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Neurological FOR
Theory,intervention, practice
49
Medical
Graduate
10/02/2013

Additional Medical Flashcards

 


 

Cards

Term
This orthotic is used to support the thumb in a position of abduction and opposition. To be worn during functional activities to compensate for weakness patterns.
Definition
Opponens Splint
Term

This splint places the spastic distal extremity on submaximal stretch to reduce spasticity

Definition
Spasticity reduction splint
Term

This orthotic is utilized to reduce flexor spasticity via sustained deep pressure

Definition

Rood cone

Term

Soft splint that positions fingers n abduction to reduce tone; based on principle of reflex inhibiting patterns

Definition

Bobath finger spreader

Term
Dysarthria
Definition
Speech impairment
Term
Dysphagia
Definition
Speech impairment
Term
Name 3 primitive reflexes indicative of pathology:
Definition
Rooting
Jaw jerk
Bite reflex
Term
Direct therapy techniques for oral motor dysfunction- modify food:
Definition
Modify consistency, amount and pacing of solids and liquids
Term
Direct oral motor interventions addressing postural positioning: (3)
Definition
1. Chin tuck
2. Head tilt
3. Head turn
Term
This technique is used to voluntarily close the airway during food intake:
Definition
Supraglottic swallow
Term
These postural interventions are used to increase swallowing efficiencies
Definition
1. Chin tuck
2. Head tilt
3. Head turn
Term
Indirect therapy for swallowing dysfunction includes (4)
Definition
1. Cold stimulation
2. Reflex stimulation
3. Strengthening and coordination of oral movements
4. Airway adduction
Term
Traditional Neurophysiologic FOR: Postural reactions are the basis for control of movement, Handling techniques promote normal movement, facilitate or inhibit synergistic movement, hypertonicity, asymmetrical posture, bilateral movement patterns to integrate both sides of the body into function
Definition
NDT/ Bobath
Term
Traditional Neurophysiologic FOR: Postural reactions: righting, equilibrium, protective response, are the basis for control of movement.
Definition
NDT/ Bobath
Term
Normalize movement, bilateral integration, weight bear and weight shift through limbs, establish normal righting and equilibrium patterms
Definition
Bobath/ NDT
Term
Traditional Neurophysiologic FOR: Frequency of stimulation (sensory, verbal, visual) and repetitive activity promote and retain motor learning. Normal movement and posture depend upon "synergism" and balances interaction of antagonists.
Definition
Proprioceptive Neuromuscular Facilitation
Term
Intervention for this FOR include diagonal or mass movement patterns during functional activities; all patterns cross midline and encourage rotary components
Definition
PNF
Term
Facilitate recovery through a 7 stage sequence. Promotion of movement from reflexive to volitional
Definition
Brunnstrom's Movement therapy
Term
Normalization of tone and muscular responses are achieved via controlled sensory stimulation (e.g., brushing, maintained stretch, heavy joint compression, quick icing to stimulate, prolonged icing to inhibit)
Definition
Rood
Term

Involuntary, increased muscle tone that results in resistance to movement elicited by velocity dependent stretch stretch reflex

Definition

Spasticity is objectively measured using the Ashworth Scale

Term

Involuntary, bidirectional, non-velocity dependent resistance to movement

Definition

Rigidity

Term
Worsening of action tremor as the limb approaches a target in space
Definition
Intention tremor
Term
Undershooting or overshooting of a target
Definition
Dysmetria
Term
Breakdown in movement; joints move separately to target
Definition
Dyssynergia
Term
Loss of motor control includes: tremors dysdiadochokinesia, dyssynergia, and nystagmus.
Definition
Ataxia
Term
Involuntary movements of the face and extremities which are spasmodic and of short duration
Definition
Chorea
Term
Dyskinetic condition includes poor timing, force and accuracy of trunk/limb movements; movements are writhing and worm-like
Definition
Athetosis
Term
Involuntary sustained distorted movement or posture involving contraction of groups of muscles.
Definition
Dystonia
Term
This sensory evaluation requires certification
Definition
Sensory Integration and Praxis Tests (SIPT)
Term
Assesses tactile, vestibular, proprioception, visual perception. Appropriate for children ages 4-8
Definition
Sensory Integration and Praxis Tests (SIPT)
Term
Standardized test for kids 3-5; assesses bilateral motor coordination, postural control, and reflex integration. Focus on vestibular system. Does not require certification.
Definition
DeGangi-Berk Test of Sensory Integration (TSI)
Term
Test for elementary school age children. Measures Sensory Processing, Praxis and Social Participation across different environments. Assesses visual, auditory, tactile, smell-taste, proprioceptive and vestibular behaviors.
Definition
Sensory Processing Measure (SPM)
Term
Arrange in PNF developmental order:
Hands and Knees to plantigrade
Sidelying to Side Sitting,
Prone on elbows
Kneeling,
Prone to Hands and Knees,
Supine to Long Sitting
Supine to Sidelying
Definition
Prone on elbows, Supine to Sidelying, Sidelying to Side Sitting, Supine to Long Sitting, Prone to Hands and Knees, Kneeling, Hands and Knees to plantigrade
Term
This form of CP is characterized by mild lower extermity involvement and minimal to no UE involvement.
Definition
Mild Spastic diplegic CP
Term

Slow strokinging applied over the posterior rami of the spine is a technique advocated by ____.

Resulting in ___ __ __.

Definition
Rood; Generalized inhibitory effect
Term
Passive rhythmic movement followed by active participation in the same pattern is called ___. It's purpose is to ___ ___ ___.
Definition
Rhythmic initiation; Improve movement initiation.
Term
Using PNF what technique could be utilized to elicit a contraction?
Definition
Quick stretch
Term
When restriction is felt during ROM what PNF technique will elicit a relaxation response?
Definition
Rhythmic rotation.
Term
Warm or cool stimulation of the inferior faucial arches will elicit a swallow reflex?
Definition
Cool
Term
Tendinous pressure, maintained stretch and low frequency vibration are facilitory/inhibitory techniques used by ___.
Definition
Inhibitory; Rood
Term
A major goal of OT for a person with a SCI at C5- C6 is to:
Definition
Enhance the development of tenodesis grasp
Term

Using the Rood approach what is the first stability pattern that the therapist should use during intervention?

 

Prone on elbows

Roll over

Neck cocontractons

Definition
Neck cocontractions: Require cocontraction of neck flexors and extensors- Essential for head control
Term

To elicit a lateral trunk response using the rood approach what stability pattern should be used?

 

  

Prone on elbows

Roll over

Neck cocontractons

Definition
Roll Over: arm and leg on same side of body flex as trunk rotates.
Term
This position develops trunk and proximal limb stability.
Definition
Prone on Elbows
Term
This position develops limb and trunk cocontraction.
Definition
Quadraped.
Term

What is the most effective generalized technique of controlled sensory input to use to decrease flexor tone?

 

Facilitation of triceps through Tapping

Slow rolling supine to prone

Inhibition of biceps through pressure to the tendon insertion

 

Definition
Slow rolling is generalized. Facilitation/inhibition of triceps /biceps are not generalized because they act upon specific muscles.
Term
Massed (blocked) practice:
Definition
Practice in which the period of performance is greater than the rest period. This type of practice works best during the cognitive stage-just beginning to learn the movement during the Cognitive Stage
Term
Distributed practice:
Definition
Rest between trials is great thna the time of the trial- Most useful during the Associative Stage
Term
Variable/Random practice:
Definition
Repeat the same pattern but make small changes as necessary. Increases ability to adapt and generalize learning. Short frequent practice is better than longer less frequent practice.
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