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Tx Approaches
Neuroanatomy II
Question | Answer |
---|---|
The following describes what theoretical foundation: interactive systems control behavior to achieve task goals, adaptive, anticipatory mechanisms, and normal strategies to limit degrees of freedom | Systems Control Model |
What are the two contemporary tx approaches? | Neurodevelopment tx(NDT), and task oriented tx(TOA) |
What two populations are commonly treated with NDT? | Children with CP and adults with spastic hemiplegia. |
NDT is also known as the ______ approach. | bobath |
What organization maintains NDT? | neuro-development treatment association (NDTA) |
Normalize and improve quality of mvmt with proprioceptive input (TOA or NDT) | NDT |
Modify CNS from nml mvmt patterns (TOA or NDT) | NDT |
Fractionize by breaking up abnormal synergies (TOA or NDT) | NDT |
Inhibit abnormal tone and reflexes (TOA or NDT) | NDT |
Do not allow CNS to learn abnormal mvmt patterns (TOA or NDT) | NDT |
Practice ability to achieve task (TOA or NDT) | TOA |
Teach motor problem solving (TOA or NDT) | TOA |
Learn strategies to coordinate efficient, effective behaviors (TOA or NDT) | TOA |
Develop effective compensations (TOA or NDT) | TOA |
Use musculoskeletal and environmental constraints (TOA or NDT) | TOA |
Less hands-on (TOA or NDT) | TOA |
abnormal mvmt permitted (TOA or NDT) | TOA |
compensatory mvmt permitted (TOA or NDT) | TOA |
less time consuming (TOA or NDT) | TOA |
Hands-on (TOA or NDT) | NDT |
Abnormal mvmt not permitted (TOA or NDT) | NDT |
Compensatory mvmt discouraged (TOA or NDT) | NDT |
More time consuming (TOA or NDT) | NDT |
What is the desired outcome for NDT? | normal mvmt, comparison to individuals without impairments and functional limitations |
What is the desired outcome for TOA? | goal-directed mvmt, comparison to reference criteria, pt can independently carryout task |
What are the ABC's of facilitation? | Alignment, Base of support, center of mass |
When talking about alignment, we want to make sure that in a sitting position the pt's pelvis is perpendicular to what? | the support surface |
What is the benefit of a large BOS(base of support) and what is decreased? | stability, movement |
What is the imaginary point where all mass is perfectly balanced? | Center of Mass (COM) |
COM needs to ____ and _____ for stability. | central and low |
COM needs to _____ and ______ for mobility? | central and high |