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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 |