Therapeutic Tx Approaches Flashcards
active movement through range
mobility
static postural control, COG/BOS
stability
mobility on stability
dynamic postural control (controlled mobility)
weight bearing on one side w/ opposite extremity free/dynamic
static-dynamic postural control (controlled mobility)
consistent, efficient performance
skill
orients head to vision
optical righting reaction
orients head to vestibular input
labyrinthine righting reaction
rights head w/ tactile cues and proprioception
body-on-head BOH reaction
flex and turn head- body will follow- segmental rolling
neck on body righting reaction
flex and rotate LE- will turn prone segmentally
body on body righting reaction
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
Tilting reactions
stabilize body in response to destabilizing forces applied anywhere to the body except the supporting surface.
postural fixation reactions
protects the body from injury resulting from a fall- extremities will position to break fall.
protective reactions
several mm groups working together. Essential for skilled function
synergy
facilitation techniques for low tone. Inhibitory techniques for high tone. High effort and maximal resistance are contraindicated w/ spasticity.
neurodevelopmental tx NDT
indications for NDT (2)
- spasticity
2. hypotonia
NDT technique where goal is active mvmt control.
guided movement
hands placed specifically to inhibit abnormal mvmts, tone, reflexes, and facilitate normal tone and patterns of mvmt. Key points of control
Manual contacts
positions that inhibit tone
reflex inhibiting postures RIPs
UE flexion synergy
ER, 90* ABD, Flex and supination elbow, wrist flex
UE extension synergy
IR, ADD, ext and pronation elbow, wrist ext
LE flexion synergy
ER, ABD, flex, knee flex, DF
LE extension synergy
IR, ADD, ext, knee ext, PF
movement therapy strategies
isometric and eccentric before concentric
