Task Oriented and Neuro-Therapeutic Facilitation

Question 1

What are the models of motor control?

Answer 1

Reflex: sensory stimuli produces reflex response
Hierarchical: higher levels control lower levels
Systems: multiple systems in and out of body impact movement

Question 2

What are the various models of neurological rehab?

Answer 2

Muscle Re-education; neuro-therapeutic facilitation; task oriented

Question 3

What are the various models of neuro-therapeutic facilitation?

Answer 3

PNF; Neurodevelopmental Training (NDT); Brunnstrom

Question 4

What is the goal of muscle re-education?

Answer 4

for the CNS to active muscles (makes individual strengthening important)

Question 5

What is the goal for neuro-therapeutic facilitation?

Answer 5

to alter the CNS by decreasing sterotypical movment patterns, reflexes, and facilitating normal movement

Question 6

What is the goal of task oriented training?

Answer 6

to increase task performance by actively involving the patient, providing variability; and making sure the task is important to them

Question 7

What are the Brunnstrom stages of recovery?

Answer 7

1. flaccid
2. minimal movement in synergy
3. almost full movement in synergy
4. some movement out of synergy
5. almost out of synergy
6. normal

Question 8

What are the goals and limitation of PNF training?

Answer 8

goal: to promote function movement; increase strength, ROM, endurance, coordination by emphasizing sensory feedback
limitation: therapist guided?

Question 9

What are the goals and limitation of NDT training

Answer 9

to normalize movement while preventing synergy is the goal through emphasis of sensory feedback
limitation: takes longer than task oriented training

Question 10

What are the various classification of PNF task?

Answer 10

Mobility: moving from one position to another; initiate movement; access to ROM
Stability: maintaining a STATIC position
Controlled Mobility: able to shift COG over BOS (dynamic); distal segment is fixed while proximal moves
Skill: goal oriented action characterized by fluidity, time, consistency, efficiency

Question 11

Which conditions need stability vs mobility?

Answer 11

mobility: Parkinsons; spastic stroke (basal ganglia)
stability: ataxic, SCI, stroke (flaccid)

Question 12

What are the essential task requirements?

Answer 12

progression: movement in desired direction
Stability: postural control
adaptability: ability to meet envrironmental and task demands

Question 13

What are the keys to task oriented training?

Answer 13

variability, adaptability, patient understanding