Relaxation techniques

Contract- relex: goal to increase mobility

hold- relax: increase mobility

rhythmic rotation: use when fell restriction... slow and gentle

* uses verbal and visual cues

* go from proximal to distal direction

* do quick stretch of muscle ( i.e. opposite direction of contraction)

* Repeated contractions: increase ROM and endurance

* Rhythmic initiation: improves mvt initation

* Slow reversal: gains ROM

* Rhythmic stabilization: promotes stability

SIPT:

1. Ages

2. what does it measure?

4 -8 years of age

*tactile processing

*vestibular -proprioceptive processing

      - bilateral integration and sequencing

DeGangi-Berk test of sensory integration

1. Ages

2. Measures what and categorzied areas include?

3-5 years of age

* SI and vestibular system

  - bilateral motor cordinatino, postural control, reflex

     integration

Test of sensory functions in infants

1. Ages

2. What does it assess?

1 - 18 months of age

responsivness to various sensory stimuli

* massed practice

* provide practce ( i.e. homework, circuit training)

* use contemporary motor learning principles

   - random and variable practice

   - help client develop problem solving skills

   - decrease cueing

1. Static: slowly increases ROM

2. static: reduce pain, prevent motion, stretch, align joints, rest joints

3. Dynamic: increase PROM, substitute for lost motion, and assist weak motion

name 3 hand/wrist splints

what splint do u use for flaccid wrist?

what splint when developing contractures of long flexors?

Splint you use during functional activities to compensate for weakness?

1. cock up , resting hand splint, opponesns

2. cock up

3. resting hand spline

4. opponens

can digits function with cock up and what degrees in wrist in?

how is hand positioned in resting hand splint?

Position of hand in opponens splint? is this long or short splint?

1. 10 - 20 degrees, yes

2. wrist, digits, and thumb supported in functional position

3. thumb abducted and in opposition, both

Splint used to reduce tone and positioning of hand?

Splint used to reduce flexor spasticity in hand?

Splint uses tactile input to facilitate and or prevent approperiate muscle groups?

Splint that places spastic distal extremity on submaximal stretch to reduce spacitity?

1. Bobath finger spreder (abduction splint)

2. Rood cone

3. Orthokinetic splint

4. Spasticity reduction splint

Splint used for person with proximal weakness ( amyotrophic lateral sclerosis, gullian barre, ms with pts having 1 -3 /5 muscle grades?

Splint to use for pts with weak proximal muscles to utilize available trunk control and shoulders?

Used to support flaccid arm for short period of time?

1. overhead suspension sling

2. balanced forearm orthoses ( mobile arm supports or ball bearing forearm orthoses)

3. shoulder sling

speech impairment?

swallowing impairment?

examples to use for airway protection?

1. dysarthria

2. dysphagia

3. gag reflex (expels bolus), volitional/spontanous cough ( clear pharynx of matter) , vocal fold adduction ( close airway to prevent food from entering larynx), reflexive inhibition of respiration ( prevents inhaled food entering airway)

 Demonstrate, and name normal/abnormal responses to these primitive reflexes:

 Rooting reflex

jaw jerk

bite reflex

1. lightly touch from mouth corner to ear: abnormal-turn head and tounge protrusion

2. tap 2 times on mandible: abnormal- open/close mouth

3. tounge depressor in mouth: abnormal: bite down

postural interventions to increase swallowing?

technique to used to close airway during food intake?

prolong rise of larynx by prolong tounge contraction?

1. head tilt, chin tilit, head turn

2. supraglottic swallow technique

3. mendlesohn's maneuver

What are testing procedures for oral motor when testing CN?

1-12

1sniff

2 visual field test

3 visual tracking/ pupillary reflex test

4 visual tracking - CN 3

5 pain/touch temp/ corneal reflex with cotton ball/ mvt of jaw

6 move eye laterally

7 sweet/salty/sour tastses

8 tuning fork

9 gag /swallow reflexes

10 Cn 9

11 sternocleoidmastoid and trap muscle testing

12 ask pt to stick out tounge

Worsening of action tremor as limb approaches target in space?

undershooting or overshooting of target?

joints being moved seperately to reach target/ breakdown of mvt?

impared ability to perform rapid alternating movements

1. intention tremor

2. dysmetria

3. dyssynergia

4. dysdiadochokinesia

loss of motor control?

involuntary tremor in resting position?

increased resistance through passsive mvt?

slowing of mvt patterns?

cant initate mvt?

1. ataxia

2. resting tremor

3. ridigity

4. bradykinesia

5. akinesia

inadequate timing/force/mvt of limbs/trunk, worm like mvt?

involuntary sustained mvt of contractions of groups of muscles?

spasmic, short duration mvts of face and extremities?

unilateral chorea violent mvts of proximal muscles?

1. athetosis

2. dystonia

3. chorea

4. hemiballismus