds on top of wrist

A

sitting chop

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13
Q

PNF: upper trunk extension with rotation to R or L; lead arm moves in D2F, assist arm holds beneath wrist

A

sitting lift

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14
Q

Contraindications for sensory stimulation

A

-Pts who will not benefit from hands-on approach
Pts who demonstrate sufficient motor control to perform active movements
-Pts who can independently practice motor skill
-Pts who can self-correct based on feedback mechanisms

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15
Q

Spatial summation (multiple techniques) or temporal summation (___ ___ of same technique) may be necessary to produce desired response in some patients with reduced response

A

Repeated application

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16
Q

Functions are assumed or replaced, or substituted by different areas of the brain using different effectors or body segments

A

Substitution

17
Q

Issues with substitution

A

Learned nonuse
Development of splinter skills: pt with brain damage, skills cannot easily be generalized to other tasks/environmental situations

18
Q

PNF: Supine or sitting CHOPPING facilitates what?

A

Rolling to prone

19
Q

PNF: D1 flexion LE helps with what?

A

Rolling in any direction

20
Q

PNF Techniques for Facilitation:
Slow isotonic shortening contraction through the range followed by eccentric lengthening contraction with same muscle groups

A

Agonist reversals (AR)

21
Q

PNF Techniques for Facilitation

What is agonist reversals (AR) indicated for?

A

Weak postural muscles

Inability to eccentrically control body weight during movement transitions (ex: sitting down)

22
Q

PNF Techniques for Facilitation:

Joint compression

A

Approximation

23
Q

PNF Techniques for Facilitation:

What is approximation indicated for?

A

Stimulate afferent nerve endings

Facilitate postural extensors to promote stability

24
Q

PNF Techniques for Facilitation:
Isotonic movement in rotation followed by isometric hold of the range limiting muscles in antagonist pattern against slowly increasing resistance, then passive motion and active contraction of agonist pattern

A

Contract-Relax (CR)

25
Q

PNF Techniques for Facilitation:

What is contract relax (CR) indicated for?

A

Limited ROM caused by muscle tightness or spasticity

26
Q

PNF Techniques for Facilitation:
Isometric contraction of antagonist pattern against slowly increasing resistance, followed by voluntary relaxation and passive overeat into the newly gained range of the agonist pattern. Active contraction (__) of the agonists can also be performed and relaxes the antagonist through RECIPROCAL INHIBITION.

A

Hold-relax (HR)

27
Q

PNF Techniques for Facilitation:

Indications for hold-relax (HR)?

A

Limitations in ROM due to muscle tightness, spasm, or pain

28
Q

PNF Techniques for Facilitation:
Repeated isotonic contractions induced by quick stretches and enhanced by resistance performed through the range or part of the range at a point of weakness.

A

Repeated contractions (RC)

29
Q

PNF Techniques for Facilitation:

Indications for repeated contractions (RC)?

A

Weakness
Incoordination
Muscle imbalances
Lack of endurance

30
Q

PNF Techniques for Facilitation:
Voluntary relaxation followed by passive movement through increasing ROM, followed by active-assisted contractions progressing to resisted isotonic contractions

A

Rhythmic initiation (RI)

31
Q

PNF Techniques for Facilitation:

Indications for rhythmic initiation (RI)?

A
Spasticity
Rigidity
Hypertonicity
Inability to initiate motion (apraxia)
Motor learning deficits
Communication deficits (aphasia)
32
Q

PNF Techniques for Facilitation:
Simultaneous isometric contractions of both agonist and antagonist patterns performed without relaxation using careful grading of resistance. Cocontraction of opposing muscle groups.

A

Rhythmic stabilization (RS)

33
Q

PNF Techniques for Facilitation:

Indications for rhythmic stabilization (RS)?

A
Instability in WB and holding
Poor antigravity control
Weakness
Ataxia
Limited ROM caused by muscle tightness
Painful muscle splinting
34
Q

PNF Techniques for Facilitation:
Alternating isotonic contractions of agonist then antagonist patterns using careful grading of resistance and optimal facilitation. In ___, isometric hold is added at end of range at a point of weakness

A
Slow reversal (SR)
Slow reversal hold (SRH)
35
Q

PNF Techniques for Facilitation:

Indications for slow reversal (SR) or slow reversal hold (SRH)?

A

Inability to reverse directions
Muscle weakness or imbalance
Incoordination
Lack of endurance

36
Q

PNF Techniques for Facilitation:

Separation of joint surfaces

A

Traction

37
Q

PNF Techniques for Facilitation:

Indications for traction?

A

Facilitates flexor muscles

Mobilizing patterns