問題一覧
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Developed based on reflex or hierarchical model of CNS
rood’s approach
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When and who developed Rood’s approach
1950s, margaret s. rood
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Can be categorized as on of the facilitation and inhibition of movement
rood’s approach
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Rood’s approach uses _______ to evoke motor response and use of ________ to promote changes in muscle tone
sensory stimulation, developmental postures
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Applied to muscles and jts to elicit specific motor response
sensory stimulation
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Evocation of desired muscular responses
normalization of tone
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Accomplishes thorugh the use of certain, appropriately applied sensory stimuli
normalization of tone
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Developmentally based on ontogenic developmental sequence
sensorimotor control
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Current level of development and progress sequentially to higher levels of control
sensorimotor control
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Used as purposeful activity to demand a response from the patient to elicit unconsciously the desired movement pattern
movement is purposeful
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Responses of agonists, antagonists and synergists were believed to be reflexively programmed according to purpose or plan
movement is purposeful
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Sensation that occurs as a result of movements involved in the activity helps the patient learn the movements
movement is purposeful
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Necessary for motor learning
repetition
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Activities are used not only to elicit purposeful responses but also motivate repetition
repetition
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What does one of the principle of roods theory repeat
sensorimotor responses
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Required for normalization of tone and evocation of desired muscular responses
sensory input
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Play major role in the analysis of dysfunction and in the application of treatment
sensory stimulus
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Light work muscle or mobility muscle
phasic
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Muscle groups resp for skilled movement patterns with reciprocal inhibition of antagonist muscles
phasic
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Fast glycolytic fiber type, superficial and usually one jt muscle
phasic
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Have high metabolic cost and fatigues rapidly
phasic
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Heavy work muscles or stability muscles
tonic
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Responsible for jt stability with co contraction of muscles which are antagonists in normal movement
tonic
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Slow oxidative fiber type, deep and usually single jt type
tonic
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Have low metabolic cost and fatigues slowly
tonic
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Leads to skilled and finely coordinated movements
motor development sequence
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Stages of motor control/sequence of motor development
mobility, stability, controlled mobility, skill
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Early mobility pattern that serves as a protective function
mobility
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AKA reciprocal inhibition
mobility
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Phasic(quick) type of movement taht requires contraction of the agonist muscle as the antagonist muscle relaxes
mobility
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Reflex governed by spinal and supraspinal centers
mobility
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Co-contraction, co-innervation
stability
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Simultaneous agonist and antagonust contraction with antagonist supreme
stability
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Tonic (static) muscle pattern
stability
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Provides ability to hold a position or object for a longer duration
stability
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Needed for feeding, early activities, using standing tables
stability
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Mobility superimposed on stability
controlled mobility
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Heavy work
controlled mobility
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Proximal muscles that contract and move whereas the distal segment is fixed
controlled mobility
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Creeping
controlled mobility
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Highest level of motor control and combines the effort of mobility and stability
skill
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Proximal segment is stabilized while distal segments move freely
skill
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Crawling, walking, reaching, activities requiring use of hand
skill
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Normalize myscle tone from hypertonic or spastic state
inhibitory
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Normalize muscle tone from a flaccid state
facilitatory
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The relearning muscular activity is based on the _________ ___ _________ which activate or deactivate the sensory receptors, utilizing afferent input to affect the _____ _____ _____ of the spinal cord
phenomena of summation, anterior horn cell
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4 types of receptors to get desired muscular response
proprioceptive, exteroceptive, vestibular, special sense organ
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Total flexion response towards vertebral lvl t10
supine withdrawal
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Requires reciprocal innervation with heavy work of proximal segments
supine withdrawal
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Aids in integration of TLR
supine withdrawal
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Recommended for pt with no reciprocal flexion
supine withdrawal
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Recommended for pt that are extensor tone dominant
supine withdrawal
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Mobility pattern for extremities and lateral trunk muscles
roll over
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Flexion of UE and LE on the same side
roll over
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Recommended for pt dominated by tonic reflex patterns in supine
roll over
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Recommended stimulates semicircular canals which activates neck extraocular muscles
roll over
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Demands full range extension neck, shoulders, trunk and lower extremities
pivot prone
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Position difficult to assume and maintain
pivot prone
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Important role in preparation for stability of extensor muscles in upright position
pivot prone
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Associated with labyrinthine righting reaction of head
pivot prone
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Bilateral holdung of proximal extensors in shortened range, reciprocal innervation pattern
pivot prone
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First real stability pattern
neck co contraction
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Activates both flexors and tonic neck extensor muscles
neck co contraction
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Recommended for pt that need neck stability and extraocular control
neck co contraction
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Stretches the upper trunk musculature
prone on elbow
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Influences stability scapular and gh regions
prone on elbow
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Gives better visibility of environment
prone on elbow
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Allows weight shifting from side to side
prone on elbow
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Recommended for pt that needs to inhibit STNR
prone on elbow
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Follows stability of the neck and shoulder
quadruped
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Lower trunk and LE are brought into co contraction pattern
quadruped
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Initial posiiton is static and the abdomen may sag at t10 level which causes stretching of trunk and limb girdle
quadruped
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Shifting weight provides controlled mobility and may be preparatory to equilibrium responses
quadruped
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Skill of the upper trunk because it frees the UE for prehension and manipulation
standing
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Weight is first equally distributed on both legs and then weight shifting begins
standing
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Integration include righting action and equilibrium reaction
standing
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Gait pattern unites mobility, stability and skill
walking
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Normal locomotion entails the ability to support BW, maintain balance and execute the stepping motion
walking
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Sophisticated process requiring coordinated movement patterns of various parts of the body including weight shifting
walking
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Support the body weight, maintain balance and execute the stepping motion
walking
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Facilitatory techniques
light moving touch, fast brushing, icing
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Inhibitory techniques
gentle shaking or rocking, slow stroking, slow rolling, light joint compression, tendinous pressure, maintained stretch, rocking in developmental stages
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Proprioceptive facilitatory techniques
heavy jt compression, stretch, intrinsic stretch, secondary ending stretch, stretch pressure, resistance, tapping, vestibular stimulation, inversion, therapeutic vibration, osteopressure
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SNS
icing, unpleasant smells or tastes, sharp and short vocal commands, bright flashing lights, fast tempo and arrythmical music
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PNS
slow, rhythmical, repetitive rocking, rolling, shaking, stroking the skin over paravertebral muscles, neutral warmth, soft and low voice, neutral warmth, contact on palms of the hand, soles of feet, upper lip or abdomen, decreased light, soft music, pleasant odors
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Thoracic extension
neck co contraction
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Pushing backward
prone on elbow