PT Interventions: Neuromotor and Augmented Flashcards
For functional goals what is preferred method of treatment?
- functional- pt performs task ineptly and relies on intrinsic feedback to improve
2nd choice- pt guides activity and provides extrinsic feedback
Why would augmented feedback be used early in the rehab process?
if CNS impairment is large then you won’t be able to start with functional training
What is the main purpose of augmented therapy?
guides patients learning via hands on techniques and/or environmentally controlled techniques
allows pt to achieve task with success which can lead to learning
What are three types of augmented/neuromotor approaches?
- NDT- neurodevelopment training
- PNF- proprioceptive neuromuscular facilitation
- Motor control- Rood stages
Why were neuromotor approaches first started?
after WW2 and polio, using the hierarchial models of motor control
primary focus of sensory, motor and role of the augmented therapeutic approach
What is the focus of NDT treatment?
increase function by building on the individuals strengths while addressing impairments
What is the mechanism of NDT??
structuring the environment, facilitating or inhibiting movement, guiding with visual and verbal cues
What is the primary strategy of NDT?
therapeutic handling
What is important to remember about PNF?
recognizes that their is hidden potential and they are developed through demand and repetition
What is Rood’s motor control levels?
one of the first people to propose link between motor and sensory
What are the 4 categories of motor skill?
- mobility or transitional mobility
- stability or static postural control
- controlled mobility aka dynamic postural control
- skill
What is transitional mobility?
ability to move from on posture/position to another
BOS and COM are changing
What are early and late parts of TM?
early- discrete movement of limb
late- movement superimposed on postural control
ex. rolling
What are possible impairments associated with TM?
passive movement restrictions
active- poor initiation and poor ability to sustain mov’t through out range
What are interventions for TM for passive problems?
hold relax, rhythmic rotation, inhibitory handling (NDT), soft tissue/joint mobs
