other rehab techniques Flashcards
Biomechanical analysis of reaching for a cup- trunk and head
stability of the trunk and the scapula- ES and abdominals working isometrically- if reaching sideways- isotonic activity
movement of head and eyes- isotonic activity of sternocleidomastoid scalenes and eye muscles
Biomechanical analysis of reaching for a cup- arm and fingers
arm and hand movement- isotonic activity of deltoid, RC and triceps
movement of fingers and wrist to grasp- isotonic activity of wrist/finger extensors, followed by finger flexion and adduction and thumb opposition
types of grips
digital- pinch, disc, hook, finger push, box, cylindrical, flipped cylindrical, lateral ,tripod
palmer- span, spherical, power, flat hand push
easier ones- cylindrical and palmer, more difficult= pinch
additional rehab techniques
saeboflex- glove to assist with gripping, lycra- sensory input and provide leg support by compression, strapping- help to activate muscles
ideas of gym ball work
sitting on, sidelying, supine, prone, reaching, rolling
pilates
pilates is a physical fitness system that focuses on stable pelvis,
cardiorespiratory fitness
exercise to promote improved capacity of the cardiovascular system. The contraction of major muscle groups must be repeated often enough to elevate the heart rate to a target level determined during testing
why is cardiorespiratory fitness important
weight reduction, reduced BP (due to growth of capillaries in skeletal muscles leading to reduced resistance in peripheral resistance), reduced LDL, total cholesterol, and raise the HDL, increased ability to use insulin to control glucose levels in the blood, increased chronic anti-inflammatory effect which relates to improved blood vessel function, decreased anxiety and depression, reduced all-cause mortality, immune response- bolsters the response of T and B lymphocytes leading to decreased infection
how is cardiorespiratory fitness measured
Gold standard- measuring V02, clinical tests= six min walk test, incremental shuttle walk test
CPET
amount of oxygen consumed and C02 produced is measured
VO2 max is when the patient can no longer push themselves due to fatigue, aiming to reach anaerobic threshold when amount of oxygen taken is equal to the amount of CO2 produced
cardiovascular fitness post-stroke
reduced by 50% post stroke, impaired balance and coordination, diminished proprioceptive feedback, changes in muscle physiology and inflammation, impaired hemodynamic response, altered metabolic health, respiratory dysfunction
keys to exercise- target heart rate
60-80% of max heart rate