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Contemporary Approaches
Campbell Lecture
38
Medical
Graduate
02/28/2009

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Term
The following are assumptions of which frame of reference? *Functional tasks help organize behavior *Occupational performance emerges from the interaction of persons and their environment *Experimentation with various strategies leads to optimal solutions to motor problems.
Definition
OT task-oriented approach based on a systems model of motor behavior
Term
The following are assumptions of which frame of reference? *Personal and environmental systems, including the cns, and heterarchically organized *Behavioral changes reflect attempts to compensate and to achieve task performance.
Definition
OT task-oriented approach based on a systems model of motor behavior
Term
What is the evaluation framework for the occupational therapy task-oriented approach?
Definition
Role Performance; Occupational Performance Tasks; Task Selection and Analysis; Person; Environment
Term
"Learning"
Definition
process of acquiring knowledge about the world
Term
According to systems theory, changes over time occur as a result of multiple factors, including:
Definition
maturation of CNS; biomechanical restraints; impact of physical & social environment
Term
Motor system theory frames of reference:
Definition
Ecological Approach; Dynamic Systems Theory
Term
"Affordance"
Definition
active search for information in the environment that is meaningful. Term associated with Ecological Approach.
Term
"Variability"
Definition
Change in position= change in motor control; Change in mechanical factors; Gravity and inertia determine the degree of muscle contraction; Change in physiological factors; Executive commands and muscle contraction; Impact of CNS command changes muscle contraction; will to move, need to move)
Term
"Phase Shifts"
Definition
Preferred patterns of behavior. Controlled parameters- shifts from one behavior to another. Terms associated with dynamic systems theory.
Term
This theory is concerned with: Acquisition phase of learning; Retention phase of learning; Generalization or transfer of learning
Definition
Contemporary Motor Learning
Term
Random Practice:
Definition
repetitive tasks in varied sequence is better than Blocked practice. A motor learning assumption
Term
Whole Task practice:
Definition
is better than practice of parts. A motor learning assumption.
Term
Feedback impacts performance:
Definition
Self Controlled practice (internal feedback) is better than external feedback)
Faded feedback is better than increasing feedback
Less is more. A motor learning assumption.
Term
"Motor Learning"
Definition
process of acquisition and or modification of movement
Term
"Motor Learning"
Definition
process of acquisition and or modification of movement
Term
memory:
Definition
an outcome of learning
Term
"memory consists of a pattern of changes in synaptic connections among networks of neurons distributed in many parts of the brain"
Definition
motor memory
Term
T or F: Mechanisms underlining learning and memory are the same
Definition
TRUE
Term
Which theorist would use the following tx goals? *Prevent contractures; *Increase balance
Definition
Brunnstrom
Term
Cradling =
Definition
Brunnstrom
Term
Associated Reactions =
Definition
Brunnstrom
Term
Cradling =
Definition
Brunnstrom
Term
Synergy =
Definition
Brunnstrom
Term
Major problem of subluxation is _______
Definition
pain
Term
Most at risk for subluxation:
Definition
those in the low stages
Term
How would Bobath treat a subluxed shoulder?
Definition
Mobilize scapula toward protraction to inhibit retractors (Rhomboids)
Term
Causes of subluxation:
Definition
*Downward rotation of scapula *Paralysis of rotator cuff muscles *Trunk shortening *Internal rotation
Term
Which theorist assesses trunk shortening?
Definition
Bobath
Term
Who would suggest weight-bearing on the upper extremity?
Definition
Bobath
Term
What is a precaution for Bobath's under-arm sling?
Definition
Can cause nerve compression on brachioplexus
Term
Which theorist would use an over head suspension sling?
Definition
Brunnstrom and PNF
Term
Who used chop and lift?
Definition
PNF
Term
Who used bridging and bed mobility?
Definition
NDT
Term
Who focused on cocontraction?
Definition
Rood
Term
Who said "reflex inhibiting patterns can influence tone"?
Definition
NDT
Term
What is the RIP pattern?
Definition
*Scapular protraction *Shoulder abd & ext rot *Elbox ext *Forearm sup. w/ wrist ext *Finger and thumb abd
Term
Assumptions of equilibrium reactions:
Definition
*For every action there is an equal and opp. reaction *Allows one to maintain position in space *Major components: balance, weight bearing
Term
Assumptions of trunk rotation:
Definition
*Rotation is essential for coordinated movement *Less effort w/ rotation *Less stress, greater quality of movement
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