Sensorimotor Approach (Exam 3)

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Rood approach: neutral warmth, light joint compression, & elongated position are all

Inhibitory techniques

Extensor synergy is more common in the

LE

Sensorimotor approach: AKA bobath

NDT

Sensorimotor approach: Bilateral use of body

NDT

Sensorimotor approach: Goal is to normalize tone

NDT

Sensorimotor approach: Uses remedial, not compensatory strategies.

NDT

Sensorimotor approach: decrease primitive pattern movements and increase voluntary/automatic normal patterns.

NDT

Sensorimotor approach: develop alignment & symmetry of trunk/pelvis.

NDT

Sensorimotor approach: inhibit high tone, facilitate low tone.

NDT

Sensorimotor approach: most effective in acute stage

NDT

Sensorimotor approach: potential for normal function & can be relearned.

NDT

Sensorimotor approach: quality over quantity of movement

NDT

Sensorimotor approach: tx focuses on relearning normal movement.

NDT

Sensorimotor approach: used with CVAs & CP mostly

NDT

Sensorimotor approach: weight bearing in UE, bilateral activities, guided use, & experiencing sensory input.

NDT

Emphasizes relearning normal movement while avoiding abnormal movement patterns. Principles include the normalization of muscle tone, avoidance of synergistic movement, & incorporation of the affected side into purposeful activities.

NDT approach

Sensorimotor approach: OT to incorporate diagonal patterns (D1, D2)

PNF

Sensorimotor approach: OT uses verbal & tactile cues to promote functional movement patterns

PNF

Sensorimotor approach: based on normal movement and motor development

PNF

Sensorimotor approach: development occurs head to toe & proximal to distal

PNF

Sensorimotor approach: early motor behavior is dominated by reflex activity

PNF

Sensorimotor approach: establishing a balance between antagonists is a main objective

PNF

Sensorimotor approach: growth of motor behavior has rhythmic/cyclical trend (shifts between flexion and extension)

PNF

Sensorimotor approach: treatment techniques used are diagonal patterns, total patterns, and facilitation techniques.

PNF

Sensorimotor approach: use of mass movement patterns that resemble normal movement during functional activities.

PNF

Uses multisensory approach in which mass patterns of movement, usually performed in diagonals, help strengthen weak components of movements.

PNF

PNF stands for

Proprioceptive neuromuscular facilitation

Rood approach: heavy joint compression, quick stretch, tapping, vestibular stimulation, & vibration are all forms of

Proprioceptive stimulation

8 ontogenic motor patterns: 1) Spine withdrawal (supine flexion) 2) Roll over (side-lying) 3) Pivot prone (prone extension) 4) Neck co-contraction (co-innervation) 5) On elbows (Prone on elbow) 6) All fours (quadruped position) 7) Static standing 8) Walking

Rood

Four sequential phases related to the development of motor control: - Reciprocal inhibition (innervations) - Co-contraction - Heavy work - Skill

Rood

Principles of tx: heavy-work muscles should be integrated before light work muscles,

Rood

Principles of tx: muscles have different duties.

Rood

Principles of tx: reflexes can be used to assist or delay the effects of sensory stimulation.

Rood

Principles of tx: sensory stimulation of receptors can produce predictable responses.

Rood

Sensorimotor approach: belief that appropriate sensory stimulation can elicit specific motor responses.

Rood

Sensorimotor approach: motivation enhances purposeful movement.

Rood

Sensorimotor approach: normal muscle tone is prerequisite to movement.

Rood

Sensorimotor approach: repetition is necessary for the reeducation of muscular responses.

Rood

Sensorimotor approach: tx begins at developmental level of functioning.

Rood

Emphasizes the use of controlled sensory stimulation to achieve purposeful motor responses.

Rood approach

Brunnstrom recovery stage: inability to perform any arm movements

Stage 1

Brunnstrom recovery stage: no hand function

Stage 1

Brunnstrom recovery stage: gross grasp starts, minimal finger flexion possible

Stage 2

Brunnstrom recovery stage: spasticity begins in arms, synergies or components start to appear

Stage 2

Brunnstrom recovery stage: OT can start with CVA pt. at what stage?

Stage 3

Brunnstrom recovery stage: gross grasp, hook grasp possible; no release

Stage 3

Brunnstrom recovery stage: increase spasticity in arms, synergy patterns or components can be done voluntarily

Stage 3

Brunnstrom recovery stage: gross grasp present, lateral grasp develops, small amount of finger extension & some thumb movement possible

Stage 4

Brunnstrom recovery stage: spasticity declines in arm, movement deviates from synergies

Stage 4

Brunnstrom recovery stage: palmar prehension, spherical and cylindrical grasp & release possible.

Stage 5

Brunnstrom recovery stage: synergies no longer dominant in arm, deviation from synergies with greater ease.

Stage 5

Brunnstrom recovery stage: all prehension, individual finger motion, & voluntary finger extension possible

Stage 6

Brunnstrom recovery stage: spasticity in arm absent except with rapid movements, isolated joint motion with ease

Stage 6

Flexor synergy is more common in the

UE

Sensorimotor approach: -Scapular abduction and depression -Shoulder adduction and internal rotation -Elbow extension and forearm pronation -Wrist and finger flexion or extension

UE extensor synergy

Sensorimotor approach: -Scapular adduction and elevation -Shoulder abduction and external rotation -Elbow flexion and forearm supination -Wrist flexion and finger flexion

UE flexor synergy

Sensorimotor approach: Patterns include Limb synergies

Brunnstrom

Sensorimotor approach: damaged CNS under regression to former patterns of movement.

Brunnstrom

Sensorimotor approach: during stage 3, when pt. can perform synergy voluntarily, the extensor synergy can be used to stabilize an object on a table while the unaffected arm is performing a task

Brunnstrom

Sensorimotor approach: during stage 4 the OTA can provide activities that encourage movements deviating from synergy such as skateboard on table in gravity eliminated plane, sponging off tabletops, or finger painting.

Brunnstrom

Sensorimotor approach: focus is helping the patient use newly learned movement patterns for functional and purposeful activities.

Brunnstrom

Sensorimotor approach: goal is to allow progress through the stages of recovery toward more normal and complex movement patterns.

Brunnstrom

Sensorimotor approach: goal is to facilitate progress through the recovery stages

Brunnstrom

Sensorimotor approach: pt. progresses through a series of recovery steps or stages. .

Brunnstrom

Sensorimotor approach: tx often includes bed positioning/mobility, balance and trunk control, shoulder ROM, & shoulder subluxation.

Brunnstrom

Sensorimotor approach: used in tx of hemiplegia

Brunnstrom

Describes stages of motor recovery after a CVA & applies tx methods that help a pt. progress through the recovery stages.

Brunnstrom approach

Rood approach: light-moving touch, fast-brushing, & icing are examples of

Cutaneous stimulation


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