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N Dev App to ML
notes
Question | Answer |
---|---|
5 characteristics of life span | 1.lifelong 2.multi-dimensional 3.plastic & flexible 4.contextual 5.embedded in hx |
reflex | stereotype reflex |
reaction | non-stereotype-different people have different reactions |
developmental reflexes | primarily in 1st year of life |
levels of reflexes | spinal-sterotypical-MOVEMENT/brainstem-still stereotypical-POSTURAL/midbrain-more like reactions |
integration | when they become more of complex reaction instead of reflex (seems like they disappear but are just repressed or incorporated into voluntary movement) |
with CNS damage in a child | reflexes never integrate |
with CNS damage in an adult | reflexes show up again |
cephalo to | caudal |
proximal to | distal |
mass to | discrete |
gross to | fine |
Hand: ulnar to | radial |
isometric precedes | isotonic |
isometric to | eccentric to concentric |
midrange movements are controlled before... | movements at beginning/end ROM |
physiologic flex to | antigravity EXT to antigravity FLEX to sidebend to rotation |
head control | visual tracking, resisted head movements |
mobility | reflex based- not purposeful movements- mainly for protection- if pt doesn't have strength for reflex movement, they won't have strength for voluntary movement |
stability | maintain a position, possibly against gravity-static postural control-co-contraction-holding position |
controlled mobility | controlled w/some wt shifting-closed chain |
skill | NWB activities-open chain |
when walking foot on ground is... | controlled mobility |
when walking foot in air is... | skill |
NDT | neurodevelomental treatment |
extero | external, outside factors, environmental |
functional volitional movement | to be able to function how they want |
automatic postural adjustments | be able to make automatic adjustments to what's going on around them |
facilitation light touch method | brief light stroke, ice stroke |
facilitation light touch result | + |
facilitation light touch contra | agitated & combative |
facilitation manual contact method | contact over mm, guiding |
facilitation manual contact result | + |
facilitation fast irreg vestibular method | fast spin w/hammock or scooter board or chair, fast rolling |
facilitation fast irreg vestibular result | generalized + |
facilitation fast irreg vestibular contra | seizures |
facilitation quick stretch method | quick stretch to mm, tapping on tendon or mm |
facilitation quick stretch result | + agonist, - antagonist |
facilitation resistance method | body weight, hand, cuff wts, mechanical, manual |
facilitation resistance result | + agonist, - antagonist |
facilitation resistance contra | overpower, substitution |
facilitation jt approximation method | wt bearing jt, manual, weights, bouncing on swiss ball |
facilitation jt approximation result | + cocontraction |
facilitation jt approximation contra | inflamed jt |
facilitation jt traction method | manual tractions |
facilitation jt traction result | + flexors |
facilitation vibration, TVR (tonic vibration reflex) method | electric, 100-200 Hz |
facilitation vibration, TVR (tonic vibration reflex) result | + agonist, -antagonist |
inhibition maintained touch method | firm manual contact |
inhibition slow stroking method | firm w/flat hand, alt/paravert, 3-5 min relaxed/ prone, sitting resting forward |
inhibition slow stroking result | generalized - |
inhibition prolonged icing method | ice packs, ice massage/immersion in cold water |
inhibition prolonged icing contra | cold contraindications |
inhibition neutral warmth method | wrapping in towels, blanket/snug fitting garments, ace wrap/ (hot packs, immersion) |
inhibition neutral warmth result | - |
inhibition prolonged icing result | - |
inhibition neutral warmth contra | warm contraindications |
inhibition slow maint vestib method | slow repetitive rocking, rocking chair, swiss ball, equilibrium board, hammock |
inhibition slow maint vestib result | generalized - |
inhibition inverted position method | prone on ball/ sitting, head tipped |
inhibition inverted position result | - |
inhibition inverted position contra | unstable BP or ICP (intercranial pressure) |
inhibition prolonged stretch method | slow, maintained stretch/low loading/manual, RIP/Casting, Splinting |
inhibition prolonged stretch result | - |
inhibition prolonged stretch contra | stretching precautions |
inhibitory pressure method | firm press to long tendons/in lengthened position/WB: quadruped, kneeling/prone on elbows/WB on hand/splints, cast, cone/air cast |
inhibitory pressure result | - |
inhibition rhythmic rotation method | slow long axis rotation of UE, LE or trunk rotation |
inhibition rhythmic rotation result | - |
UE RIP patterns | scapular depress & protraction/ shd ER & abd/ elbow ext, forearm supination, wrist ext/ hand:thumb abd, finger ext & abd, "shaking" |
LE RIP patterns | Hip abd & ER, hip & knee flex/ ankle DF, toes ex & abd |