Rood Approach Flashcards
S2Q2
ROOD:
who, apply what, need what, use of what which is what
MARGARET ROOD
- controlled stimulus = purposeful response via activity
- use of ontogenetic sequence (dependent to upright position)
ROOD: Theory
1 - what, 1=2
2 - how, which age priority, extra reflex purpose (2)
3 - what (2)
4 - what
NORMALIZE MUSCLE TONE
- prerequisite for movement
- evoke desired movement, inhibit spasticity via sensory stimulus
TX BEGIN AT DEVELOPMENTAL LEVEL
- developmental age > chronological
- cephalo-caudal
- tonic neck & labyrinthine = either assist or retard stimulus
TOWARDS FUNCTIONAL GOAL
- elicit subcortical/unconscious response
- all must have carry-over
REPETITION FOR REEDUCATION
- engram formation
ROOD: Sequence of Motor
1 - how/what (2), via
2 - what, purpose (1=2), via (2)
MOBILITY
- start here but in stability if adults
- distal move on fixed proximal
- spontaneous movements random intervals
- via: reciprocal innervation/inhibition
STABILITY
- maintain position for longer duration
- maintain posture = explore environment, develop skill in distal
- via: co-contraction/innervation (trunk), tonic holding
ROOD: Sequence of Motor
3 - what (2), how/example, not in who
static dynamic activity - what, example
CONTROLLED MOBILITY
- not in adults
- heavy work
- mobility superimposed on activity
- proximal move over distal (weight shift)
STATIC DYNAMIC ACTIVITY
- between
- shift to one side & free one side to perform non-WB dynamic activity
- swing phase of gait
ROOD: Sequence of Motor
4 - purpose (1=2=3), function (2.2)
- highest
- coordination = investigation & interaction with environment = economy of effort, timing, direction
FUNCTION
- manipulation of environment (UE, ADL)
- exploration of environment (LE, locomotion)
ROOD: Sequence of Motor
4 - types (5G) + purpose of last 2 + examples
discrete
- has start & end
- STS
continuous
- no definite
- cycling, walking
serial
- series of discrete
- get food from ref, cook
closed
- move in stable environment
- for attention deficit (autism)
open
- move in changing environment
- for those with good attention (classroom play)
ROOD: Ontogenetic
1 - how (4), reflex + define
2 - how (1), for/reflex (3), stimulate what = (2)
SUPINE WITHDRAWAL/FLEXION
- total flexion to T10, UE cross chest, dorsal of extended hand over face, LE in FLEX ABD
- reflex: tonic labyrinthine reflex (dominant ext tone & no reciprocal flexion)
ROLL-OVER
- arm leg trunk FLEX on same side
- for/reflex: TLR, activate/mobilize extremities & lat trunk
- stimulate SCC = neck, extraocular
ROOD: Ontogenetic
3 - how (1), for (1), reflex (2), associated
4 - how, for, associated
PIVOT PRONE/PRONE EXTENSION
- neck shoulder trunk LE in EXT
- for: stability of extensors in upright
- reflex: TLR, STNR
- associated: head labyrinthine righting
NECK CO-CONTRACTION/CO-INNERVATION
- activate flexors before positioning in prone
- for: develop head control
- associated: head labyrinthine righting
- first real stability pattern
ROOD: Ontogenetic
5 - how (1=1=2), for (2), reflex
6 - how, for
PRONE ON ELBOWS
- WB = stretch upper trunk = GHJ & scapular stability
- for: visibility of environment, weight shift
- reflex: STNR
ALL FOURS / QUADRUPED
- all else must be stable first
- for: neck & LE co-contraction
ROOD: Ontogenetic
7 - how, reflex (2)
8 - what (2)
STATIC STANDING
- upright bipedal position
- reflex: higher (equilibrium & righting)
WALKING
- skill of standing
- skill + mobility + stability
ROOD: Ontogenetic
first real stability pattern
neck co-contraction
ROOD: Ontogenetic
mobility (3)
supine withdrawal
roll over
pivot prone
ROOD: Ontogenetic
stability (6)
pivot prone held
neck co-contraction
POE
POH
quadruped
standing
ROOD: Ontogenetic
controlled mobility (5)
WB in POE
rocking in POH
WB in standing
cat & camel
pelvic bridging
ROOD: Ontogenetic
skill (4)
belly crawling
creeping
walking
typing
