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23 Cards in this Set
- Front
- Back
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define trunk control
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ability to stabilize & move & position the trunk appropriately for balance and task performance
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Neurologically involved pts have impaired trunk control because of:
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-weakness
-motor control deficits -muscle imbalance -perceptual problems -proprioceptive deficits |
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T/F: pts with neurological deficits will develop soft tissue and joint restrictions
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True
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what does normal trunk control allow for
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-proper biomechanical alignment
-automatic/anticipatory postural control -Demonstrations of normal balance,righting& equilibrium reactions -proximal stability allowing for distal mobility & function -Dissociation of upper and lower trunk |
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explain:
proper biomechanical alignment |
the subconscious thought of correcting posture prior to movement to capitalize on biomechanics. Ex: sitting in posterior pelvic tilt, will sit up and readjust spine before moving
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explain:
Anticipatory postural control |
-the subconscious thought to prepare the body for weight shifting and carrying a load
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Define balance
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-maintaining COG over BOS
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define righting reactions
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weight shifting in order to avoid loss of balance
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what are equilibrium reactions
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is the bodys first line of defense against loss of balance
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what are the protective reactions
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-parachute reaction in UE,
stepping strategy in LE |
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what is considered the upper trunk
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head, C1-T10, rib cage
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what is considered the lower trunk
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T11-sacrum, pelvis
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when is sitting, is the pelvis part of the trunk or LE
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part of the trunk
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In standing, is the pelvis part of the trunk or LE
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part of the LE
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During the trunk weight shifts what other things should you take into consideration
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-recognize that the extremities
-movement of the scapula and UE when elbows in WB -movement of the pelvis and LEs during weight shifts |
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Assessing trunk in static
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-observe the trunk at rest such as the alignment of the spine, position of head, scapula and extremities
-weight bearing (BOS influenced by posterior pelvic tilt or abduction of LE or use of UE |
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How do you assess the trunk dynamically
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-ask them to perform trunk movements and assess:
--if move from rest before attempting movement --mvmnts normal, abnormal,possible --asymmetries and problems --impairments --responsive to handeling --fixed or flexible --can you facilitate normal movement patterns |
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what do you want to make sure you cover with training trunk control
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-can perform precursors
-combine trunk and extremitity mvmnts in functional sequencies that include LE and UE |
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what are the handling rules for treatment
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-let pt try to solve the motor problem
-know WHY you are putting your hands on them(cueing, assistance) |
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what is the goal of tactile cueing
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facilitate movement/muscle activity
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what constituents physical assistance
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restoring alignment, assisting mvmnt, blocking unwanted mvmnt
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what is the benefit of restoring alignment
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puts pts in optimal positioning and gives more normal sensory experience for the pt
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general speaking what are progression guidelines
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-from a low surface to go to a higher surface
-from proximal to distal contacts -finish movements to initiate movements -task modification to change demands of the task |
