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50 Cards in this Set
- Front
- Back
The healing process of fractures:
- there are three major phases of fracture healing - there are two major phases of fracture healing - reparative Phase includes granulation tissue formative - reparative Phase includes lamellar bone deposition |
The healing process of fractures:
- there are three major phases of fracture healing+ - reparative Phase includes lamellar bone deposition+ |
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The healing process of fractures:
- the healing process is mainly determined by the periosteum - the periosteum is one source of precursor cells which develop into chondroblasts and osteoblasts that are essential to the healing of bone - the bone marrow, endosteum, small blood vessels, and fibroblasts are not other sources of precursor cells - the periosteum is not the connective tissue membrane covering the bone |
The healing process of fractures:
- the healing process is mainly determined by the periosteum+ - the periosteum is one source of precursor cells which develop into chondroblasts and osteoblasts that are essential to the healing of bone+ |
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The healing process of fractures:
- the first change after fracture is the presence of blood cells within the tissues adjacent to the injury site - within a few hours after fracture, the extravascular blood cells form a hematoma - all of the cells within the blood clot survive and replicate - within this same area, the fibroblasts degenerate and die |
The healing process of fractures:
- the first change after fracture is the presence of blood cells within the tissues adjacent to the injury site+ - within a few hours after fracture, the extravascular blood cells form a hematoma+ |
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The healing process of fractures:
- days after fracture, the cells of the periosteum replicate and transform - the periosteal cells proximal to the fracture gap develop into osteoblasts which form woven bone - the periosteal cells distal to (further from) the fracture gap develop into chondroblasts which form hyaline cartilage - hyaline cartilage and woven bone unite with their counterparts from other parts of the fracture. These processes culminate in a new mass of heterogeneous tissue which is known as the fracture casus |
The healing process of fractures:
- days after fracture, the cells of the periosteum replicate and transform+ - hyaline cartilage and woven bone unite with their counterparts from other parts of the fracture. These processes culminate in a new mass of heterogeneous tissue which is known as the fracture casus+ |
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The healing proces of fractures:
- the replacement of the hyaline cartilage and woven bone with lamellar bone is known as endochondral ossification - the lamellar bone begins forming soon after the collagen matrix of either tissue becomes mineralized - the osteoblasts does not form new lamellar bone upon the recently exposed surface of the mineralized matrix - new lamellar bone is not in the form of trabecular bone |
The healing proces of fractures:
- the replacement of the hyaline cartilage and woven bone with lamellar bone is known as endochondral ossification+ - the lamellar bone begins forming soon after the collagen matrix of either tissue becomes mineralized+ |
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The healing process of fractures:
- the remodelling process substitutes the trabecular bone with compact bone - in the remodelling process, the trabecular bone is first desorbed by osteoclasts - in the remodeling process, the trabecular bone is first desorbed by osteoblasts - the remodelling phase takes 3 to 5 months |
The healing process of fractures:
- the remodelling process substitutes the trabecular bone with compact bone+ - in the remodelling process, the trabecular bone is first desorbed by osteoclasts+ |
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Ligament Damage & Repair:
- rehabilitation starts in acute/inflammatory stage - in inflammatory stage, protection of the injured part from further damage (e.g. the use of crutches) and rest from activity involving the injured part is recommended - in inflammatory stage, kryotherapy is recommended - in inflammatory stage, termothrerapy is recommended |
Ligament Damage & Repair:
- in inflammatory stage, protection of the injured part from further damage (e.g. the use of crutches) and rest from activity involving the injured part is recommended+ - in inflammatory stage, kryotherapy is recommended+ |
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Ligament Damage & Repair:
- the use of electrotherapy in repair phase encourages fibroblast activity - the use of electrotherapy in repair phase is not recommended - fibroblast cells proliferate and begin to lay down Type 3 collagen tissue, between 3–21 days after the injury - in the repair phase, activity involving the injured part is recommended |
Ligament Damage & Repair:
- the use of electrotherapy in repair phase encourages fibroblast activity+ - fibroblast cells proliferate and begin to lay down Type 3 collagen tissue, between 3–21 days after the injury+ |
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Ligament Damage & Repair:
- the remodelling phase follows can last for up to half of year - the remodelling phase follows can last for up to a year - risk of re-injury in the remodelling phase can be minimalised by providing additional stability with a strapping, increasing the strength of muscles which also provide support to the joint, and by doing proprioceptive exercises to increase the patient's sense of joint positioning - risk of re-injury in the remodelling phase can be minimalised by rest from activity, ice compression, elevation and the administration of anti-inflammatory medication |
Ligament Damage & Repair:
- the remodelling phase follows can last for up to a year+ - risk of re-injury in the remodelling phase can be minimalised by providing additional stability with a strapping, increasing the strength of muscles which also provide support to the joint, and by doing proprioceptive exercises to increase the patient's sense of joint positioning+ |
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Immobilization:
- a muscle at complete rest loses 30% its strength each week - nearly half of normal strength is lost within 3 to 5 weeks of immobilization - the antigravity muscles are reported to experience greater loss of strength than other skeletal muscles with inactivity - the phasic muscles are reported to experience greater loss of strength than other skeletal muscles with inactivity |
Immobilization:
- nearly half of normal strength is lost within 3 to 5 weeks of immobilization+ - the antigravity muscles are reported to experience greater loss of strength than other skeletal muscles with inactivity+ |
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Immobilization:
- functional electrical stimulation and biofeedback training during immobilisation can increase or maintain muscular strength - functional electrical stimulation and biofeedback training during immobilisation cannot increase or maintain muscular strength - after trauma to the soft tissue and bone, immobilization in a cast with non-weight-bearing status can lead to changes that are difficult to reverse later - immobilization does not influence cartilage |
Immobilization:
- functional electrical stimulation and biofeedback training during immobilisation can increase or maintain muscular strength+ - after trauma to the soft tissue and bone, immobilization in a cast with non-weight-bearing status can lead to changes that are difficult to reverse later+ |
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Prevention of contractures during immobilization:
- do not vary positions of immobile joints regularly - perform active or passive range-of-motion exercises twice daily - do not use resting splints for joints - mobilize as soon as possible after initial stabilization |
Prevention of contractures during immobilization:
- perform active or passive range-of-motion exercises twice daily+ - mobilize as soon as possible after initial stabilization+ |
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Venous thromboembolism:
- organization and resolution of a deep venous thrombosis occurs within 7 to 10 days of immobilization - organization and resolution of a deep venous thrombosis occurs within 3 weeks of immobilization - treating venous thromboembolism involves incresing venous stasis - physiotherapy can treat venous thromboembolism by leg exercises, leg elevation, elastic stockings, early ambulation, and mechanical compression |
Venous thromboembolism:
- organization and resolution of a deep venous thrombosis occurs within 7 to 10 days of immobilization+ - physiotherapy can treat venous thromboembolism by leg exercises, leg elevation, elastic stockings, early ambulation, and mechanical compression+ |
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The Sensorimotor System:
- in chronic pain is well explained by special diagnostic tests of localized areas (for example, low back radiographs) - the site of pain is often the cause of the pain - chronic pain is centrally-mediated - changes within one part of the sensorimotor system are reflected by compensations or adaptations elsewhere within the system |
The Sensorimotor System:
- chronic pain is centrally-mediated+ - changes within one part of the sensorimotor system are reflected by compensations or adaptations elsewhere within the system+ |
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The Sensorimotor System:
- changes in bones are the first responses to nociception by the sensorimotor system - a reflex loop from the joint capsular mechanoreceptors and the muscles surrounding the joint is responsible for reflexive joint stabilization - a reflex loop from the joint capsular mechanoreceptors and the muscles surrounding the joint is not responsible for reflexive joint stabilization - in chronic instability, deafferentation (the loss of proper afferent information from a joint) is often responsible for poor joint stabilization |
The Sensorimotor System:
- a reflex loop from the joint capsular mechanoreceptors and the muscles surrounding the joint is responsible for reflexive joint stabilization+ - in chronic instability, deafferentation (the loss of proper afferent information from a joint) is often responsible for poor joint stabilization+ |
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Muscles:
- there are three groups of muscles based on their phylogenetic development - the tonic system consists of the “flexors” - the tonic system is phylogenetically younger - the tonic system is involved in repetitive or rhythmic activity |
Muscles:
- the tonic system consists of the “flexors”+ - the tonic system is involved in repetitive or rhythmic activity+ |
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Muscles:
- the phasic system consists of the “flexors”, and emerges shortly after birth - muscles of phasic system work eccentrically against the force of gravity - muscles of phasic system emerge in extensor synergies - the phasic system is involved in repetitive or rhythmic activity |
Muscles:
- muscles of phasic system work eccentrically against the force of gravity+ - muscles of phasic system emerge in extensor synergies+ |
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Muscles:
- tonic system muscles are prone to tightness or shortness - phasic system muscles are prone to weakness or inhibition - following structural lesions in the central nervous systems (such cerebral palsy or cerebrovascular accident), the phasic muscles tend to be spastic - patterns of muscle imbalances caused by structural changes within the muscle itself |
Muscles:
- tonic system muscles are prone to tightness or shortness+ - phasic system muscles are prone to weakness or inhibition+ |
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Muscles:
- tibialis Posterior prones to Weakness or Inhibition - deep neck flexors prones to Weakness or Inhibition - piriformis prones to Tightness or Shortness - tibialis Anterior prones to Tightness or Shortness |
Muscles:
- deep neck flexors prones to Weakness or Inhibition+ - piriformis prones to Tightness or Shortness+ |
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Muscles:
- tensor Fascia Lata prones to Weakness or Inhibition - peroneus Longus, Brevis prones to Weakness or Inhibition - quadratus Lumborum prones to Tightness or Shortness - hamstrings prones to Tightness or Shortness |
Muscles:
- peroneus Longus, Brevis prones to Weakness or Inhibition+ - hamstrings prones to Tightness or Shortness+ |
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Muscles:
- muscle imbalances are not spread throughout the muscular system in a predictable manner - muscle imbalances are spread throughout the muscular system in a predictable manner - “Upper Crossed Syndrome” is known as “cervical crossed syndrome” - “Layer Syndrome” is known as “pelvic crossed syndrome“ |
Muscles:
- muscle imbalances are spread throughout the muscular system in a predictable manner+ - “Upper Crossed Syndrome” is known as “cervical crossed syndrome”+ |
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Muscles:
- changes in muscular tone create a muscle imbalance - muscle imbalance does not lead to movement dysfunction - imbalances and movement dysfunctions may have direct effect on joint surfaces, thus potentially leading to joint degeneration - imbalances and movement dysfunctions do not influence joint surfaces |
Muscles:
- changes in muscular tone create a muscle imbalance+ - imbalances and movement dysfunctions may have direct effect on joint surfaces, thus potentially leading to joint degeneration+ |
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Muscles:
- treatment of muscle imbalance and movement impairment begins with normalizing afferent information entering the sensorimotor system - afferent information entering the sensorimotor system is not possible to influence - normalization of afferent information entering the sensorimotor system includes providing an optimal environment for healing (by reducing effusion and protection of healing tissues) - normalization of afferent information entering the sensorimotor system does not include restoring proper postural alignment (through postural and ergonomic education) |
Muscles:
- treatment of muscle imbalance and movement impairment begins with normalizing afferent information entering the sensorimotor system+ - normalization of afferent information entering the sensorimotor system includes providing an optimal environment for healing (by reducing effusion and protection of healing tissues)+ |
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Muscles:
- normalization of afferent information entering the sensorimotor system can be reached by correcting the biomechanics of a peripheral joint (through manual therapy techniques) - in the presence of tight and/or short antagonistic muscles, restoring normal muscle tone and/or length must first be addressed - in the presence of tight and/or short antagonistic muscles, to strengthen a weakened or inhibited muscle must first be addressed - there are not specific techniques to decrease muscle tone (specific to the cause of the hypertonicity) |
Muscles:
- normalization of afferent information entering the sensorimotor system can be reached by correcting the biomechanics of a peripheral joint (through manual therapy techniques)+ - in the presence of tight and/or short antagonistic muscles, restoring normal muscle tone and/or length must first be addressed+ |
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Muscles:
- absolute strength of muscles are more important than coordinated firing patterns of muscle - the strongest muscle is not functional if it cannot contract quickly and in coordination with other muscles - isolated muscle strengthening is recommended - muscles are facilitated to contract at the proper time during coordinated movement patterns to provide reflexive joint stabilization |
Muscles:
- the strongest muscle is not functional if it cannot contract quickly and in coordination with other muscles+ - muscles are facilitated to contract at the proper time during coordinated movement patterns to provide reflexive joint stabilization+ |
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Conception of rehabilitation:
- it was recently recommended that clinical practice in MS, including rehabilitation, should be based on the International Classification of Functioning, Disability and Health (ICF), a globally-agreed-upon framework of the World Health Organization - impairment means a problem experienced by an individual in involvement in life situations - a difficulty encountered by an individual in executing a task or action is described as activity limitation - a difficulty encountered by an individual in executing a task or action is described as disability |
Conception of rehabilitation:
- it was recently recommended that clinical practice in MS, including rehabilitation, should be based on the International Classification of Functioning, Disability and Health (ICF), a globally-agreed-upon framework of the World Health Organization+ - a difficulty encountered by an individual in executing a task or action is described as activity limitation+ |
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Therapy:
- the facilitation approach puts the accent on behavioral application of stimuli - the facilitation approach puts the accent on manual application of stimuli - facilitation approach is represented by e.g. Vojta reflex locomotion - facilitation approach is represented by e.g. aerobic training |
Therapy:
- the facilitation approach puts the accent on manual application of stimuli+ - facilitation approach is represented by e.g. Vojta reflex locomotion+ |
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Therapy:
- proprioceptive and exteroceptive stimulation used in Bobath concept is called handling - proprioceptive and exteroceptive stimulation used in Vojta reflex locomotion by stimulating of so called initiation zones in precisely-defined positions - the aim of facilitation approaches is to carry out a specific task - Vojta reflex locomotion is applied only in children |
Therapy:
- proprioceptive and exteroceptive stimulation used in Bobath concept is called handling+ - proprioceptive and exteroceptive stimulation used in Vojta reflex locomotion by stimulating of so called initiation zones in precisely-defined positions+ |
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Therapy:
- in Vojta reflex locomotion, only skeletal and muscle patterns are activated - in Vojta reflex locomotion, swallowing process, bladder and bowel function, and breathing are also activated - in Vojta reflex locomotion, authentic motor reactions is provoked by graded pressure applied on certain body parts which are called “stimulation zones”, with the patient placed in these specific positions - positions used in Vojta reflex locomotion are not part of human movement processes |
Therapy:
- in Vojta reflex locomotion, swallowing process, bladder and bowel function, and breathing are also activated+ - in Vojta reflex locomotion, authentic motor reactions is provoked by graded pressure applied on certain body parts which are called “stimulation zones”, with the patient placed in these specific positions+ |
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Therapy:
- the task-oriented approach makes use of mainly behavioural requests - patient learns by repeating a given specific task in different environments/under different conditions in the task-oriented approach - the quality of the execution of the task is more important than to carry out a specific task in the task-oriented approach - the task-oriented considers recovery at the impairment level |
Therapy:
- the task-oriented approach makes use of mainly behavioural requests+ - patient learns by repeating a given specific task in different environments/under different conditions in the task-oriented approach+ |
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Therapy:
- motor patterns are genetically determined - motor patterns are not genetically determined - motor patterns are matured in new born baby - motor patterns mature during the course of postural ontogenesis |
Therapy:
- motor patterns are genetically determined+ - motor patterns mature during the course of postural ontogenesis+ |
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Therapy:
- somatosensory afferent stimuli cannot activate deeply encoded motor patterns - repetitive activation of the motor patterns is principle of neuroplasticity - cortical engram is group of neurons - neurons in engram does not fire synchronously during a movement |
Therapy:
- repetitive activation of the motor patterns is principle of neuroplasticity+ - cortical engram is group of neurons+ |
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Therapy:
- post-isometric relaxation is the same as a stretching - post-isometric relaxation is used to decontract specific muscles - post-isometric relaxation is used to contract specific muscles - in the first phase of post-isometric relaxation, while inhaling bring the muscle against gravity to a shortened position |
Therapy:
- post-isometric relaxation is used to decontract specific muscles+ - in the first phase of post-isometric relaxation, while inhaling bring the muscle against gravity to a shortened position+ |
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Therapy:
- trigger points are described as hypoirritable spots in skeletal muscle - trigger points are associated with palpable nodules in taut bands of muscle fibers - pain in trigger points frequently radiates from trigger points to broader areas, sometimes distant from the trigger point itself - pain in trigger points is localised |
Therapy:
- trigger points are associated with palpable nodules in taut bands of muscle fibers+ - pain in trigger points frequently radiates from trigger points to broader areas, sometimes distant from the trigger point itself+ |
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Therapy:
- the local twitch response during compression of a trigger point is the same as a muscle spasm - muscle spasm refers to the entire muscle contracting - to treat trigger point, reciprocal inhibition within the musculoskeletal system is recommended - massage is not recommended in treatment of trigger points |
Therapy:
- muscle spasm refers to the entire muscle contracting+ - to treat trigger point, reciprocal inhibition within the musculoskeletal system is recommended+ |
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Therapy:
- the cerebellum is connected with the limbic system - the cerebellum is not connected with the limbic system - limbic system can influence the immune system through hypothalamus - limbic system cannot influence the immune system |
Therapy:
- the cerebellum is connected with the limbic system+ - limbic system can influence the immune system through hypothalamus+ |
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Therapy:
- the adaptive changes of the CNS involve unmasking the existing but latent connections - the adaptive changes of the CNS do not involve the experience-dependent increases in the dendritic spines and synaptogenesis - the adaptive changes of the CNS involve the modulation of the synaptic efficacy such as Long term potentiation - the adaptive changes of the CNS do not involve the modulation of the synaptic efficacy such as term depression |
Therapy:
- the adaptive changes of the CNS involve unmasking the existing but latent connections+ - the adaptive changes of the CNS involve the modulation of the synaptic efficacy such as Long term potentiation+ |
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Therapy:
- rhythmic Stabilisation encourage stability of the trunk - rhythmic Stabilisation does not encourage stability of hip, and shoulder girdle - during Rhythmic Stabilisation patient holds a weight-bearing position while the therapist applies manual resistance - during Rhythmic Stabilisation should occur motion from the patient |
Therapy:
- rhythmic Stabilisation encourage stability of the trunk+ - during Rhythmic Stabilisation patient holds a weight-bearing position while the therapist applies manual resistance+ |
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Therapy:
- radiation is when maximal contraction of a muscle recruits the help of additional muscle flexibility - concentric isotonic contraction is when the muscle shorten - eccentric isotonic contraction is when the muscles shorten - isometric contraction is when the muscles shorten |
Therapy:
- radiation is when maximal contraction of a muscle recruits the help of additional muscle flexibility+ - concentric isotonic contraction is when the muscle shorten+ |
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Therapy:
- due to the myostatic stretch reflex muscle contracts when its tendon is pulled with too much force - due to the inverse stretch reflex muscles relax when lengthened too quickly - due to the myostatic stretch reflex muscle contracts when lengthened too quickly - due to the inverse stretch reflex muscles relax when its tendon is pulled with too much force |
Therapy:
- due to the myostatic stretch reflex muscle contracts when lengthened too quickly+ - due to the inverse stretch reflex muscles relax when its tendon is pulled with too much force+ |
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Therapy:
- proprioceptive neuromuscular facilitation represents so called task oriented approach - proprioceptive neuromuscular facilitation was developed by Herman Kabat, a neurophysiologist, began in 1946 - proprioceptive neuromuscular facilitation was developed to look for natural patterns of movement for rehabilitating the muscles of polio patients - proprioceptive neuromuscular facilitation was developed by Berta Bobath |
Therapy:
- proprioceptive neuromuscular facilitation was developed by Herman Kabat, a neurophysiologist, began in 1946+ - proprioceptive neuromuscular facilitation was developed to look for natural patterns of movement for rehabilitating the muscles of polio patients+ |
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Therapy:
- the goal of applying the Bobath concept is to promote motor learning for efficient motor control in various environments - Bobath concept is done through specific patient handling skills to guide patients through initiation and completion of intended tasks - Bobath concept is realised by physiotherapist - Bobath concept is aimed mainly on impairment |
Therapy:
- the goal of applying the Bobath concept is to promote motor learning for efficient motor control in various environments+ - Bobath concept is done through specific patient handling skills to guide patients through initiation and completion of intended tasks+ |
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Organisation of rehabilitation:
- the International Classification of Functioning, Disability and Health is known as ICF - the International Classification of Functioning, Disability and Health is known as ICFDH - based on the International Classification of Functioning, Disability and Health, Disability is something that only happens to a minority of humanity - domains of the International Classification of Functioning, Disability and Health classify an individual’s functioning and disability in a context of environmental factors |
Organisation of rehabilitation:
- the International Classification of Functioning, Disability and Health is known as ICF+ - domains of the International Classification of Functioning, Disability and Health classify an individual’s functioning and disability in a context of environmental factors+ |
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Motor skill – development:
- 12 months – can sit straight - 12 months – takes first steps - 24 months – can jump - 24 months – can cut with scissors; runs on toes |
Motor skill – development:
- 12 months – takes first steps+ - 24 months – can jump+ |
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Motor learning:
- first stage of the motor learning names the autonomous phase - in cognitive phase of the motor learning the learner cannot determine appropriate strategies to adequately reflect the desired goal - in associative phase of the motor learning the learner has determined the most effective way to do the task and starts to make subtle adjustments in performance - motor skills in associative phase are fluent, efficient and aesthetically pleasing |
Motor learning:
- in associative phase of the motor learning the learner has determined the most effective way to do the task and starts to make subtle adjustments in performance+ - motor skills in associative phase are fluent, efficient and aesthetically pleasing+ |
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Motor learning:
- in cognitive phase of the motor learning are good strategies retained and inefficient strategies are discarded - in cognitive phase of the motor learning the performance is greatly improved in a long amount of time - in associative Phase: the learner has determined the most effective way to do the task and starts to make subtle adjustments in performance - autonomous Phase takes approximately several days to reach |
Motor learning:
- in cognitive phase of the motor learning are good strategies retained and inefficient strategies are discarded+ - in associative Phase: the learner has determined the most effective way to do the task and starts to make subtle adjustments in performance+ |
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Motor skills:
- during the learning process of a motor skill, feedback is the positive response that tells the learner how well the task was completed - during the learning process of a motor skill, feedback is the negative response that tells the learner how well the task was completed - during the learning process of a motor skill, feedback is the positive or negative response that tells the learner how well the task was completed - inherent feedback is the sensory information that tells the learner how well the task was completed |
Motor skills:
- during the learning process of a motor skill, feedback is the positive or negative response that tells the learner how well the task was completed+ - inherent feedback is the sensory information that tells the learner how well the task was completed+ |
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Motor skills:
- for optimal performance of motor skill any moderate stress or arousal is needed - for optimal performance of motor skill moderate stress or arousal is needed - fatigue impacts an individual in: perceptual changes, slowing of performance, irregularity of timing, and disorganization of performance - loss of vigilance has not got effect on motor skills |
Motor skills:
- for optimal performance of motor skill moderate stress or arousal is needed+ - fatigue impacts an individual in: perceptual changes, slowing of performance, irregularity of timing, and disorganization of performance+ |
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Motor skills:
- performing a motor task for long periods of time induces motor fatigue - motor fatigue is generally defined as a incline in a person's ability to exert force - in submaximal contractions associated with muscle fatigue, the central nervous system is already not able to elicit a constant force - in submaximal contractions associated with muscle fatigue, the central nervous system may still elicit a constant force |
Motor skills:
- performing a motor task for long periods of time induces motor fatigue+ - in submaximal contractions associated with muscle fatigue, the central nervous system may still elicit a constant force+ |
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Motor skills:
- fatiguing muscles place increasing demands on the central mechanisms driving motor behaviour - fatiguing muscles place decreasing demands on the central mechanisms driving motor behaviour - cognitive performance of task is affected by motor fatigue - cognitive performance of task is not affected by motor fatigue |
Motor skills:
- fatiguing muscles place increasing demands on the central mechanisms driving motor behaviour+ - cognitive performance of task is affected by motor fatigue+ |