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30 Cards in this Set
- Front
- Back
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What BIG developed from a PT or OT?
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PT in 2007
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What does LSVT stand for
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Lee Silverman Voice Treatment
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What populations does BIG address
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children and adults with neurolgical disorders specifically PD
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First 5 principles of BIG
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Based on principles of neuroplasticity
Research-based Remedial, not compensatory Parkinson’s disease-specific Exercise-based |
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Last 5 Pinciples of BIG
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Protocol-based
Cutting-edge Can be applied to other populations Fits with my mantras BIG is FUN! |
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What is the intensity of BIG- how often do they do it
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High rep, high effort
4x/week for 1 hr a day 4 weeks |
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3 componenets of Neruplasticity
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Intense- high regs/effort
Complex-difficulty Salient-meaningful |
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what stage did pts present more improvements
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Hoehn and Yahr stage 1
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is big remedial or compensatory
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remedial
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Is a primary impairment of parkinsons decreased strength?
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NO, it may develop over time but is not present initially
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inImpariments of parkinson's
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Bradykinesia/hypokinesia-
Imapaired sensory Lack of awareness of slow movement |
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what is bradykinesia
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slow and small movement caused by inadequate muscle activation
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what causes the bradykinesia
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decrease in dopamine
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when pts with parkinson's are diagnosed, how far along is the cell death and where is it happening
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70-80% in the substantia nigra
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LVST big targets what part of the cycle?
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decreased motor output
and decreased sensory /kinesthetic input causing and increase in the rest of the cycle |
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how does exercise promote neuroplasticity
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Stimulates neurogenesis
Increases efficiency at synapses |
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what is GDNF and what does it do
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Glial derived neurotophic factor
they think that these cells facilitate neuroplasticity and postiive behavioral outcomes |
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How is exercise neuroprotective
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it inhibits neuronal death
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What other systems does exercise benefit
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Alters metabolic immune system responess
increase in angiogenesis |
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Under what condition is exercise continuous
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it must be continuous
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Inactivity is__
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progenerative
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Does big follow a protocol?
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yes but it allows for individualized and occupation based practice
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Amplitude
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the largest range of motion that can be performed with the highest effort with the most maximally efficient biomechanics every trial, everyday
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what other impairments does BIG address
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edurance, speed, flexibility, balance, trunk rotation
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Four components of BIG
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1. Amplitude
2. Sensory Calibration 3. Intensive exercise program 4. Empowerment |
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What is sensory calibration
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teaching the patient to self-monitor and accept that what feels too big is actually WNL
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during sensory calibration the therapist becomes
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external dopamine (ext. feedback)
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Sensory calibration facilitates what type of memory
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implicit
the goal is for patient to generate internal feedback |
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What type of motor learning prinicple do you use with BIG
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Knowledge of results
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What level of effort do your want you pt at
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high effort
level of 7-8 out of 10 |
