ROOD’S

通報

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Developed based on reflex or hierarchical model of CNS

rood’s approach

When and who developed Rood’s approach

1950s, margaret s. rood

Can be categorized as on of the facilitation and inhibition of movement

rood’s approach

Rood’s approach uses _______ to evoke motor response and use of ________ to promote changes in muscle tone

sensory stimulation, developmental postures

Applied to muscles and jts to elicit specific motor response

sensory stimulation

Evocation of desired muscular responses

normalization of tone

Accomplishes thorugh the use of certain, appropriately applied sensory stimuli

normalization of tone

Developmentally based on ontogenic developmental sequence

sensorimotor control

Current level of development and progress sequentially to higher levels of control

sensorimotor control

Used as purposeful activity to demand a response from the patient to elicit unconsciously the desired movement pattern

movement is purposeful

Responses of agonists, antagonists and synergists were believed to be reflexively programmed according to purpose or plan

movement is purposeful

Sensation that occurs as a result of movements involved in the activity helps the patient learn the movements

movement is purposeful

Necessary for motor learning

repetition

Activities are used not only to elicit purposeful responses but also motivate repetition

repetition

What does one of the principle of roods theory repeat

sensorimotor responses

Required for normalization of tone and evocation of desired muscular responses

sensory input

Play major role in the analysis of dysfunction and in the application of treatment

sensory stimulus

Light work muscle or mobility muscle

phasic

Muscle groups resp for skilled movement patterns with reciprocal inhibition of antagonist muscles

phasic

Fast glycolytic fiber type, superficial and usually one jt muscle

phasic

Have high metabolic cost and fatigues rapidly

phasic

Heavy work muscles or stability muscles

tonic

Responsible for jt stability with co contraction of muscles which are antagonists in normal movement

tonic

Slow oxidative fiber type, deep and usually single jt type

tonic

Have low metabolic cost and fatigues slowly

tonic

Leads to skilled and finely coordinated movements

motor development sequence

Stages of motor control/sequence of motor development

mobility, stability, controlled mobility, skill

Early mobility pattern that serves as a protective function

mobility

AKA reciprocal inhibition

mobility

Phasic(quick) type of movement taht requires contraction of the agonist muscle as the antagonist muscle relaxes

mobility

Reflex governed by spinal and supraspinal centers

mobility

Co-contraction, co-innervation

stability

Simultaneous agonist and antagonust contraction with antagonist supreme

stability

Tonic (static) muscle pattern

stability

Provides ability to hold a position or object for a longer duration

stability

Needed for feeding, early activities, using standing tables

stability

Mobility superimposed on stability

controlled mobility

Heavy work

controlled mobility

Proximal muscles that contract and move whereas the distal segment is fixed

controlled mobility

Creeping

controlled mobility

Highest level of motor control and combines the effort of mobility and stability

skill

Proximal segment is stabilized while distal segments move freely

skill

Crawling, walking, reaching, activities requiring use of hand

skill

Normalize myscle tone from hypertonic or spastic state

inhibitory

Normalize muscle tone from a flaccid state

facilitatory

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

4 types of receptors to get desired muscular response

proprioceptive, exteroceptive, vestibular, special sense organ

Total flexion response towards vertebral lvl t10

supine withdrawal

Requires reciprocal innervation with heavy work of proximal segments

supine withdrawal

Aids in integration of TLR

supine withdrawal

Recommended for pt with no reciprocal flexion

supine withdrawal

Recommended for pt that are extensor tone dominant

supine withdrawal

Mobility pattern for extremities and lateral trunk muscles

roll over

Flexion of UE and LE on the same side

roll over

Recommended for pt dominated by tonic reflex patterns in supine

roll over

Recommended stimulates semicircular canals which activates neck extraocular muscles

roll over

Demands full range extension neck, shoulders, trunk and lower extremities

pivot prone

Position difficult to assume and maintain

pivot prone

Important role in preparation for stability of extensor muscles in upright position

pivot prone

Associated with labyrinthine righting reaction of head

pivot prone

Bilateral holdung of proximal extensors in shortened range, reciprocal innervation pattern

pivot prone

First real stability pattern

neck co contraction

Activates both flexors and tonic neck extensor muscles

neck co contraction

Recommended for pt that need neck stability and extraocular control

neck co contraction

Stretches the upper trunk musculature

prone on elbow

Influences stability scapular and gh regions

prone on elbow

Gives better visibility of environment

prone on elbow

Allows weight shifting from side to side

prone on elbow

Recommended for pt that needs to inhibit STNR

prone on elbow

Follows stability of the neck and shoulder

quadruped

Lower trunk and LE are brought into co contraction pattern

quadruped

Initial posiiton is static and the abdomen may sag at t10 level which causes stretching of trunk and limb girdle

quadruped

Shifting weight provides controlled mobility and may be preparatory to equilibrium responses

quadruped

Skill of the upper trunk because it frees the UE for prehension and manipulation

standing

Weight is first equally distributed on both legs and then weight shifting begins

standing

Integration include righting action and equilibrium reaction

standing

Gait pattern unites mobility, stability and skill

walking

Normal locomotion entails the ability to support BW, maintain balance and execute the stepping motion

walking

Sophisticated process requiring coordinated movement patterns of various parts of the body including weight shifting

walking

Support the body weight, maintain balance and execute the stepping motion

walking

Facilitatory techniques

light moving touch, fast brushing, icing

Inhibitory techniques

gentle shaking or rocking, slow stroking, slow rolling, light joint compression, tendinous pressure, maintained stretch, rocking in developmental stages

Proprioceptive facilitatory techniques

heavy jt compression, stretch, intrinsic stretch, secondary ending stretch, stretch pressure, resistance, tapping, vestibular stimulation, inversion, therapeutic vibration, osteopressure

SNS

icing, unpleasant smells or tastes, sharp and short vocal commands, bright flashing lights, fast tempo and arrythmical music

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

Thoracic extension

neck co contraction

Pushing backward

prone on elbow

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