Flashcards in Lecture 13: Approaches to Neuro Rehab: Task Specific Deck (11)
When will a compensatory approach be used with neuro pts?
when recovery prognosis is poor or not possible
ex: SCI or hospice etc.
What is the definition of compensation?
make up for a deficit to improve function
ex: use of RW
What is definition of substitution?
restore function by replacement, use of posterior delt for extension if triceps has no innervation
What are goals for rehab with compensation/substitution?
maximize safety, independence, function, improve QOL, pain management, caregiver training
What is task oriented training?
functional activities important for daily living for that patient
ex: transfers, standing, walking
What is training in task specific?
happens in context or environment in which the task occurs
What is the overall goal in task oriented training?
active movements bc then patient will actually learn
What are examples of task specific training?
repetitive fine motor: grasping, releasing, and placing objects
task related strengthening: high reps of sitting, rolling, mobility
What was very important finding about CIMT study and fMRI?
first time neuroplasticty studies actually showed change in brain structure
What are 4 steps in task oriented training?
1. task analysis- develop and test HCF's
2. practice missing components- identify goals, high reps
3. practice whole task- example is gait
4. transfer of training- practice learned task in context