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N Dev App to ML

notes

QuestionAnswer
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
Created by: jessigirrl4