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Weakness and Theories
Lecture and Lab
58
Medical
Graduate
07/05/2015

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Cards

Term
3 ways to measure strength and muscle activity
Definition
MMT, EMG, dynanometers
Term
How do strengthen weakness caused by neurologic dysfunction?
Definition
traditional techniques applied in functional positions, approximation, tapping, E-stim, functional positioning, progressive treatment for flaccid patient
Term
Other exercises for strengthening of weak extremity
Definition
AAE/AROM, therapeutic ball, functional activities, isokinetic training
Term
progression of AAE/AROM training for strengthening
Definition
isometric to eccentric to concentric
Term
Importance of developmental activities/positions in the motor control theory?
Definition
not to be ignored, but need not be practie in a sequenced pattern
Term
volitional movement is produced by what tract
Definition
corticospinal
Term
more specifically, what is the role of the corticospinal tract in regards to volitional movement
Definition
modifying the program so that it meets the demands of the environment
Term
What are the program generators of volitional movement
Definition
spinal cord, cerebellum, basal ganglia
Term
1st phase of the motor control model
Definition
generation of an abstract idea about movement, recognition of a motivation to move, assessment of the demands of the task and the conditions of the environment for producing the movement
Term
2nd phase of the motor control model
Definition
generation of a motor program, a neural routine which converts an abstract idea bout movement into the proper timing, sequence, and force of muscle activyt
Term
3rd phase of motor control model
Definition
execution of the motor program
Term
4th phase of the motor control model
Definition
comparison of whether the intended movement matched the actual movement
Term
5th phase of the motor control model
Definition
adaption/readjustment of the mvoement as necessary
Term
6 theoretical approaches to facilitate hyptonic muscles and strengthen weak mm
Definition
Rood, PNF, Bobath/NDT, Motor Control, Standard Ther Ex, Therapeutic Ball
Term
Rood: Examples of stability
Definition
sitting upright, leaning on involved UE, wt shift on inv hip
Term
Rood: Controlled mobility examples
Definition
sup to sit
Term
Rood: skill
Definition
gait, manipulation
Term
Facilitary techinques are for what type of pt
Definition
flaccid or low tone ptnt
Term
Facilitory technique examples (6)
Definition
quick stretch, tapping, resistance, vibration, approximation, traction
Term
quick stretch stimulates what structure
Definition
mm spindle
Term
resistance facilitory techniques augments what structures?
Definition
alpha and gamma motor neurons
Term
approximation and traction stimulate what structures
Definition
joint receptors
Term
Which PNF diagonals should not be heavily emphasized in a spastic ptnt
Definition
LE D2 ext, UE D1 flex
Term
6 techniques for PNF diagonals
Definition
slow reversal, slow reversal hold, agonistic reversals, rhythmic initiation, hold relax active movement, rhythmic stabilization
Term
Bobath Approach: List the developmental sequence (7)
Definition
rolling, prone on elbows, prone on hands, quadruped, kneeling, half kneeling, standing
Term
Theroetical Foundation for the Control of Movement: What ar ethe 4 theories
Definition
reflex, hierarchial, Neuromaturational Theory of Development, System Theory
Term
Premise of the reflex theory
Definition
reflexes were building blocks of complex behavior
Term
basic premise of heirarchial theory
Definition
organization control that is top down
Term
premise of neuromaturational theory of development
Definition
attributes normal motor development to increasing corticalization of the CNS, assumes that CNS maturation is the primary agent for change in development
Term
postural reflex development: cortex
Definition
equilibrium reactions
Term
postural reflex development: mid brain
Definition
righting reactions
Term
postural reflex development: brainstem/SC
Definition
primitive reflex
Term
motor development: cortex
Definition
bipedal function
Term
motor development: quadrupedal function
Definition
midbrain
Term
motor development: brainstem/SC
Definition
apedal function
Term
Neurologic Rehabilitaiotn: Reflex-based neurofacilitation approaches include what 5 approaches/theories
Definition
Bobath approach, Rood approach, Brunnstrom's approach, proprioceptive neuromuscular facilitation, sensory integration therapy
Term
Puprose of Reflex-based neurofacilitation approaches for neurologic rehabilitatoin
Definition
retraining motor control through techinques deseigned to facilitate and/or inhbiit different movement patterns
Term
reflex based neurofacilitation appraoches are associated with what 2 theories of mtoor control
Definition
reflex and hierarchial theories
Term
Underlying assumptions of neurologic rehabilitation
Definition
functional skills with automatically return once abnormal movement patterns are inhibited and normal movement patterns facilitated, repetition of these normal movmeent patterns will automatically transfer to functional tasks
Term
Movement emerges from the interaction of what 3 factors
Definition
individual, task, environment
Term
Gentile's 2 stage model: Stage 1
Definition
understand task dynamic (movement strategies and environment)
Term
Gentile's 2 stage model: Stage 1
Definition
understand task dynamic (movement strategies and environment)
Term
Gentile's 2 Stage Model: Stage 2
Definition
Refinie the movement (adapt to changing task and environment demands; consistency/efficiency)
Term
movement is organized around what goal
Definition
behavioral goal
Term
movement is constrained by what
Definition
environment
Term
how do patients learn through the Motor Control/Task-Oriented Approach
Definition
actively attempting to solve the problems inherent in a functional task rather than repetive normal patterns of movement
Term
3 factors that affect the individual
Definition
cognition, perception, action
Term
3 factors that affect the task
Definition
mobility, stability, manipulation
Term
2 facotrs that affect environmetn
Definition
regulatory, nonregulatory
Term
Traditional Theorists (4)
Definition
margaret rood, signe brunstrum, berta and karl bobath, knot and voss
Term
new theorists (3)
Definition
motor control/motorn learning, carr and shepherd, weinstein, duncan, horak
Term
Many of the traditional theorists are based on what
Definition
inhibiting or facilitating the CNS to produce more normal or motor control
Term
Neurodevelopmental techniques (NDT) aka Bobath approach saw problems where due to what
Definition
release of abnormal psotural reflexes
Term
4 steps in the motor relearing program
Definition
analysis of task, practice of missing components, practice of tasks, trasnference of training
Term
Motor Relearning Program: Step 1: Analysis of task. What are the 3 parts
Definition
observation, comparison, analysis
Term
Motor Relearning Program: Step 2: Practice of missing components. What are the 4 parts
Definition
explanation (id goal), instruction, practice plus verbal/visual feedback and manual guidance, reevaluation, encourage flexibility
Term
Motor Relearning Program: Step 3: Practice of Task: What are the 5 parts
Definition
explanation (id goal), instruction, practice with verbal and visual feedback with manual guidance, re-evaluation, encourage flexibility
Term
Motor Relearning Program: Step 4: transference of training. What are the 5 parts
Definition
opportunity to practice in context, consistency of practice, organization of self-monitored practice, structured learning environemtn, involvement of relatives and staff
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