Intro to Neuromanagement

Question 1

What’s the role of EBP in Neuro PT?

Answer 1

• want to provide treatment with the best available evidence
• recognize the way traditional approaches paved the way, but need evidence based practices for efficacy

Question 2

Describe the Rood Sequence of Motor Development

Answer 2

• founded by Margaret R00d (1940)
• FOUR LEVELS OF MOTOR CONTROL:
  
  • Mobility
  • Stability
  • Controlled Mobility
  • Skill

Question 3

Describe Rood Sensory Stimulation Techniques

Answer 3

• how sensory information can drive motor responses

Question 4

Describe Proprioceptive Neuromuscular Facilitation (PNF)

Answer 4

• founded by Herman Kabat, Margaret Knott, and Dorothy Voss (1940-1950)
• used for MSK and NM dysfunction
• Used to:
  
  • increase mobility/stab.
  • guide pt movement
  • help with more efficient and coordinated movement
  • increase ROM, strength, and endurance

Question 5

Describe Neuro-developmental Treatment (NDT)

Answer 5

• founded by Karl and Berta Bobath (1948)
• based on the hierarchical model of neurophysiologic function
  -pt should be doing correct movements to regain function, no errors
• pt couldn’t recover quickly cause couldn’t practice at home per PT orders

Question 6

What terminology did we learn from NDT?

Answer 6

• facilitation
• inhibition
• key points of control
• alignment
• reflexive inhibiting posture
• placing

Question 7

What are some contemporary motor learning theories being applied to NDT principles?

Answer 7

• motion is best learned if organized around functional outcome
• movement is just a product of systems of the individual, the task, and the env.
• retention of movement patterns requires practice and experience
• feed-forward mechanisms can influence movement

Question 8

Describe the Brunnstrom Movement Therapy in Hemiplegia

Answer 8

• founded by Signe Brunnstrom (1966)
• defined abnormal synergistic patterns and stages of motor recovery after stroke
• her findings are still used today

Question 9

Describe Sensory Integration

Answer 9

• founded by Jean Ayers and psychologist (1972)
• “the individual must interpret the sensory input and organize the info to adapt motor behaviors to interact with the env.”
• sensory perception problems can interfere with the motor plan/learning

Question 10

What are 4 principles from Kleim and Jones Principles of Neuroplasticity that jump out:

Answer 10

• use it or lose it
  
  • force use
• repetition matters
• intensity matters
• salience matters
  
  • work on pt goals

Question 11

Name the “Active Ingredients”

Answer 11

• Principles of Neuroplasticity
• Principles of motor learning
• exercise dose
  
  • intensity matters
• behavior change techniques to improve mobility at the participation level
• NEED TO ARTICULATE HOW TO USE THESE PRINCIPLES IN SKILLS PRACTICAL EXAMS