Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Neuromuscular Practice 3.1 > 3 Sit to Stand > Flashcards

3 Sit to Stand Flashcards

(35 cards)

Start Studying
1
Q

What are prognostic indicators for sit to stand with hemiplegia?

A
  • Knee extension force
  • Standing balance
  • Symmetry in standing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the critical events for STS?

A
  • Flexion Momentum
  • Momentum Transfer
  • Extension
  • Stabilization
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the requirement for flexion momentum?

A

Initial foot placement backwards (10cm behind knee)

Momentum generation at the trunk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the requirement for momentum transfer?

A

Continued flexion of the hips with ankle dorsiflexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the requirement for extension in STS?

A

Sequence lower limb extension (hip, knee, ankle)

  • ankle PF
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the requirement for stabilization?

A

Ankle strategy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which activity measures require efficiency in movement?

A
  • 5 times STS (poor efficiency if more than 12sec)
  • Timed Sit to Stand (poor efficiency if more than 4.5 sec)
  • 30 second sit to stand
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What activity measures alllow for AD during transtion?

A

TUG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What measure examines ability to transition?

A

Berg Balance

Functional Independence (FIM)

Gross motor function measure, Dimension D (children and peds)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is proper intensity for STS practice? What are some ways to prepare the system for STS?

A
  • 50-100 reps
  • Aerobic exercise/Mental imagery
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are some feedback priniciples you should use in STS?

A
  • Can use assitance, Extrinsic and intrinsic feedback
    • Must Fade feedback
    • Visual feedback can improve kinematics
  • Moving feet back improves symmetry of movement
  • EMG can be used with spasticity
    *
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are atypical patterns of flexion momentum?

A
  • Insufficient ankle DF (get feet back)
  • Insufficient Trunk momentum (speed/flexion)
  • Reliance on arms
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How far is foot placement in flexion momentum?

A

around 10cm behind the knee

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are interventions for poor timing of the TA?

A
  • Rhythmic auditory stimulation
  • FES to TA
  • EMG biofeedback
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the intervetions for reduced RA activation/Force production?

A
  • Decrease friction (trash bag/socks on tile)
  • Target training
  • FES to TA
  • Seated stool walking
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are interventions for reduced Gastroc-soleus flexibility?

Study These Flashcards
A
  • whole practice with active dynamic stretching
  • HEP for stretching
17
Q

What are interventions for reduced ankle propioception?

Study These Flashcards
A
  • Visual or joint position feedback
  • Target training with eyes open and closed
    • can used tactile cure as target with eles closed
  • Approximation
18
Q

What are interventiosn for excessive Gastroc/soleus activation/spasticity?

Study These Flashcards
A
  • EMG biofeedback while moving feet backwards
19
Q

What are atypical pattersns for inability to generate trunk momentum?

Study These Flashcards
A
  • poor amplitude
  • poor speed
20
Q

What many degrees of flexion is needed for trunk momentum?

21
Q

What are interventions for cognitive fear of falling in trunk momentum?

Study These Flashcards
A
  • STS exercises
  • PT position in front of patient
  • Part practice
    • postural control off seat at different speeds
    • trunk target training forward trunk momentum change
  • Mental imagery
22
Q

What are interventions for impaired ankle proprioception for trunk momentum?

Study These Flashcards
A

Visual or joint position feedback

Mental imagery pushing through on floor and pulling up the toes

approximation through joint

23
Q

What are interventions for impaired force production of the Rectus femoris and paraspinals in trunk momentum?

Study These Flashcards
A
  • add resistance to increase motor unit recruitment
    • manual or weighted
  • C curve tracking (marking on wall)
    • backwards C
24
Q

What are interventions for impaired fractionation for trunk momentum?

Study These Flashcards
A
  • impaired sequencing of gastric TA
  • Impaired Timing and sequencing of rectus femoris and paraspinals

Intervention

  • Rhythmic auditory stimulation
  • Target training and visual feedback
  • forced use
    • lowering seat height, increase the need for momentum
25
What are atypical movements in momentum transfer?
* Insufficnet flexion of the hip knee ankle * Asymmetry in loading
26
How many ROM is needed for the hip knee and ankle in momentum transfer?
* hip 90 * knee 90 * ankle 23
27
What interventions are used for reduced force/power of the TA in momentum transfer?
* manual facilitation and approximation to drive knees forward * target training to drive knees forward * pulling forward on rolling stool with affected limb
28
What interventions would you use for gastroc soleus spasticity for momentum transfer?
* EMG biofeedback * FES to TA * inhibit gastroc muscle
29
What interventions would you use for reduced limb loading for symmetry in momentum transfer?
* Mental practice (task specific) * Forward reach training in sitting for increasedload through affected leg * Destabilize stronger LE * *Place stronger foot FORWARD or on a small step*
30
What atypical patterns do you see in extension phase?
insufficnet extension of trunk hip knee and ankle asymmetry in extension
31
What impairments do you see with the extension phase?
* reduced power of glute max, quad femoris and gastoc soleus * reduced flexibility of iliopsoas, rectus fem, and hamstrings
32
What are interventions for reduced flexibility of Gastroc Soleus for symmetry in extension?
Joint mobs did not improve STS even though it increased ROM ## Footnote **MORE RELATED TO POWER and how fast you can get through ROM**
33
What are the impairments for symmetry in extension?
* poor orientation to longitudinal axis of body * reduced limb loading * gastroc soleus spasticity * reduced flexibility of gastroc soleus
34
What is the atypical movement in stabilization?
* Excessive Sway
35
What are the impairments for ankle strategy?
* impaired proprioception (use target AP tib movement EO and EC, approximation of weight shifts, cues to push down into floor, weighted belt, mental imagery) * Impaired TA activation * Reduced Gastroc Flexibility (mini squats + ankle DF on floor) * Impaired timing/sequencing of TA and gastroc (wall sways + vary amplitude) * Spasticity

Neuromuscular Practice 3.1 (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions