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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 |