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positioning and NDT
positioning, NDT lectures
17
Anatomy
Graduate
09/25/2012

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Cards

Term
why stand on the weaker side of the person?
Definition
support weaker leg; hold patient's waist to promote elongation and weightbearing in weaker side; support weaker UE
Term
what are some pre-gait activities
Definition
slide heels/toes of less involved LE out to side and back. Repeat with more involved. Step forward/back with less involved and repeat with more. Work in stride position. Step up/down
Term
why is positioning important?
Definition
increase comfort, prevent trauma to joint surfaces, prevent contractures, promote normal alignment, promote functional movement
Term
what are habitula posture components to avoid
Definition
lateral flexion of neck and trunk to more involved side. Neck rotation toward less involved side. Shoulder adduction/IR on more involved side. Elbow, wrist, finger flexion on more involved side. Forearm pronation on moreinvolved side. Rotation of pelvis toward more involved side. flexion/extension synergies
Term
positioning on the involved side
Definition
involved: arm extended, leg extended. Uninvolved: flexed, pillow between legs
Term
sidelying on less involved side
Definition
uninvolved: arm as desired, leg extended. Involved: arm extended on pillow, leg flexed on pillow
Term
supine positinoing
Definition
involved arm/leg extended. Arm on pillow.
Term
what are the originial theoretical constructs upon which NDT was based
Definition
NDT was part of the reflex/hierarchical models in which higher centers were thought to control lower centers
Term
what is NDT
Definition
therapeutic handling to maximize functional independence
Term
what is inhibition
Definition
decreasing factors that contribute to abnormal posture/movement such as stiffness or stability patterns
Term
what is facilitation
Definition
increasing ease of a movement pattern by adjusting posture, increasing alignment, limiting the degrees of freedom that a pateitn has to control
Term
what should you do before deciding on facilitation or inhibtion
Definition
observe the child to see what they need to be able to get to the next skill
Term
describe the importance of minimizing hands-on intervention
Definition
allow the patient to attempt movement first, then facilitate to get to the next step. Allow the patient to learn from errors
Term
what are some good key points of control
Definition
non bony places: abdomen, chest
Term
how to improve postural alignment in sitting
Definition
place hands on abdomen/low back or chest/upper back. Pull in and down
Term
how to facilitate transition from sit to stand with NDT
Definition
1. move into neutral pelvic tilt. 2. bring trunk into extension. 3. weight shift to the arm. 4. protract arm/put in lap. 5. flex at hip with nose over toes. 6. rise into standing by extending knees, hips
Term
what can NDT be used for
Definition
ROM, weightbearing, proprioceptive input, relaxation of muscle tone
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