Term
| Therapy strategies during flaccid phase |
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Definition
- proper positioning
- support of the arm within a wheelchair throughout sitting
- PROM to all affected joints at least x1/day
* traction should be avoided when moving patient in and out of bed * |
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Term
| criteria for admission to rehab program |
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Definition
- stable neurologic status
- significant persisting neurologic deficit
- identified disability affecting at least 2 of: mobility, self-care, swallowing, bowel/bladder control, communication
- sufficient cognitive function to learn
- sufficient communication abilities to engage with therapists
- physical ability to tolerate active program |
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Term
| Rood's sensorimotor approach |
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Definition
| involves superficial cutaneous stimulation using stroking, brushing, icing, or muscle stimulation with vibration, to evoke voluntary activation |
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Term
| Brunstrom's movement therapy |
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Definition
| emphasized the synergistic patterns of movement that develop during the recovery from hemiplegia. She encouraged the development of flexor and extensor synergies during early recovery, hoping the synergistic activation of muscle would, with training, transition into voluntary activation. |
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Term
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Definition
| aims to inhibit spasticity and synergies, using inhibitory postures and movements, and to facilitate normal autonomic responses that are involved in voluntary movement. |
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Term
| Knott and Voss' Proprioceptive Neuromuscular Stimulation (PNF) Approach |
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Definition
| relies on quick stretching manual resistance of muscle activation of the limbs in functional directions, which are often spiral and diagonal in direction. |
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Term
| Motor re-learning program from Stroke |
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Definition
| incorporates functional training for key motor tasks such as sitting, standing, standing up, or walking. The therapist analyzes each task, determines which component of the task cannot be performed, trains the patient in those components of the task, and ensures carryover of this training during daily activities |
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Term
| Contemporary Task-orient approach |
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Definition
| based on systems model of motor control and contemporary motor learning theories. The application in rehabilitation emphasizes that effective therapeutic intervention depends on identification of the system that is critical to controlling the occupational performance at a specific time. |
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Term
| Early Neurologic Recovery components |
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Definition
resolution of cerebral edema
the absorption of damaged tissue
improvement on local circulation |
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Term
| Late Neurologic Recovery components |
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Definition
forming of new synapse
reactivation of unfunctional pathways
developing alternative pathways
changes in sensitivity of synaptic transmission |
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Term
| Specific problems following discharge |
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Definition
- maladjustment and depression
- reduced sexuality
- poor role adjustment within home and family
- equipment needs
- transportation and driving
- spasticity in the arm
- reflex sympathetic dystrophy (RSD)
- changing pattern of ambulation |
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