Rood Flashcards

1
Q

Contracture:

A

Fixed posture secondary to shortening or loss of elasticity of ligaments, joint capsule, tendons, and muscles (Preston & Hecht, 1999).

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2
Q

Controlled Sensory Stimulation:

A

Concept that the neural component of tone can be affected by sensory stimuli applied in a specific manner to increase or reduce the electrical charge on interneurons or motor neurons, making them more or less likely fo fire when they receive additional goal-specific stimulation from supraspinal centers.

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3
Q

What is the purpose of Facilitating

A

To make easier.

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4
Q

Facilitation:

A

State of readying neurons to depolarize and propagate an impulse or to make contraction of a muscle or a reflex response more likely.

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5
Q

Facilitation techniques:

blood pressure increase.

A

Controlled sensory stimulation used to increase muscle tone and to produce movement responses.

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6
Q

Fight or flight reaction:

A

Sympathetic autonomic nervous system response to a threat (fear, rage, pain, exposure to cold) that mobilizes the body’s resources for violent action. The Sympathetic reaction redirects blood flow to areas of intense activity, such as muscles and heart, and away from other functions, such as digestion. Among other reactions, the heart rate and blood pressure increase.

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7
Q

Flaccidity:

A

State of lacking tone; the limb feels limp and falls into place when not supported.

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8
Q

Inhibit:

A

To make more difficult.

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9
Q

Inhibition:

A

State of hyperpolarization of neural cell membrane decreasing likelihood of propagating an impulse or to make contraction of a muscle or a reflex response less
likely.

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10
Q

Inhibition techniques:

A

Controlled sensory stimulation used to decrease spasticity.

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11
Q

Normalization of tone:

A

Process of changing excessive tone (hypertonia) or insufficient tone (hypotonia) to a state of normal tone needed for normal motor responses.

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12
Q

Spasticity:

A

State of excessive tone and hyperactive response to stretch. If moderately to severely spastic, the limb feels tight and is difficult to move into position.

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13
Q

Rood’s hypothesis states Appropriate Sensory

stimulation Facilitation/inhibition does what?

A

Increases Reactions of specific motor responses

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14
Q

Rood’s hypothesis states Purposeful muscular responses are a result of

A

Controlled sensory stimulation + Sequence of positions and activities

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15
Q

Muscle tone and motor control do what

Approximation of real life context increases tx effectiveness.

Therapist uses “somatic markers” to select interaction methods.

A

co-effect each other.

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16
Q

what patterns co-effect each other.

A

Flex & Ext.

17
Q

Movement patterns are created by

A

Repetition of muscular responses

18
Q

Indentation/goal directed do what

A

co-effect mvt.

19
Q

What increases tx effectiveness.

A

Approximation of real life context

20
Q

Why do Therapist uses “somatic markers”

A

to select interaction methods.

21
Q

What are Rood’s treatment goals

A

To normalize muscle tone.

Development of reflexes to increase voluntary use of muscles.

22
Q

What are the muscle groups

A

Heavy work and Light work

23
Q

Heavy work muscles

A

(Stabilizers)
Extensors and abductors
used for postural support

24
Q

Light work

A

(Mobilizers)
Adductors and flexors
used for skilled movement patterns

25
Except for in feeding and speech muscles what is the order of work muscle activation
The heavy work muscles are activated before the light work muscles
26
Guidelines for Rood treatment
Treatment begins at the developmental level of functioning. Movement is directed toward a purposeful goal. Repetition is necessary for the training of muscular responses.
27
Reciprocal Inhibition | Innervation
ReflexiveProvides early mobility patterns Protective function Phasic (quick) Requires contraction of agonist and relaxation of antagonist
28
Cocontraction | Coinnervation
Provides stability Provides ability to hold a position or an object Tonic (static) Requires contraction of the agonist and the antagonist
29
Heavy Work
Mobility superimposed on stability (creeping) Proximal muscles contract and move vs. Distal segment is fixed
30
Skill
Highest level of motor control. Combination of mobility and stability To execute a skilled pattern: proximal segment is stabilized while distal segment moves freely
31
Rood’s sequential phases of motor control
Reciprocal Inhibition >Cocontraction> Heavy Work> Skills
32
Motor patterns
Supine Flexion Roll Over Prone Extension Neck Cocontraction
33
Four rules of sensory input
Fast brief stimulus > ^ Large synchronous motor input. (reflex arc is intact) Fast repetitive sensory input > ^ maintained response. (fast brushing) Maintained sensory input > ^ maintained response. (gravity) Slow, rhythmical, repetitive sensory input > ^generalized calming effect. (deep pressure)
34
Inhibition
Purpose: To promote a calming, relaxing effect Touch: Slow, deep, and Continual touch Environment: Quiet with minimal distractions Therapist: Use of quiet soothing, calm and slow tone of voice
35
Facilitation
Purpose: To promote alertness and increase stimulation Touch: Light and quick touch Environment: Not distracting, Improves awareness Therapist: Use of increased volume and tone of voice
36
Techniques Inhibition
``` Neutral warmth Gentle rocking or shaking Slow stroking Slow rolling Deep tendon pressure Joint compression (approximation) Maintain stretch Rocking in developmental patterns ```
37
Techniques Facilitation
``` Light moving touch Fast brushing Icing Heavy joint compression Stretch: Intrinsic stretch Secondary ending stretch Stretch pressure Resistance Tapping Vibration ```
38
Precautions
``` Brushing Icing Touching Vibration Heat ```
39
Monitoring the client
``` Size of pupils Respiration Quality of voice Quality if speech Changes in skin tone Muscle jerks ```