PT Interventions - Augmented Approaches Flashcards
what is an augmented approach
hands on approach to neuro rehab in which the therapist guides and supports normal movements and/or prevents abnormal movement patterns
what is an augmented approach based on
outdated theories of motor development and motor control
- prior to knowledge of neuroplasticity
what does the literature say about an augmented approach
varied findings
when would you use an augmented approach
“jump start” functional recovery
- degree of CNS impairment prevents starting w functional task training
- early stage of motor learning
- early stages of recovery
how do PTs guide patient’s learning in augmented therapeutic interventions
via hands on techniques and/or environmentally controlled techniques
how can an augmented approach be transitioned to a task-oriented one
augmented approach to allow pt to achieve success w task -> learn task and successful
motivated to continue w therapy -> inc ability -> need less help -> use functional task-oriented approach
what are examples of neuromotor/augmented training strategies (5)
PNF
NDT
guided movements
facilitated movement
somatosensory training
what are examples of activity-based, task-oriented training strategies (3)
task training
- whole task
- part to whole
environmental structure
behavioral shaping
what are examples of motor learning training strategies (5)
feedback: KP, KR, schedule
practice: order, schedule
transfer training
environmental context
problem solving
what are examples of compensatory training strategies (3)
substitution
adaptation
assistive/supportive devices
what pt population was NDT originally developed for
treat motor deficits in:
- children w CP
- adults post-stroke
what is the theoretical basis behind NDT
hierarchal level of reflex integration-model of motor control
- which has been disproved
NDT was based on the theory that ______ controlled the nervous system
sensory feedback
what was the focus of NDT
sensory input and muscle re-ed
- what the pt experiences results in action they will perform
what impairments does NDT address (4)
normalize tone
address postural deficits
improve postural control
improve motor performance
what is NDT
neurodevelopmental technique
therapeutic handling to promote learning or aid in re-learning adaptive motor patterns and prevent abnormal, primitive or maladaptive patterns
what are the key points of control that NDT highlights
scapula
iliac crests
prox or distal limbs
what are NDT activity level interventions (6)
postural control
trunk control
rolling & bed mobility
transitional movements
ambulation
reaching, grasping and releasing, manip objects
what are specific BSF impairments that NDT can address (7)
abnormal tone
abnormal posture
impaired sensation & sensory integration
impaired motor control
weakness
impaired ROM
reduced activity tolerance
what population is NDT used heavily in
pediatric
what are 4 variables of NDT
- body position/posture & support surface
- manual contacts/key points of control
- type/mode of facilitation
- prevent extraneous, maladaptive, primitive movement patterns
what other interventions is NDT often combined with? why?
other augmented approaches
task-oriented retraining
helps person be more functional
what is the theory PNF is based on
ability, strength, and endurance are developed by active participation
- applying PNF recognizes hidden potential exists and developed by response to a demand; frequency or repetition is important to learning process
where can PNF patterns be applied (4)
extremity
scapula
trunk
pelvis
