Quiz 1 In Frame Of Reference

Front 1

What decade was contemporary model developed

Back 1

1990's

Front 2

Using contemporary approach, learning or motor change depends on person's?

Back 2

Characteristics and Environmental variations

Front 3

Bobath was developed by

Back 3

Karel and Berta Bobath

Front 4

____ emerged in the 1970 as a paradigm to shift away from medical model and back towards a client centered approach?

Back 4

Model of Human Occupation (MOHO)

Front 5

This approach was developed originally for clients with stroke and CP?

Back 5

Bobath's NDT

Front 6

What at the four traditional theories used with Motor Control?

Back 6

Rood Approach, Bobath's Neurodevelopment techniques, Brunnstrom's Movement theory, Proprioceptive Neuromotor facilitation

Front 7

Using Rood approach, what is the main function of using light vs heavy muscles?

Back 7

Light muscle are for movement, voluntarily control. Heavy muscles are for stabilization: reflexes.

Front 8

____ is shaped by personal causation, values, interests?

Back 8

Volition (MOHO)

Front 9

___ is developed for patients children with CP?

Back 9

Rood's Approach

Front 10

This theory uses knowledge from Human Development and psychology?

Back 10

Motor Control

Front 11

What is Hierarchical

Back 11

Top Down approach. Movement is control from the top down (The higher centers control the lower centers

Front 12

What is Heterachical

Back 12

movement is the results several factors working together. Personal factors (including the CNS and the musculoskeletal system), Nature of the task being done, and Environmental conditions

Front 13

PNF multisensory includes these three things

Back 13

Physical contact by therapist, verbal commands, and visual cues

Front 14

Traditional approach is organized in what manner

Back 14

Hierarchical

Front 15

MOHO believes the person's characteristic are centered around what three things?

Back 15

Volition, Habituation, Performance Capacities

Front 16

Habituation is the process of organizing our actions into?

Back 16

Patterns and Routines

Front 17

The presence of ____ means damage of CNS has reverted back to an early stage

Back 17

Reflex Synergies Limb Synergy

Front 18

The four traditional theories share similar concepts and techniques, goal of improving motor control, and the use of neuroplactivity. They are referred to collectively as

Back 18

Neurodevelopmental techniques (NDT)

Front 19

Neuroplasticity

Back 19

the CNS' ability to organize and reorganizes as a result of experience

Front 20

With CNS damage, ________ to the muscles s preserved but impaired due to the damage

Back 20

Neural Communication

Front 21

What is Rood Approach central theory?

Back 21

Central to this theory is the focus on reflex patterns

Front 22

PNF central factor of this theory is?

Back 22

Is the use of the diagonal patterns for recovery of motor function. The diagonal patterns are important because they involve natural movements, are part of normal development and require integration of both sides of the body

Front 23

Brunnstrom's Central to this theory?

Back 23

Central to this theory is the term "limb Synergy"

Front 24

What is limb synergy (reflex synergies)

Back 24

These are group of muscles that produce a predictable patterns of movement in flexion and extension patterns. (You will see more flexion than extension during recovery. The presence of these means that the damaged CNS has reverted to an earlier developmental stage

Front 25

What is Contemporary Approach

Back 25

Emphasizes the role of the occupation being performed and the occupational context in which it is performed. Motor control is a behavior that is self organizes specifically in the context of performing a given task.

Front 26

Basic Premise of Contemporary Approach

Back 26

Functional tasks help Organize Behavior

Front 27

What is the Definition of Motor Control

Back 27

The ability to use one's body effectiviely while performing an occupation

Front 28

What is the Traditional Motor Control?

Back 28

Hierarchical Manner. Movement results from snesory input from the higher centers to the lower centers. The environment does not directly influence motor control

Front 29

What is the Contemporary Motor Control?

Back 29

Heterarchical Manner. Higher and lower systems work together. Motor control is learned when the patient seeks optimal solutions for accomplishing a task

Front 30

Rood's Intervention states

Back 30

The appropriate sensory stimulation elicits specific motor responses. Involves 4 strategies.

Front 31

Four strategies for Rood Approach

Back 31

1. Normalize muscle tone 2. Begin with patient's current development level 3. Focus on goal or purpose of an activity 4. Use repetition to reinforce learning

Front 32

Bobath view of motor problem

Back 32

Following brain damage result in abnormal muscle tone and abnormal posture patterns. With abnormal movement, the person's sensation reflects this resulting in abnormal sensory feedback providing incorrect information to the CNS

Front 33

What is Rood Goal?

Back 33

Person achieves satisfactory and voluntary control of the movement

Front 34

Bobath's goal

Back 34

Once a person is able to control a particular movement pattern, they can begin to integrate it into skilled activities.

Front 35

Brunnstorm developed for

Back 35

Patients with hemiplegia after a stroke. Belief that there is a progression of reflex development

Front 36

Brunnstrom Intervention

Back 36

Eliciting reflex synergies. Then use those synergies as a basis for progressively learning more mature voluntary movement. Use movement patterns in order to progress through the recovery stage

Front 37

Brunnstrom's goal

Back 37

OT goals are using controlled movement in purposeful activity

Front 38

What is Proprioceptive Neuromuscular Facilitation (PNF)

Back 38

Stimulation of proprioception to promote or hasten neuromuscular response.

Front 39

How many level of recovery for Brunnstrom

Back 39

Seven levels. Flaccidity, Appearance of basic limb synergies, Synergies are performed voluntarily, Spacticity begins to decrease, Further decrease, Isolated joint movement, Normal Function

Front 40

D1 Flexion

Back 40

Bottom of same side to top of opposite side. Ipsilateral low to contralateral high

Front 41

D1 Extension

Back 41

Top of opposite side to bottom of same side. Contralateral high to Ipsilateral Low

Front 42

D2 Flexion

Back 42

Bottom on opposite side to top on same side. Contralateral low to Ipsilateral High

Front 43

D2 Extension

Back 43

High same side to bottom of opposite side. Ipsilateral high to Contralateral low

Front 44

PNF Goal

Back 44

The Most effective treatment is goal directed movements combined with facilitation techniques.

Front 45

Contemporary Model Reflects

Back 45

A major shift from hierarchical and reflex models to a systems model of motor control and motor learning

Front 46

Premises of Contemporary Model

Back 46

The nervous system is only one system that influences motor behavior. CNS is organized heterarchically. Motor development is due to changes in multiple systems, not just maturation of the CNS

Front 47

What is Traditional Theory

Back 47

Changes in motor development are due to maturation of the nervous system. Development progresses through a particular sequence and follow a progression of cephalocudal

Front 48

How Contemporary approach views motor problems

Back 48

Movement patterns are the consequence of the dynamics between the patient, their abilities and limitations, the task itself and the environmental conditions.

Front 49

Traditional Approach Intervention

Back 49

Evaluation- Primary focus on sensorimotor and cognitive components of muscle tone, reflexes, abnormal movement patterns. Treatment focuses on remediation of impaired components

Front 50

Contemporary Approach Emphasizes

Back 50

Learning the entire task, not just the discrete parts because feedback on completing the whole task is more beneficial than feedback on just a part of the task

Front 51

Contemporary Approach Goal

Back 51

This approach stresses a collaborative and client-centered approach that considers a client's roles and motives.

Front 52

MOHO

Back 52

First Client-centered model. Emerged in 1970. Recognized that many factors beyond motor, cognitive and sensory affected occupational engagement. Can be applied to wide population and in multiple settings

Front 53

MOHO theory

Back 53

is based on open systems theory ( a human is a self organising system in interaction with the environment ) Humans interact with the environment largely throughoccupation

Front 54

MOHO Person's Characteristic

Back 54

Volition, Habituation, Performance Capacity

Front 55

What is Habituation

Back 55

About of MOHO's personal characteristic. Process of organizing our actions into patterns and routines.

Front 56

What is Performance Capacity?

Back 56

About of MOHO's Personal characteristic. Mental and physical abilites, incorporates other theories to address impairments. Stress importance of person and experience in regards to ability to carry out occupational performance skills.

Front 57

MOHO. 3 level in person's engagement in occupation

Back 57

Occupational Participation, Occupational Performance, Skills

Front 58

What are Occupational Participation

Back 58

Engaging in work, play, or activities that are desire or necssary to a person's well-being

Front 59

What are Occupational Performance

Back 59

Doing a task related to participation in a major life area

Front 60

What are skills

Back 60

Goal directed actions that a person uses while performing occupation

Front 61

What is environment in MOHO

Back 61

A person's characteristics and environment are linked together when engaged in a occupational. Physical, Social, Occupational Identity, Occupational Competence, Occupational Adaptation

Front 62

Nine dimensions of Client Occupational Engagment

Back 62

Choose/ Decide. Commit. Explore. Identify. Negotiate. Plan. Practice. Reexamine. Sustain

Front 63

Therapeutic Strategies Identified by MOHO

Back 63

Validating, Identifying, Giving Feedback, Advising, Negotiating, Structuring, Coaching, Encouraging, Physcial Support

Front 64

Steps to therapeutic reasoning using MOHO

Back 64

Generate Questions, Gathering Information, Explain Client's situation, Generate goal, Implementing, Outcomes