Therapeutic Tx Approaches Flashcards

1
Q

active movement through range

A

mobility

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2
Q

static postural control, COG/BOS

A

stability

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3
Q

mobility on stability

A

dynamic postural control (controlled mobility)

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4
Q

weight bearing on one side w/ opposite extremity free/dynamic

A

static-dynamic postural control (controlled mobility)

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5
Q

consistent, efficient performance

A

skill

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6
Q

orients head to vision

A

optical righting reaction

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7
Q

orients head to vestibular input

A

labyrinthine righting reaction

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8
Q

rights head w/ tactile cues and proprioception

A

body-on-head BOH reaction

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9
Q

flex and turn head- body will follow- segmental rolling

A

neck on body righting reaction

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10
Q

flex and rotate LE- will turn prone segmentally

A

body on body righting reaction

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11
Q

deviations in COG b/c of support surface deviation will produce reaction in body and extremities to attempt to regain balance and move COG back in BOS. Spine will curve back in BOS

A

Tilting reactions

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12
Q

stabilize body in response to destabilizing forces applied anywhere to the body except the supporting surface.

A

postural fixation reactions

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13
Q

protects the body from injury resulting from a fall- extremities will position to break fall.

A

protective reactions

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14
Q

several mm groups working together. Essential for skilled function

A

synergy

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15
Q

facilitation techniques for low tone. Inhibitory techniques for high tone. High effort and maximal resistance are contraindicated w/ spasticity.

A

neurodevelopmental tx NDT

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16
Q

indications for NDT (2)

A
  1. spasticity

2. hypotonia

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17
Q

NDT technique where goal is active mvmt control.

A

guided movement

18
Q

hands placed specifically to inhibit abnormal mvmts, tone, reflexes, and facilitate normal tone and patterns of mvmt. Key points of control

A

Manual contacts

19
Q

positions that inhibit tone

A

reflex inhibiting postures RIPs

20
Q

UE flexion synergy

A

ER, 90* ABD, Flex and supination elbow, wrist flex

21
Q

UE extension synergy

A

IR, ADD, ext and pronation elbow, wrist ext

22
Q

LE flexion synergy

A

ER, ABD, flex, knee flex, DF

23
Q

LE extension synergy

A

IR, ADD, ext, knee ext, PF

24
Q

movement therapy strategies

A

isometric and eccentric before concentric

25
Q

sequential motor recovery stages after stroke (6)

A
  1. flaccidity
  2. basic limb synergies
  3. full synergy
  4. synergy decline
  5. jt mvmts increase
  6. spasticity disappears
26
Q

enhances capacity to initiate mvmt response through increased neuronal activity. May or may not produce contraction. (Tapping)

A

facilitation

27
Q

actual production of mvmt response. Implies reaching a critical threshold level for neuronal firing

A

activation

28
Q

decreased capacity to initiate a mvmt response

A

inhibition

29
Q

simultaneous use of multiple sensory stim techniques

A

spatial summation

30
Q

repeated use of the same sensory stim technique . decreased sensation

A

temporal summation

31
Q

overstim of CNS- excessive sensory inputs. increase sensation to decreased sensation

A

overload

32
Q

sensory stim indications (2)

A
  1. decreased motor control

2. difficulty w/ initiating or sustaining mvmt

33
Q

sensory stim techniques (3)

A
  1. PNF
  2. Exteroceptive stim
  3. vestibular stim
34
Q

Changes made in pt’s overall approach to functional tasks. Substitution is key.

A

compensatory training approach

35
Q

transmits superficial sensation, pain, temp

A

spinothalamic tract

36
Q

transmits deep sensory, vibration, kinesthesia

A

dorsal medial lemniscus

37
Q

transmits motor

A

corticospinal tract

38
Q

spinothalamic tract crosses at…

A

spinal cord

39
Q

dorsal medial lemniscus tract crosses at…

A

brain stem

40
Q

corticospinal tract crosses at…

A

brain stem