notes
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5 characteristics of life span | 1.lifelong 2.multi-dimensional 3.plastic & flexible 4.contextual 5.embedded in hx
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reflex | stereotype reflex
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reaction | non-stereotype-different people have different reactions
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developmental reflexes | primarily in 1st year of life
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levels of reflexes | spinal-sterotypical-MOVEMENT/brainstem-still stereotypical-POSTURAL/midbrain-more like reactions
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integration | when they become more of complex reaction instead of reflex (seems like they disappear but are just repressed or incorporated into voluntary movement)
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with CNS damage in a child | reflexes never integrate
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with CNS damage in an adult | reflexes show up again
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cephalo to | caudal
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proximal to | distal
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mass to | discrete
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gross to | fine
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Hand: ulnar to | radial
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isometric precedes | isotonic
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isometric to | eccentric to concentric
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midrange movements are controlled before... | movements at beginning/end ROM
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physiologic flex to | antigravity EXT to antigravity FLEX to sidebend to rotation
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head control | visual tracking, resisted head movements
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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
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stability | maintain a position, possibly against gravity-static postural control-co-contraction-holding position
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controlled mobility | controlled w/some wt shifting-closed chain
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skill | NWB activities-open chain
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when walking foot on ground is... | controlled mobility
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when walking foot in air is... | skill
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NDT | neurodevelomental treatment
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extero | external, outside factors, environmental
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functional volitional movement | to be able to function how they want
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automatic postural adjustments | be able to make automatic adjustments to what's going on around them
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facilitation light touch method | brief light stroke, ice stroke
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facilitation light touch result | +
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facilitation light touch contra | agitated & combative
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facilitation manual contact method | contact over mm, guiding
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facilitation manual contact result | +
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facilitation fast irreg vestibular method | fast spin w/hammock or scooter board or chair, fast rolling
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facilitation fast irreg vestibular result | generalized +
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facilitation fast irreg vestibular contra | seizures
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facilitation quick stretch method | quick stretch to mm, tapping on tendon or mm
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facilitation quick stretch result | + agonist, - antagonist
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facilitation resistance method | body weight, hand, cuff wts, mechanical, manual
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facilitation resistance result | + agonist, - antagonist
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facilitation resistance contra | overpower, substitution
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facilitation jt approximation method | wt bearing jt, manual, weights, bouncing on swiss ball
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facilitation jt approximation result | + cocontraction
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facilitation jt approximation contra | inflamed jt
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facilitation jt traction method | manual tractions
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facilitation jt traction result | + flexors
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facilitation vibration, TVR (tonic vibration reflex) method | electric, 100-200 Hz
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facilitation vibration, TVR (tonic vibration reflex) result | + agonist, -antagonist
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inhibition maintained touch method | firm manual contact
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inhibition slow stroking method | firm w/flat hand, alt/paravert, 3-5 min relaxed/ prone, sitting resting forward
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inhibition slow stroking result | generalized -
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inhibition prolonged icing method | ice packs, ice massage/immersion in cold water
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inhibition prolonged icing contra | cold contraindications
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inhibition neutral warmth method | wrapping in towels, blanket/snug fitting garments, ace wrap/ (hot packs, immersion)
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inhibition neutral warmth result | -
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inhibition prolonged icing result | -
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inhibition neutral warmth contra | warm contraindications
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inhibition slow maint vestib method | slow repetitive rocking, rocking chair, swiss ball, equilibrium board, hammock
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inhibition slow maint vestib result | generalized -
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inhibition inverted position method | prone on ball/ sitting, head tipped
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inhibition inverted position result | -
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inhibition inverted position contra | unstable BP or ICP (intercranial pressure)
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inhibition prolonged stretch method | slow, maintained stretch/low loading/manual, RIP/Casting, Splinting
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inhibition prolonged stretch result | -
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inhibition prolonged stretch contra | stretching precautions
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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
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inhibitory pressure result | -
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inhibition rhythmic rotation method | slow long axis rotation of UE, LE or trunk rotation
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inhibition rhythmic rotation result | -
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UE RIP patterns | scapular depress & protraction/ shd ER & abd/ elbow ext, forearm supination, wrist ext/ hand:thumb abd, finger ext & abd, "shaking"
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LE RIP patterns | Hip abd & ER, hip & knee flex/ ankle DF, toes ex & abd
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