Neuro Rehab Flashcards
What are the 3 models of neuromuscular rehab
1, reflex model
- hierarchical model
- Systems model
What is the reflex odel
classic reflex theory of mm control
revealed the integrated activation of stimulus and mm activation
During initial post injury rehab what is the benefit of building contraction of mm
modulation of mm tone
control of coactivation from other stim
How is reflexive movement therapeutically doen
Tapping- Tap skin over a mm belly to recruit more mm units and facilitate contraction. Usually done over mm weakened from disuse./injury
3-5 taps
Facilitation and enhancement of mm activity
achieve motor control
techniques to facilitate mm
Heay jt compressions stretch stretch pressure tapping vestibular stim vibration
techniques for inhibitory
gentle shaking or rocking slow stroking slow rolling light jt compression tendinous pressure maintained stretch
What does the reflex model lack
losing out on cognitive/high brain functin
What is the heirachial model
Proposed 3 levels to CNS
Lower- least complex motions (medulla/spinal cord)
Middle- Motor area of cortex
higher- Prefrontal area
What does the systems model focus on
Forces needed for mvmt
- Environment where action occurs
- Internal forces to accomplish motion
door example of systems mod
Opening what appears to be heavy door but its actually light
–next time to modify grip, effort, etc
What did Bernstein’s work in russia show
He showed the most mints are composed of smaller mvmts, any of these smaller mms if altered afferent movement as a whoel
What is impairment
A problem or symptom resulting from abnormal function of structure
Problem with ICIDH model of impairment
Handicap percieved as negative, perminant, unworthy
Unclear distinction between disability and handicap
What do acute tx adress
s/s underlying biomedical aspects of the condition (bot tox for speciosity)
Why is descriptions of normal mvmt strategies important
_Recognize compensations
- see abnormal motions that contribute to impairments
- age related chages
