Sensorimotor Approach (Exam 3)
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
