Subacute Rehab Of The Trunk And Upper Limb Flashcards
What may the problems be that Neuro patients have with their upper limb?
Weakness or low tone High tone or rigidity Contractures Loss of function Pain Change of sensation Loss of coordination Tremors
What are some subacute treatments for CVA or TBI?
CIMT Botox for spasticity Strength training/ task specific Robot assisted therapy Video Gaming
What is constraint induced movement therapy?
Used for stroke rehabilitation
The unaffected arm wears the mitt
This forces the affected arm to carry out daily activities.
How long should the mitt be worm for?
Restriction-90% of waking hours using mitt or sling
Shaping- specific training tasks, patient orientated, 6 hours a day/2-3 weeks
What is the typical pattern of spasticity in the upper limb?
Shoulder medial rotation/abduction
Elbow flexion/ pronation
Wrist/ fingers flexed
What are the secondary changes with increased tone?
Soft tissue shortening Joint stiffness Skin changes Pain Loss of function
What are some of the techniques to manage increased tone?
Passive and active stretching Soft tissue mobilisation Passive movements Positioning Active movements/ strengthening/ function Heat therapy
What does the exercise continuum describe?
Passive movements 0-1 Active assisted exercise 1-2 Active exercise 3-4 Resisted exercise 4-5 Functional activities -ALL
What are the principles of strength training?
Overload in strength training and endurance training. Specificity - for function, strength or endurance Specificity of range Motivation Learning Reversibility Diminishing returns Age and gender
What are the effects of strength training?
Motor learning (6-8 weeks)- performance improves and strength is constant
Increase in muscle strength without increase in muscle size (10-12weeks)
True hypertrophy (12weeks +)
Slow, steady increase in muscle size and strength
Hypertrophic or hyperplasia
What are the types of resisted exercise?
Subjects own body weight Manual free weights Springs Theraband Westminster pulley system Hydrotherapy
What does GRASP stand for?
GRADED REPETITIVE ARM SUPPLEMENTARY PROGRAM
What are some outcome measures?
Motor assessment scale Action Research arm test Wolf motor function test Fugl-Meyer 9 hole peg test
