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PT Practice theory

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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