SENSORY-MOTOR UNIT Flashcards

1
Q

What do sensory-motor approaches require?

A
  • knowledge of the nervous system
  • specialization
  • knowledge of the precautions, contraindications, and risks associated with each approach
  • supervised by the OTR
  • neurological - CNS damage
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2
Q

Sensory-motor approaches are geared towards ________________.

A

1) normalizing tone
2) Facilitate symmetrical posture
3) Improve balance

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3
Q

What is spasticity?

A

hypertonicity, agonist firing and antagonist not firing (weak)

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4
Q

What is Flaccidity?

A

no muscle contraction, both agonist and antagonist not firing.

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5
Q

What is Rigidity?

A

both agonist and antagonist are firing.

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6
Q

What is normal msucle tone?

A

normal muscle tone is a continuous state of mild contraction of the muscles that is controlled by CNS and PNS structures

-The stretch reflex is controlled or mediated by the muscle spindle and is essential for maintaining muscle tone. The stretch reflex produces tension for stability to allow voluntary movement.

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7
Q

Sensory - motor approach includes:

A

Philosophy:
Assessment:
Intervention:

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8
Q

Who created and influenced the Rood approach?

A

Margaret Rood and used developmental and neurological work by Ayres and others etc.

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9
Q

What is the basic assumption of Rood approach?

A

appropriate sensory stimulation can elicit specific motor responses.

muscle action should be activated, facilitated and inhibited through the sensory system

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10
Q

What is the function of heavy work muscles?

A

stabilizers

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11
Q

What is the function of light work muscles?

A

mobilizers

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12
Q

What is the sequence of motor development according to Rood?

A

1) Reciprocal Inhibition
2) Co-contraction
3) Heavy Work
4) Skill

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13
Q

Facilitation Techniques

A
  • Light moving touch *
  • Fast Brushing
  • Heavy Joint Compression (weight bearing)
  • Stretch Pressure
  • Vestibular Stimulation
  • Icing *
  • Stretch
  • Resistance
  • Tapping *
  • Therapeutic Vibration *
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14
Q

Procedure and Precaution for the Icing Technique

A

applied to the dorsal web spaces of the palms and soles

icing behind the ear decreases blood pressure

Precaution: not for people with cervical spinal cord injury because of the increased risk of producing dysreflexia

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15
Q

Purpose of the tapping technique

A

The stimulus acts on the muscle spindle and increases the tone of the underlying skeletal muscles.

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16
Q

Procedure for Therapeutic Vibration and Precautions

A

stimulus is applied over a muscle belly and parallel with the muscle fibers.

Precautions:
not be used with children,
person 65 yo older because of thin skin
individuals with extra pyramidal or cerebellar lesions
Proper training for the therapist

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17
Q

Clinical Signs of Inhibition

A

1) Pupils appear fixed - gazed
2) Change in respiration - slowed and deepened
3) Change in voice quality - lower and softer
4) Gurgling noises of the GI tract - borborygmus
5) Changes in skin color - dilation of PNS
6) Muscle jerks - minor twitches when sleeping

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18
Q

Effects of Neutral Warmth

A

the patient feels relaxed and muscle tone is decreased.

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19
Q

When should purposeful activity be introduced into the treatment according to Rood?

A

1) following the stimulation or
2) throughout

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20
Q

Positive Critiques of Rood

A
  • Gives OT practitioners many strategies to address abnormal tone
  • Yields a relatively quick response
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21
Q

Negative Critiques of Rood

A
  • Has many precautions to protect individuals whose nervous system is not intact
  • limited because of the passive nature of these techniques
  • short-lasting effect from the stimulation
  • unpredictable effects of some sensory stim
  • involves more complicated mechanisms than superficial stimulating of receptors beneath the skin
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22
Q

Who developed PNF?

A

Voss, Knott, Dr. Kabat, Meyers

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23
Q

What is the general description of PNF?

A

a complex movement model for motor performance

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24
Q

Disorders that PNF can be used

A
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25
Q

Soft voice vs loud voice in PNF

A
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26
Q

Methods of Evaluation for PNF

A
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27
Q

Procedures for PNF

A
28
Q

Define Manual Contacts

A
29
Q

Define stretch

A
30
Q

Define traction

A
31
Q

define approximation

A
32
Q

Define Maximal resistance

A
33
Q

Why are techniques performed in PNF?

A

warm-up for activities

34
Q

What are the techniques for PNF?

A
35
Q

Role of OT in PNF

A

Leave patient in strength

36
Q

Principles of PNF

A
37
Q

Why would you use rhythmic stabilization?

A
38
Q

Why would you use rhythmic initiation?

A
39
Q

Why would you use rhythmic rotation?

A
40
Q

D patterns

A
41
Q

Bilateral symmetrical

A
42
Q

Will the use of PNF diagonals in treatment improve the likelihood of the CVA patient addressing his goals?

A
43
Q

What does a home program should include?

A
44
Q

What are the precautions for PNF?

A
45
Q

Negative Critiques of PNF

A
46
Q

Positive Critiques of PNF

A
47
Q

Who developed NDT?

A
48
Q

What is the most commonly identified problem with CVA according to NDT?

A
49
Q

Description of body’s posture according to NDT

A
50
Q

Techniques in NDT

A
51
Q

Weight Bearing

A
52
Q

Trunk rotation

A
53
Q

Typical sitting posture

A
54
Q

What NDT says about adaptive equipment?

A

No ADAPTIVE Equipments. Unless AFO and Slings Sublux

55
Q

Preferred positioning for Bed

A
56
Q

Preferred positioning for Sitting

A
57
Q

Preferred positioning for standing

A
58
Q

Method for Dressing in NDT

A
59
Q

Where should the therapist position during treatment according to NDT?

A
60
Q

Scapular Protraction and Scapular Gliding

A
61
Q

The position of the pelvis that NDT states is optimal and its benefits

A
62
Q

Precautions with NDT

A
63
Q

Positive Critiques of NDT

A
64
Q

Negative Critiques of NDT

A
65
Q
A