Neurofacilitation Flashcards
(20 cards)
What is neurofacilitation?
to promote normal movement pattern through application of sensory stimulation
What are the theories of neurofacilitation?
Rood
Brunnstrom
Bobath
PNF
for rood, how is muscle activity facilitated?
sensorimotor stimulation
exteroreceptors(light work) OC (vibration)
Proprioreceptors (heavy work) CC.
What are the 4 stages of motor control for rood?
Mobility: synergistic f/e pattern
Stability: co-contracton /posture control
Controlled mobility (isolated mvmt)
Skill: stable prox mobile distal.
Brunnstrom encourages
f/e synergy during early recovery..
use reflexes,associated reactions to promote movement.
any movement is good but looking to get normal.
Brunnstrom combines what techniques?
- proprio/exteroceptive stimulation.
- resistance to unaffected
- push/pull of upper to facilitate lower
- emphasize postural stability.
Karel and Berta Bobath emphasize
normalizing tone and inhibiting primitive reflexes.
don’t move on to more advanced till u can do prior normally.
Brunnstrom promotes use of
uninvolved limb to promote use of involved for desired outcome.
What what limitation of brunnstroms theory?
use of facilitation in antagonist of synergy to decrease it.
What is the key for promoting normal muscle activity?
alignment (Bobath)
What is common in approaches?
to move away from primitive/synergistic movement.
according to Rood, techniques would follow
normal developmental patterns.
pron-quad-kneed-stance-gait
What is RIP?
reflex inhibiting position.
What was bobath treatment emphasis?
placing holding for cocontraction during early stage of recovery
What are technique of NDT?
- WB promoting prox stability
- WB w/ WS to allow D stability P mobility
- use affected side
- equillibrium/righting reactions
use affected side in order to prevent
compensation
gait training occurs with therapist and
not devices or braces.
NDT has evidence for
- balance training in stroke
- improvement in UE motor function
PNF emphasizes
- mass patterns
- contact on muscle
- functional based
- use stretch/distract
- Max resistance thru ROM.
PNF strengthening approaches improve
target muscle activation
posture control
DF during gait and gait speed.