Pollev 1 Flashcards
The following are treatment Principles using a task oriented approach EXCEPT:
A. Create an environment that utilizes the common challenges of everyday life
B. Practice functional tasks or close simulations that have been identified as important by participants
C. Minimize ineffective and inefficient movement patterns by manipulating critical personal or environmental factors
D. Focus on remediation of client factors and performance skills
D. Focus on remediation of client factors and performance skills
You are doing an evaluation based on task oriented approach (from Systems Model of Behavior), which area would be the best place to start?
A. Role performance and client factors
B. Client factors & environment
C. Areas of occupation & performance skills
D. Role performance and client factors
A. Role performance and client factors
________ Model of Motor Control is a closed loop system whereby there is a focus on the peripheral NS as the control of movement.
Contemporary
Reflex
Hierarchical
Systems
Reflex
Rapid repetitive movements (skilled typing) is an example of what motor control concept?
Feed forward
Motor learning
Feedback
Reciprocal innervation
Feed forward
You have a patient who had a CVA and has right sided weakness. They are in acute care and this is your first treatment session. What would be the best motor learning treatment approach for this patient?
Random practice
Variable practice
Constant/Blocked practice
All would be fine
Constant/Blocked practice
What concept refers to the large number of joints, planes of motion within each joint, muscles that control the joints, and single motor units within each muscle?
Higher levels in the CNS control the lower levels
Coordinative structures
Degrees of Freedom
None of above
Degrees of freedom
Which model focuses on maturation of the CNS, which in turn causes motor development and less emphasis on the environment?
Reflex Model
Hiearchical model
Systems model
Heterarchical model
Hiearchical model
T or F: One uses blocked practice to improve motor learning and random practice for increased performance.
False
Learning over a long period of time
motor learning (needs to be more variable to increase generalize ability)
What increases performance?
blocked practice
T or F: performance is just 1 block of time
true
T or F: Systems model focuses on the person, environment, and uses both feedback and feedforward controls.
true
You are standing in class and you raise your hang to answer a question. Which concept explains why you do not loose your balance and fall when raising your hand?
Feedback
Anticipatory control
Degrees of freedom
External focus of control
Anticipatory control
The following are Rood’s assumptions in motor control EXCEPT?
The use of developmental postures, however, not in a sequential manner
Controlled sensory stimulus for reflex based muscular response
Normalization of tone to effect skilled movement
Repetition and practice is necessary for learning
The use of developmental postures, however, not in a sequential manner
Sensory stimulation to facilitate or inhibit movement (sensory input)
Rood
You are watching an OT perform UE weight bearing while using key points of control to perform this intervention. You ask the OT what the purpose of this treatment is and he responds “to normalize tone”. This treatment strategy is based on:
Brunnstroms
Rood
PNF
NDT
NDT
Key points of control (inhibit or support) to increase tone
NDT
Diagonals
PNF
- reciprocal innervation
- co-contraction (agonist & antagonist)
- heavy work
- skilled
Rood
Stages of recovery with synergistic movements, hit peak - have to go through abnormal movements to get to normal voluntary movements
Brunnstroms
You are working with a patient to comb the back of her hair with her affected right UE. Which diagonal (in PNF) are you working on?
D1 flexion
D1 Extension with intermediate pivot
D2 Flexion
D2 flexion with intermediate pivot
D2 flexion with intermediate pivot
Rhythmic stabilization (PNF treatment strategy) is the following?
Repeated contractions of agonists are utilized within a functional pattern to increase the range and endurance in weaker components.
Passive rhythmic movement patterns to initiate movements
Alternating concentric contractions of the agonist and antagonist
Simultaneous isometric contraction of the agonist and antagonist
Simultaneous isometric contraction of the agonist and antagonist
You have a patient whose affected arm is Brunnstrom stage 1, as well as decreased attention, concentration and intermittent double vision, which would be the most appropriate treatment intervention?
Repetitive practice (movement) of the affected limb
Mirror therapy and mental practice
PROM and positioning
Action observation and mirror therapy
PROM and positioning
