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Neuro: NDT and PNF
Terms in this set (29)
Normalize tone by inhibiting spasticity, inhibit primitive patterns, facilitate autonomic/voluntary reactions and normal movement patterns, and suppress abnormal patterns before normal are introduced
List the four goals of NDT.
With NDT, these are avoided because although they may strengthen weak, unresponsive muscles, they reinforce abnormally increased tonic reflexes (spasticity).
Decrease muscle tone through use of reflex inhibiting postures, incorporate hierarchal motor sequences, facilitate automatic movement as opposed to isolated skills, and direct tx towards specific functional situations
List the four components of the theoretical approach for NDT.
Sensory fee-forward and feedback
These two things are equally important for different aspects of movement control with NDT.
The ________ determines the pattern of neural activity based on input from multiple intrinsic systems and extrinsic variables that establish the context for movement initiation and execution.
Weakness, impaired postural control, and paucity of movement
List three negative signs for NDT.
Negative and positive signs
With NDT these two things are equally important in limitations of function.
Task goals, experience, individual learning strategies, movement synergies, energy, and interests
These six things all affect the quality of the final action.
Flexor and extensor synergies
With the Brunnstrom approach, this is encouraged during early recovery with hopes that it would transition into voluntary muscle activation.
This approach emphasizes the synergistic patterns of movement that develop during recovery from hemiplegia.
With the Brunstrom approach, patients are taught to use and voluntarily control the ________ available to them as a particular point during their recovery process.
Cutaneous/proprioceptive stimuli and central facilitation
Brunnstrom enhances specific synergies through use of what two tactics?
True or false: Recovery may be arrested at any Brunnstrom stage depending on severity of insult, degree of sensory involvement, etc.
These may still appear under stress conditions such as sudden fright, anxiety, sneezing, loud noises, etc.
Rood's sensorimotor approach
This approach involves superficial cutaneous stimulation using stroking, brushing, icing, or muscle stimulation with vibration, tendon tapping, and joint compression to evoke voluntary contraction or inhibition of proximal muscles.
Development of coordinated movement patterns
What is the ultimate goal of the muscle re-education approach.
With the muscle re-education approach, training begins with learning the control of individual muscles on a ________ level.
________ may be used to elicit movement when none exists.
Proprioceptive and exteroceptive
These two types of stimuli can be used therapeutically to evoke desired motion or tonal changes.
Flex of uninvolved = flex of involved, ext of uninvolved = ext of involved
Describe the two associated reactions for the UE.
Flex of uninvolved = ext of involved, ext of uninvolved = flex of involved
Describe the two associated reactions for the LE.
Flex = flex, ext = ext
Describe the two associated reactions for the involved side.
Seated, head and trunk in midline, pelvis neutral, hips and knees in line at 90, balls of feet under knees, elbows at 90, hands on knees, and palms down toward pronation with fingers open
Describe reflex inhibiting posture.
Uses spiral and diagonal components of movement rather than traditional movements in cardinal planes of motion.
Facilitates movement patterns with more functional relevance and relies on quick stretching and manual resistance of muscle activation of the limbs in functional directions
List the two goals of PNF.
Movement organized around task goals, functional movement emphasized in assessment and intervention, movement strategies are analyzed related to task, maximizing practice time is crucial, and the environment is modified during practice to facilitate learning
List the five key features of a task-oriented approach.
Strengthening can be accomplished in the task-oriented approach by using ________ for resistance.
Standing up/sitting down
Embedding repeated practice of ________ into task related activities leads to increased strength, skill, and decreased muscle stiffness.
Mobile standers and gait trainers
To increase ROM with the task-oriented approach, equipment used to support participation in activities while allowing for extended periods of elongation of LE muscles includes what two things?
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