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Cards In This Set
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Who developed the Bobath approach?
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Bertie Bobath (physiotherapist)Dr. Karel Bobath (pediatric surgeon)
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What models were created in the early 1950's post WWII?
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Bobath (NDT), Brunstom, PNF
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What are the relevant populations for Bobath
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-hemiplegia-CP-some treatments may be effective for other CNS issues-adult CVA
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Hemiplegic posturing...head...trunk...UE...LE...
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...its the first thing you check...rotates away from affected side...shoulder drops...in flexion, hand fisted or clawed...hip will hike, knee locked out
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5 concepts and assumptions
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1.) clinical observation of neuro-phenomena2.) outcome studies (look at end point)3.) recent neuroscience connections have been used to rein from practice4.) facilitation can increase neuromuscular activities5.) inhibition can suppress unwanted movement *function and inhibition drive this model!!!
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What are the four theoretical foundations?
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1.) normal tone2.) muscle weakness as a result of abnormal tone3.) normal muscle movement patterns yield function4.) compensation of the CNS follows insult
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1:Neural
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=constant steady massages given that balance tone (automatic tonic CNS)
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1:Non-neural
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=has a certain amount of elasticity to it. Tendons have a certain length
too long/too short problemshas do to with tissues/muscles |
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1:hyperreflexia
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Can be decreased by inhibition. Reflexes trying to take over the signal causes high tone (upper motor neuron problem)
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1:inhibition
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Ways to mess with signals to decrease hyperflexia
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Equal firing does not equal
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Increase in function
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What is task oriented
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CNS
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Rehab is best accomplished through what kind of task?
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Purposeful tasks
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Difference between NDT and brunstrum?
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Brunstom = all movement is goodNDT = avoid synergistic movement
reflexive movements NOT in NDT |
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Dysfunction continuum
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Presence of abnormal tone (hyper or hypo) and movement patterns that limit everyday activities
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