10-02 Theories of Neuro Rehab Flashcards

Question

NDT Intervention Principles

Answer 1

- Inhibit abnormal patterns, facilitate normal patterns - Alter abnormal tone, influence isolated active movement - Manual contact/handling through key points of control - Achieve balance between muscle groups (agonist, antagonist) - Developmental sequence (POE --> Standing) - Provide pt with sensation of normal movement by inhibiting abnormal movement - Dynamic reflex inhibiting patterns - Vary levels of difficulty in functional activities - Treatment should be active and dynamic (pt participates) - Avoid associated patterns - Emphasize rotation during activities - Orient midline control by moving in and out of midline with dynamic activity - Avoid compensation techniques

Answer 2

- Pt controls posture and movement through sequence of progressively challenging postures and activities (POE --> stand) - Use physical handling and key pts of control to support body segments and assist pt in achieving active control - Implement sensory stimulation - Postural alignment and stability are facilitated, excessive tone and abnormal movements are inhibited - Avoid compensation - Carry over is promoted (incorporate caregiver) - Therapeutic activities are functionally relevant, but vary in difficulty and environment

Answer 3

- Involuntary, automatic movement as a result of an intentional (volitional) active or resistive movement in another body part

Answer 4

- Group of muscles that produce a predictable pattern of movement in flexion or extension patterns

Answer 5

- Movement therapy in Hemaplegia - Synergy: Primitive patterns that occur at the SC as a result of CNS hierarchial organization - Uses synergy patterns to restore function (during rehab) - Practice synergy, then develop combos of movements outside of synergy - Current research: Reinforcing synergies makes it difficult to change lateradaptive or mal-adaptive neuroplasticity

Answer 6

- Stage 1: No volitional movement of limbs (flaccid, no tone) - Stage 2: Appearance of basic limb synergies as associated reactions; minimum voluntary movements responses; beginning of spasticity (increased tone) - Stage 3: Spasticity increases, may be severe; voluntary control of movement synergies, although not full range - Stage 4: Spasticity decreases; Movement combos outside synergy is mastered - Stage 5: Further decrease of spasticity; more difficult movement combos independent of limb synergy patterns - Stage 6: Spasticity disappears and individual joint movements become possible - Stage 7: Normal motor function restored

Answer 7

- Focus on pattern of movement rather than straight plane motion - Sensory exam required to assist with treating motor deficits - Limb synergy a necessary milestone for recovery - Encourage overflow (use uninvolved side) to recruit active movement of weak side - Use repetition of task and positive reinforcement - PT follows stages of recovery, but may plateau any any point (preventing full recovery) - Movement combos that deviate from basic limb synergies should be introduced in stage 4 of recovery

Answer 8

- Synergistic patterns are components of normal movement - Emphasis on practices of functional activities - Emphasizes diagonal patterns with rotation rather than straight plane movements - "True" PNF incorporates specific hand placement; originally developed for neurological conditions

Answer 9

- Grades muscle spasticity - 0: No increase in muscle tone - 1: Slight increase in muscle tone; catch-and-release, or min resistance at end of ROM when affected part moved in flexion/extension - 1+: Slight increase in muscle tone; catch, or min resistance throughout remainder (less than half) of ROM - 2: More marked increase in muscle tone throughout most of ROM, but affected part easily moved - 3: Considerable increase in muscle tone, passive movement difficult - 4: Affected part(s) rigid in flexion/extension

10-02 Theories of Neuro Rehab Flashcards

(33 cards)