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PT Practice theory
| Question | Answer |
|---|---|
| Kaltenborn Grade I glide | loosening, small amplitude, pain relief or joint decompression |
| Kaltenborn Grade II glide | tightening, takes up slack, used for pain relief to assess joint play, reduce muscle guarding |
| Kaltenborn Grade III glide | stretching, used to assess end feel or increase movement |
| Mennell approach to rehab | joint is the dysfunctional unit |
| Osteopathic approach to rehab | somatic system responsible for dysfunction |
| Cyriax approach to rehab | dysfunction due to interplay of contractile and noncontractile |
| McKenzie approach to rehab | postural factors PPT discal dysfunction, emphasizes EXT exercises |
| Maitland approach to rehab | subj & obj measures integrated to determine dysfunction |
| Kaltenborn approach to rehab | abnormal joint mobility and soft tissue changes acct for dysfunction |
| Chiropractic approach to rehab | restoration of biomechanics affects other systems as well |
| NDT | enhancing motor skills, postural control, quality of mvmt through mvmt experiences, enhancing relationship between sensory and motor, guided and assisted mvmts leading to active mvmt |
| Quick stretch, tapping of muscle belly | facilitates agonist, inhibits antagonist |
| Prolonged slow stretch (manual, positioning, casts) | inhibits agonis, dampens tone |
| Resistance | recruits motor units (alpha,gamma) to facilitate agonist |
| Joint approximation | enhances joint awareness, facilitates co-contraction, postural extensors, stabilizers |
| Joint traction | enhances joint awareness, action of flexors, relieves spasm (mobilization) |
| Inhibitory pressure-firm pressure on long tendons | inhibits muscle, dampens tone – WB on extended open hand or kneeling for spastic quads |
| Light quick touch | initiates phasic withdrawal rxns |
| Maintained touch | calming effect, generalized inhibition |
| Slow, maintained vestibular stim | Rocking, generalized inhibition of tone, relaxation, calm |
| Fast, irregular vestibular stim | Spinning, rolling fast, generalized facilitation of tone, improved motor coordination |
| Knowledge of results | feedback about outcomes |
| Knowledge of performance | feedback about nature of movement produced |
| Blocked practice | single motor skill repeatedly |
| Variable practice | varied motor skills with rapid modification to match demands |
| Random practice | practice of a group of motor skills in random order |
| Serial practice | practice of a group of skills in predictable order |
| Massed practice | relatively continuous practice with minimal rest time. Rest < practice |
| Distributed practice | Rest > practice |
| Mental practice | cognitive rehearsal |
| Cognitive stage strategies | feedback after every trial, organize initial practice, avoid stressors, structure environment |
| Associative stage strategies | continue to provide KP and KR, self evaluation, avoid excessive feedback, organize practice in variable order, progress to changing environment |
| Autonomous stage strategies | provide only occasional feedback when errors, variation of env and tasks, massed practice |
Created by:
Jenwithonen
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