Week 3 Flashcards
Why is sit to stand with no arms a good rehabilitation exercise?
Builds strength, balance, proprioception
When is using arms for sit to stand okay?
It is okay if they are unable to without and allows independence, but may cap future improvement for some people
What do you need to make sure when the patient is standing?
They aren’t leaning back, or knees resting on bed.
How do we physically assist a pt with hemiparesis STS
2x knees prevent collapse of patient’s weak knee (no blocking), Hands on thorax, hand goes to the weaker ischial tuberosity to complete.
How can you change COM displacement in STS
Vertical displacement (higher seat), horizontal displacement (legs 2/3 off bed, toes under knees)
Performance characteristics as skill learning takes place
Improvement - increased skill over time
Consistency - performance becomes more similar
Stability - less affected by external or internal disruptions
Persistence - improvement lasts after a period of no practice
Adaptability - can perform skill in a variety of contexts
What do physiotherapists do to target impairment level change when motor learning?
Focusing on strengthening, conditioning and general improvements in motor performance contributing to restoration of normal function.
What do physiotherapists do to target activity level change when motor learning?
Improvements in technique for the task can reduce the strength and motor performance demands of the task, enabling them to achieve improvements in performance despite carrying impairments.
Complexity levels of tasks and examples
Discrete - STS
Serial - jumping
Continuous - running
Single task - walking
Duel-task - walking, talking
Types of environments for tasks
Open environment - beach
Closed environment - clinic
What kind of supine to sit technique would someone with several lumbar spinal process fractures (stable)
Log roll to side lying & push up to sit to keep spine in a neutral position
What kind of supine to sit technique would someone with a hip replacement use
Through long sitting with raised bed rest - don’t want a lot of movement in hip (adduction)
What kind of supine to sit technique would someone with Guillian Barre Syndrome use? (muscle weakness)
Segmental roll to side lying & push up to sit
Why do we use the segmental roll technique?
Used for rehabilitation / restoration. Helps with building strength and motor learning.
