Intervention Theories Flashcards

(65 cards)

1
Q

Who developed NDT? And in what year?

A

Bobaths

40s and 50s

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2
Q

NDT: based on the current scientific theory at the time, which was what?

A

Hierarchical Theory of NS

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3
Q

NDT: The _____ concept has been modified over the years

A

Living

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4
Q

_______ comes from NDT

A

Facilitation

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5
Q

Now we use a blend of ____ and ____ _____/_____

A

NDT

Motor learning/control

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6
Q

Initial beliefs: ______ and ________ postural reflex system

A

Normal and abnormal

If abnormal system, abnormal movement

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7
Q

Initial beliefs: RIPs/inhibition then ________

A

Facilitation

Currently, we do both at the same time

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8
Q

Initial beliefs: Discourage _____ and ______ movement

A

Effort

Abnormal

(Discouraged to walk, too much effort… so crawled, which is not functional)

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9
Q

Initial beliefs: Facilitation of righting and ______ ______

A

Equilibrium reactions

Inhibition of primitive reflexes

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10
Q

Initial beliefs: _______ sequence

A

Developmental

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11
Q

Initial beliefs: Provide _______ components of movement

A

Missing

Do a task analysis

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12
Q

Aims of Treatment:

Facilitate normal movement patterns with _______ input

A

Proprioceptive

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13
Q

Aims of Treatment: Modify _____ through _____ movement

A

CNS

Normal

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14
Q

Aims of Treatment: Breaking up ______ ______

A

Abnormal synergies

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15
Q

Aims of Treatment: Inhibit _____ ____ and ______ ______

A

Abnormal tone

Primitive reflexes

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16
Q

Aims of Treatment: Prevent CNS from learning ______ patterns

A

Abnormal

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17
Q

Assumptions w/ NDT:

Central program control movement…. why is this wrong?

A

CPGs do

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18
Q

Assumptions w/ NDT: Top down model, why is this wrong?

A

Cortex is not responsible for all movements

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19
Q

Assumptions w/ NDT: Separation of voluntary and reflex; Why is this wrong?

A

Wiring is based on reflexes and is not eliminated from volitional movement

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20
Q

Limitations w/ NDT: ______ center response for locomotion

A

LOWER

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21
Q

Limitations w/ NDT: Development is not ______

A

Step like

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22
Q

Limitations w/ NDT: Blurred separation btw _____ and _______

A

Voluntary

Reflex

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23
Q

Limitations w/ NDT: Some movement can have ______ ______

A

Different activation

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24
Q

What are four reasons that there was dissatisfaction with the model?

A
  1. No carryover to functional activities
  2. Clients are PASSIVE recipients
  3. Fails to consider the musculoskeletal and environmental effects
  4. Inhibition of primitive reflexes does not release normal movements
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25
Current beliefs: Simultaneous ______ and ______
Facilitation | Inhibition
26
Current beliefs: Client as _______ participant and problem solver/Self initiation
ACTIVE
27
Current beliefs: Movement has to be ____ _____ and functional
GOAL directed
28
Current beliefs: Variation from the ______ ______
Developmental sequence
29
Current beliefs: Prediction and ________ (feedforward)
Anticipation
30
Facilitation: Therapist as _____ of normal movement patterns | We should always teach ______ movement
Teachers | Rotational
31
Facilitation: Assist.... but assisted transfer is _____ Facilitation
NOT!
32
Facilitation: Affected by ____ input ______: PT’s hands ______: moving through space
Sensory Extrinsic Intrinsic
33
Facilitation: Keep points of ______ If high level pt, you should move _____
Control Distally
34
Facilitation: Is facilitation variable?
YES
35
``` Goals of facilitation: ______ body segments ______ body segments _______ movement at body segments _______ movement at body segments ``` - Participant must be ________ - Must be practiced within _____ context
Align Stabilize Initiate Prevent ACTIVE Functional
36
What does TAMO stand for? Who developed it? And Why
Tscharnter Academy of Movement Organization Ingrid Tscharnter because she was also frustrated... originally an NDT instructor
37
TAMO: Incorporates _____ ______ models in her treatment models
Dynamic systems
38
TAMO: Closely examines the ____ | Need an appropriate ____ to actively move away from
BOS BOS
39
TAMO: Facilitation in a ______ (3D)
Helix
40
Rood: Example of mobility? | Example of stability?
Arm movements Forearm propping
41
Rood: Example of distal stability with prox mobility? | Example of distal mobility with prox stability?
Weight shift on forearms Reaching arm when on forearms
42
Who developed patterning? And do we use this?
Doman Dellacatto NOOOOO
43
What is patterning?
Believe that phylogenetic movement patterns must be experienced for normal development
44
How is patterning performed?
PASSIVELY performed on all body segments in particular timing (5 people, 1 body)
45
Patterning: _____ movement in those patterns is stimulated
ACTIVE
46
Motor Control: Task Oriented Models: What are three beliefs?
Interactive system Adaptive, anticipatory mechanisms Normal strategies to limit DOF
47
Motor Control: Task Oriented Models: What are the 5 aims?
PRACTICE Problem solving Learn strategies for coordinated behavior Develop effective compensations Use environmental and musculoskeletal constraints
48
``` Motor Control: Task Oriented Models: Limitations: What is ______ compensation? Less ______ on More _______ How to train ________ ______ ______ time for practice Primarily based on research with ______ ```
``` Effective Hands Cognitive Anticipatory control Limited Normals ```
49
Conductive Education: Do PTs do this?
No.. anyone trained out of HS could do this
50
Conductive Education: Originated by who?
Andras Peto
51
Conductive Education: Emphasis on _____ _____ In classroom, with everyone doing it Utilizes ______ _____ that are not impaired
Functional development “Deeper centers”
52
Conductive Education: ______ view, rather than therapeutic view
Educational
53
Conductive Education: ______ work vs. _______
Group | Individual
54
Conductive Education: Design is by task series fro the individual but embedded in a common _______ _____
Group goal
55
Conductive Education: not _______ ______; it isgoal oriented
Quality based
56
Conductive Education: What would be an example of rhythmic intention that is used?
Music | Repetitive words
57
Conductive Education: Environment set up for _______
Stabilization
58
Conductive Education: Facilitation if necessary by ______ or _______ _____ support —> promotes ______
Handlers Conduktors Decreased, independence
59
Conductive Education: _____ intensive, need a ___ to ___ ratio
LABOR 1 to 1
60
Move program: Who developed this?
Linda Bidabe (special educator)
61
Move program: ______ based —-> _____ based program
Curriculum | Activity
62
Move program: For children who are not _______ in functional skills, such as _____, ______, _______ Minimal ____ control or _____ movement
Independent Sitting, standing, walking Head, Active
63
Move program: Incorporates functional skills into ______ routine; more practice
Daily
64
Move program: Not _____ specific; Not ______ specific It is just for _______ movement
Discipline Diagnosis Educating
65
Move program: Special _______ (provides additional _______)
Equipment Support