Pre-course stuff Flashcards

(47 cards)

1
Q

5 Components of FMT

A
  1. PNF
  2. Joint mobilization
  3. Soft Tissue Mobilization
  4. Core First Strategies
  5. Functional Mobilization
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2
Q

IPA Treatment Model: 3 Pillars

A
  1. Mechanical
  2. Neuromuscular
  3. Motor Control
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3
Q

Functional Efficiency

A

Utilize sufficient Mechanical, Neuromuscular, and Motor Control to allow for options of strategies in the performance of any given action/task.

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4
Q

Mechanical Capacity

A

Quality and excursion of movement and ability to attain functional postures, assessed in 3D.

  • Mobility of joints (artho, osteo, accessory motion)
  • Soft Tissue (skin, muscles, connective tissue, neurovascular, viscera)
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5
Q

Neuromuscular Function

A

neurophysiological ability of synergistic muscles to initiate a contraction with proper strength and endurance for the given task, including ability to return to muscular relaxation.
-Initiation, strength, and endruance

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6
Q

Motor Control

A

Ability to learn and perform skillful and efficient assumption, maintenance, modification, and control of voluntary movement patterns and postures.
-Needs efficient mechanical and neuromuscular

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7
Q

Efficient Motor Control

A

Good anticipatory postural adjustments and compensatory postural adjustments to adapt to external input

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8
Q

Optimum Motor Control

A

Automatically selects one of many motor strategies that most effectively (least energy/degradation) to achieve a given task.

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9
Q

Who said “decreased activation and cross sectional area of multifidi secondary to LBP”?

A

Richardson
Hides
Wallwork

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10
Q

Who said “multifidus muscle recovery is NOT automatic”?

A

Hides
Richardson
Stanton

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11
Q

Who said “paraspinal reflexes are disturbed following prolonged flexion postures”?

A

Rogers

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12
Q

who said “TMS reveals changes in cortical representation of multifidi”?

A

Hodges

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13
Q

Who categorized muscles into Local and Global?

A

Bergmark

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14
Q

Local Muscles

A

deep muscles and the deep portions of some muscles that have their origins on the spine

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15
Q

Who said that local muscles “respond to feed forward to provide stability and segmental control with prolonged contractions, especially in shear”?

A
Hodges
McGill
Hide
Massery
Schleip
Lehmann-Horn
Vleeming
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16
Q

Who said “diaphragm dysfunction can lead to LBP”?

A

Hodges

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17
Q

Who said the vocal cords are part of the core? (Neuro involved children and adults have ineffective vocal cord control and instability)

A

Massery

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18
Q

Global Muscles

A

Large superficial muscles that cross multiple segments and do not have attachment to the spine
Limited ability to control shear force, but provide stability to flex and ext

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19
Q

Who said “neutral spine is facilitatory for core muscles”?

A

Sapsford, Claus

20
Q

Global muscles - 4 facts

A

Prime mover
Primarily phasic
Fast Twitch - type II
Multiple joint

21
Q

Local Muscles - 4 facts

A

Core stabilizer
Primarily Tonic
Slow twitch - type I
One joint

22
Q

Functional Core

A

One that automatically engages as needed during everyday ADLs.

23
Q

The Learning Model - Fitts and Posner

A

Cognitive
Associative
Automatic

24
Q

Learning Model: Cognitive

A

Process of fathering and imparting the info about the pt’s pathology, s/s and changes in function

  • give pt incentive
  • lets them know the Why, What, When, and Where
25
Learning model: associative
Use of sensory input to enhance one's awareness of movement or posture. - Kinesthetic Comparative Training: ABA - Manual contact - Resistance - Repetition
26
Learning Model: automatic
progression ends at automatic. | pt is able to utilize strategies automatically
27
The 5 CoreFirst Principles for Posture and Movement
1. Base of support 2. Efficient Alignment 3. LPM/ACE 4. Weight Shift 5. Weight Acceptance
28
Base of Support
Serves as foundation for structures above Anticipates mvmnt Enhances automatic activation of core
29
Efficient Alignment
State of balance in which structures efficiently relate to one another in relationship to gravity - promotes optimal weight transference - allows for most efficient neuromuscular activation
30
LPM
LMP = representation of ACE | -Neuromuscular response: initiation, strength, endurance
31
Weight Shift
Movement of efficient alignment within BOS, utilizing proper timing and proper joints for movement. Common dysfunctions: flex, ext, rot
32
Weight Acceptance
Use of BOS, facilitates LPM, essential to active sitting/standing activities like reaching and lifting -allows freeing of distal exremity
33
Functional Exercise: purpose and categories
- Designed to impact change 1. Coordination 2. Flexibility 3. Stabilization 4. Strength 5. Endurance
34
Effective Motor Learning
Break whole into "parts" Train parts Reintegrate part to whole, repetition
35
Pain: changes at spinal level can have direct effect on pt's interpretation of sensory input
Butler and Mosley
36
Pain: brain perceiving a threat.
Wardlaw
37
Subjective pain reports
- Location of pain - Frequency of pain - Duration of pain - Intensity of pain
38
Irritability: immediate onset
- Linked to specific movement/activity/posture | - typically mechanical
39
Irritability: delayed onset
- Not specific - Likely to be aggravated with tx/exercise - Short visits, try 1-2 things per visit - Progressive Exercise Program
40
PEP: progressive exercise program
Pt given 3 exercises, do 1 per day and see which ones aggravate/don't
41
Saliba postural classification
Ratio of 2 components - verticality over pelvis/tipping of thoracic block.
42
SPC: Efficient
Vertical/vertical
43
SPC: Dysfunction 1
Vertical/posterior | ext t/l junction
44
SPC: Dysfunction 2
Post/post | ext lumbar and forward shear pelvis
45
SPC Dysfunction 3
Post/ant | forward shear and l/s flex
46
SPC dysfunction 4
Ant/post | backward shear and l/s ext
47
SPC dysfunction 5
Ant/ant | flexion of spine