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Neuro Approaches

Main Neurological approaches even if they're old

NDT Focus is on normalization of movement patterns, weight shifts / weight bearing, righting/equilibrium reactions, and BILATERAL movement patterns. Primary intervention is handling.
PNF Diagonal 1: crosses HIGH Diagonal 2: crosses LOW. "Manual Contacts" - hand over agonist to facilitate response. Quick stretching in opposite direction to for contraction. Traction/manual seperation -(NOT done in extension)promote movement (-stiffness). A
PNF specific techniques for AGONISTS Repeated contractions (increase ROM and endurance). Rhythmic INITIATION (improve movement - passive then active).
PNF specific techniques for ANTAGONISTS Slow reversals (to gain ROM - alternating isotonic contractions). Rhythmic STABILIZATION (simultaneous isometric contraction - promotes stability)
PNF Relaxation techniques CONTRACT-Relax (increase ROM) isometric contraction then PROM by therapist. HOLD-Relax (increase mobility) isometric contraction of antagonist then AROM of agonist. RHYTHMIC Rotation (to reduce restriction during ROM) slow/gently-then larger.
Brunnstrom 7 stages of healing/spasticity 1=flaccid-no movement, 2=min vol. movement, 3=marked spacticity-vol. synergy, 4=deviat from synergy, 5=differ greatly from synergy, 6=isolated muscle contractions and 7=normal movement
Rood-Techniques to facilitate both stimulation and relaxation of muscle(s). Faciliation: fast brushing, tapping, vibration (100-300cyc/min), icing, heavy joint compressions. Relaxation: gentle rocking, slow stroking, rolling, prolonged pressure to tendon in insertion, maintained stretch, prolonged icing and wrap in blanket.
ROOD Principle assumption and phases of motor control. Principle: tx must begin at person's current level of progress. Phases of motor control: 1.Reciprocal inhibition/innervation 2.Cocontraction 3.Heavy work (mobility on stability -distal segment fixed) 4. Skill (Combined mobility/stability-distal movement).
Associated Reactions involuntary movement of affected side to match voluntary movement of less affected side - "overflow"
Crossed Extension One leg flexed and one leg extended. Passive flexion of extended leg = extension of flexed leg (with internal rotation and adduction).
Reflex Reaction Location on Brainstem Righting reactions - high brainstem. Tonic labrynthian - lower brainstem.
Created by: hesselrach