Overview of PT Interventions for People w/ Neurological Dysfxn (2)

Question 1

Rood approach

Answer 1

postural system needed to hold against resistance and release the hold

first in weight bearing and then in non-weight bearing

Question 2

Rood developed

Answer 2

use of external facilitation techniques to either facilitate or inhibit the neuromuscular system

Question 3

what does the rood approach use

Answer 3

tapping

brushing

vibration

quick ice

sustained ice

Question 4

why do we use these interventions for rood approach

Answer 4

influence specific sensory receptors w/in muscle spindle

Question 5

patterning approaches

Answer 5

temple-fay

dolman-delcato

Question 6

what is the brunnstrom approach related to

Answer 6

adult hemiplegia only

Question 7

what does brunnstrom do

Answer 7

observe stereotypical movement patterns

called pathological synergies

Question 8

main concept of brunnstrom

Answer 8

in the absence of movement

use an means to facilitate movement

including pathological reflexes

Question 9

once voluntary movement is present in both directions (flexion/extension)–> brunnstrom

Answer 9

even as pathological synergy patterns

start to mix the patterns

Question 10

what is normal movement

Answer 10

combination of patterns

Question 11

goal –> brunnstrom

Answer 11

normal movement patterns

Question 12

bobath approach is also called

Answer 12

neuro developmental therapy (NDT)

Question 13

originally developed for –> bobath approach

Answer 13

children and expanded to adults

Question 14

what does bobath approach use

Answer 14

reflex inhibiting postures (RIP)

to reduce pathological reflexes and abnormal tone

by keeping child in specific postures passively

Question 15

adhered to –> bobath approach

Answer 15

concept of never encouraging use of pathological reflexes

Question 16

in adult hemiplegia –> bobath approach

Answer 16

facilitated movement in positions which are not influenced by pathological reflexes

encouraged mixing pathological synergy patterns

Question 17

goal –> bobath approach

Answer 17

normal movement patterns

Question 18

today–> bobath approach

Answer 18

incorporated many principles from motor learning and control approaches

Question 19

proprioceptive neuromuscular facilitation –> underlying philosophy

Answer 19

all human beings gave untapped existing potential

tx is directed at the total human being

Question 20

tx approach –> proprioceptive neuromuscular facilitation

Answer 20

always positive

reinforcing what the patient could do

Question 21

primary goal –> proprioceptive neuromuscular facilitation

Answer 21

pt achieve their highest potential

Question 22

proprioceptive neuromuscular facilitation uses concept of

Answer 22

all normal movements incorporate spiral diagonal patterns

include flex/ext, abd/add and rotations

Question 23

what does proprioceptive neuromuscular facilitation uses

Answer 23

specific patterns of movement

verbal

manual facilitation

Question 24

proprioceptive neuromuscular facilitation can be used w/

Answer 24

pts with any system problems

Question 25

NUSTEP

Answer 25

conference to report on latest research in CNS rehab

Question 26

motor control

Answer 26

based on most current basic science principles of how the CNS works

Question 27

what does motor control take into account

Answer 27

CNS must control multiple systems simultaneously

Question 28

motor control encourages

Answer 28

combo of neuromuscular, biomechanical, environmental manipulation. fxn and learning principles

more of a hands-off approach

pt problem solving