Adaptive strategies

Question 1

What are some common adaptive strategies for rolling over?

Answer 1

• wriggling instead of turning over

- pulling with intact arm

Question 2

Name some adaptive strategies for “sitting up over side of bed”

Answer 2

• Rotation and flexion of neck forward
• Excessive pushing up on intact side
• hooking intact leg under affected leg
• falls backwards

Question 3

List the adaptive behaviours for sitting

Answer 3

• Wide BOS
• Weight shifted to intact foot or buttock
• Flexed forward when body should be shifted sideways
• shuffles feet
• avoids threats to balance by reducing movement speed and amplitude, and/ or holding sitffly, and/ or holding breath
• uses arms for balance prematurely

Question 4

Name the common adaptive strategies for Pre extension phase of standing up

Answer 4

• weight more on intact side

- Wide BOS

Question 5

Name the common adaptive strategies extension phase of standing up

Answer 5

• falls backwards
• pushes through arms
• weight through intact side
• final alignment is flexed

Question 6

What are the adaptive strategies for Standing?

Answer 6

• Wide BOS
• Weight sifted to intact side
• flexes hips instead of DF at ankles in reaching forward
• moves trunk instead of moving at hips and ankles when moving sideways
• takes a step prematurely
• shuffles feet
• uses arms for balance prematurely
• avoids threats to balance

Question 7

Name the adaptive strategies for walking

Answer 7

• walking slowly and increase time in double support phase
• short step length
• trunk inclined foward during stance
• wide BOS
• elevation of pelvis and abduction of leg
• toes not clearing ground through swing
• trunk inclined backwards at end of swing

Question 8

Name the adaptive strategies common in reaching and manipulation

Answer 8

• uses intact arm only
• excessive hip flexion, elevation of shoulder, abduction and IR, trunk side flexion to intact side in reaching forwards
• Excessive elbow flexion and pronation
• Grasps and releases objects with wrist in excessive flexion
• excessive aperture between thumb and fingers for grasp and release
• extension of CMC jt of thumb and pronation of forearm for grasp and release
• flat hand or lack of cupping
• inability to move objects within hand