Reach to grasp

Question 1

Easier objects tend to be:

Answer 1

large
cylindrical 
rough
stable
rigid
light

Question 2

More challenging objects tend to be:

Answer 2

small
spherical 
unstable
smooth 
heavy

Question 3

Preparation phase critical events

Answer 3

visual ID object

Question 4

Transport acceleration phase critical events

Answer 4

disassociation of arm and trunk
pre shape hand
accelerate arm

Question 5

Transport deceleration phase critical events

Answer 5

decelerate arm

finalize pre shape

Question 6

Grasp phase critical events

Answer 6

slip grip force

modulation

Question 7

What is the best intervention for improving arm function?

Answer 7

mental imagery

Question 8

Constraint induced movement therapy

Answer 8

higher function: 20 degrees wrist flex, 10 degrees ext of each mcp/ip joints
lower function: 10 degrees wrist flexion, 10 degrees thumb abduction/ext, 10 degrees of ext in 2 digits

Question 9

How is the practice set up for CIMT

Answer 9

uninvolved UE for 90% of waking hours

repetitive, unimanual, task-oriented. 6 hrs/day for 10-15 days

Question 10

CIMT training procedures (2)

Answer 10

1. shaping- functional activity for a set of 10-30 sec trials with immediate FB
2. Task practice- less structure. functional activity for 15 mins.

Question 11

What does a trunk restraint help with?

Answer 11

increase shoulder flexion
increase elbow extension
inter-joint coordination

Question 12

What does vibration help?

Answer 12

velocity
smoothness
accuracy

Question 13

What does kinesiotape help?

Answer 13

proprio and muscle activity
paraspinal- upright trunk
deltoid- greater support with reach

Question 14

Other interventions for reaching?

Answer 14

mirror, splint, VR