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
What are interventions for TM for active problems?
repeated contractions, rhythmic initiation, , quick stretch
What are characteristics of stability?
tonic holding- postural muscle, active in shortened range
postural stability- static co-contraction
What are possible impairments during stability?
weakness of stabilizing muscles, poor recruitment of tonic motor units, poor WB tolerance
What are techniques that increase tonic holding?
stabilizing reversals, rhytmic stab. , facilitation-reistance and jt approximation
What are characteristics of controlled mobility?
Wt shift in B WB, dynamic stability, mov’t within postures, closed chain heavy work
What is an example of controlled mobility?
lifting distal extremity, which requires concentric and eccentric
What are impairments in controlled mobility?
poor WS, impaired postural control, impaired motor control, excessive ms activity
What are interventions for controlled mobility?
practice wt shifts, resisted progressions, stabilizing reversals
What are characteristics of a skill?
distal parts moving freely in space, rotation component, proximal holding/ dynamic stability
ex gait or handwriting
What are impairments associated with skill?
poor prox, dynamic stability, impaired motor control, poor motor planning, abnormal synergies
What are interventions with skill?
understanding underlying issues, ms endurance training , combination of isotonics
What re biomechanical considerations for neuromotor training?
BOS, COM, # of WB jts
What are the three motor learning stages?
- cognitive
- associate
- autonomous
