Rolling, Coming to Sit Flashcards
What two activities were highly related to being discharged to home for post stroke patients?
Gait and Rolling to intact side
What are the common movement patterns of the upper extremity during rolling?
lift-reach above shoulder
push and reach
lift-reach below shoulder
push
What are the common movement patterns of the trunk during rolling?
shoulder girdle leads
relationship b/w pelvis and shoulder girdle changes
pelvis leads
aligned pelvis and shoulder girdle
What are the common movement patterns of the lower extremity during rolling?
unilateral push
bilateral push
unilateral lift
bilateral lift
What are some common Patient identified problems with rolling?
“I get stuck when I try to roll”
“My arms get caught”
“I cannot reach across”
“my legs are too heavy”
What four muscles are mostly activated during rolling activities?
SCM
Pec major
Ext. Oblique
Rectus Femoris
How does muscle activation of rolling change in hemiplegia patients?
SCM muscles fire regularly but the Pec Maj., Ext. Oblique and Rectus Femoris are have reduced activation on the paretic side of the body
What interventions help address weaknesses of the 4 major rolling muscles?
- Over activate the muscles (emphasize activation of involved muscles)
- Rhythmic initiation (progress from passive to AAROM to AROM to resisted movement)
- Manual contact of involved muscles
- Verbal commands
How should you initiate rolling movements using the momentum generation intervention?
How should you transition the momentum?
with lift of head and neck
move head and arms quickly in the direction of the roll and with the head and trunk moving into slight flexion
How should you initiate rolling movements using the forced control intervention?
How should you transition the momentum?
push one foot into the support surface, lift head; reach with UE
continue rolling to side by pushing with the LE and reaching with the UE
What are common patterns of the UE during coming to sit movements?
Lateral lift and push Push double push lift and push left and reach
What are common patterns of the head and trunk during coming to sit movements?
pelvis leading
lateral roll
roll off
come to sit
What are common patterns of the LE during coming to sit movements?
Step off
asynchronous w/ leg extension
asynchronous
synchronous
What are some common Patient identified problems with coming to sit?
“I get stuck”
“I will fall”
“I move soooo slowly”
“I don’t have the strength”
What interventions are appropriate for patients the have poor LE sequencing or weakness of hip abductors/flexors?
-lateral leg movement, single leg b y moving one LE toward the side of exit and the other LE (helps with initial portion of rise)