Practical Flashcards
MinA
-Pt doing 75% of the work
-work from the side
-no touching guarding until needed
ModA
-Pt doing 50% of the work
-work from front
-guard
-might use AD
MaxA
-Pt doing 75% of the work
-work from front
-If from side, utilize legs
-might use AD
Receptive Aphasia
Wernicke’s Aphasia
-no fluency
-cannot understand
Expressive Aphasia
Broca’s Aphasia
-fluent and understand
-cannot get the words out
-lots of leaning forward and irritation
Decreased Memory
-short commands
-remind often
-don’t explain to much
Anosognosia
-Pt unaware of neurological deficits
Neglect
-make Pt engage with neglect side
-use tactile cues and stand on side of neglect
-make distractions and noise on neglect side
Perseveration
-repetition of same movement, speech, or pattern
Labile
-quickly changing emotions
-sad, mad, crying, aggression
Logorrhea
-incoherent talkativeness
Sequencing Problems
-inability to know the order things need to be done
-can use sequencing as treatment or give Pt instructions one at a time
Lethargic
-sluggishness and fatigue
LE Impairments
-Hemiplegia
-Spasticity
-Proprioception
-Decreased Coordination
-Weakness
-Movements in Synergy
-Limited ROM
-Decreased CV Endurance
UE Impairments
-Hemiplegia
-Spasticity
-Proprioception
-Decreased Coordination
-Weakness
-Movements in Synergy
-Pushing Syndrome
-Limited ROM
Trunk Impairments
-Midline orientation
-Decreased trunk control
-Decreased ROM
Cognitive/Visual Impairments
-Neglect
-Homonymous Hemianopsia
-Anosognosia
-Decreased Memory
-Perseveration
-Lethargic
-Sequencing issues
-Decreased Attention
-Labile: inappropriate emotions
-Loggorhea: wordiness/ word vom
LE Exercises
-PNF Diagonals
-PNF Slow reversals, alternating isometrics
-Timing for emphasis/Repeated contractions
-Half Bridging
-Bridging (timing for emphasis w/repeated contractions
-Raimiste’s
-Lower Trunk Rotation
-Scooting in Bed
-Rolling in Bed
-Supine to Sit
-Scooting Transfers
-Pivot Transfers
-Sit to Stand
-Kneeling (resisted walking)
-Turning
-Stance/Swing Training
-Resisted Walking or Stance (Activities for reinforcement)
-Backwards Walking
-Gait Training (poles, obstacles)
-Step Training (moving surfaces, static)
-Kicking Ball
-Ladder Training
-Braiding
UE Exercises
-PNF Diagonals
-PNF Slow reversals, alternating isometrics
-Weight Bearing (Bilat, Asym, Lifts, hand movements)
-Reaching (Isometrics, eccentric, concentric)
-Scap Mobilization
-Inhibiting of Hand
Trunk Exercises
-PNF Slow reversals, alternating isometrics, rhythmic stabilization
-Reaching emphasizing trunk movements
-Mobilizations
-Weight Shifts
-Pusher lateral mobilization
-Prone on arm, Quadruped, Kneeling
Balance Exercises
-Perturbations
-Shifting Weight
-Obstacles
-Sitting Balance
Motor Learning Parameters
-BOS
-Visual cues (distraction)
-Challenges
-Ask if they can do it/Cues/Questions/Feedback
-Minimal touching or tactile cues
-Mirror/Tape
EX:
-Gait Obstacles
-Moving Obstacles on Counter
-Functional Activites (washing hands, cooking, eating)
-Moving Items with hands and Feet
D1 UE
-putting a seatbelt on
Flexion: reaching for seatbelt
-Shoulder: add, ER
-Scap: UR, pro, elevated
-Forearm: sup
-Wrist: flex, rad dev
-Fingers: flx, add
Extension: buckling it
-Shoulder: abd, IR
-Scap: DR, retract, depressed
-Forearm: pronation
-Wrist: ext, ulnar dev
-Fingers: ext, abd
D2 UE
-Sword and waiter
Flexion: waiter holding a tray
-Shoulder: flx, abd, ER
-Scap: elevat, UR, retracted
-Forearm: sup
-Wrist: ext, rad dev
-Fingers: ext, abd
Extension: reaching for sword
-Shoulder: ext, add, IR
-Scap: depress, DR, protracted
-Forearm: pronation
-Wrist: flex, ular dev
-Fingers: flx, add
D1 LE
-hacky sack and ballet
Flexion: hackey sack
-Hip: flx, ER, add
-Knee: flx
-Ankle: DF, inv
-Toes: extension
Extension: Ballet
-Hip: ext, ITR, abd
-Knee: ext
-Ankle: PF, ev
-Toes: flx
D2 LE
-dog peeing and curtsey
Flexion: dog peeing
-Hip: flx, IR, abd
-Knee: flx
-Ankle: DF, ev
-Toes: extension
Extension: curtsey
-Hip: ext, ER, add
-Knee: ext
-Ankle: PF, inv
-Toes: flx
Home Exercises
-Flexibility
-Strength
-Education
Palloff Press: with thera band
Balance
must dose
