ABRT Fundamentals
ABRT stands for this.
What is Activity-Based Restorative Therapy?
This intervention uses electrical current to activate muscles and facilitate movement.
What is FES?
This treatment phase prepares the nervous system for the session to come.
What is priming?
A therapist uses WBV before locomotor training to prepare the patient for stepping practice. Which treatment phase is WBV supporting?
What is priming?
True or False: ABRT is solely focused on improving independence through compensatory strategies.
What is False?
A patient with complete tetraplegia spends 20 minutes standing in a standing frame to provide loading through the lower extremities.
What is weight bearing?
In this phase the nervous system is challenged through intensive, repetitive activity.
What is high-intensity training?
A patient with tetraplegia has a goal of completing bed mobility independently. The therapist applies FES while the patient repeatedly practices rolling on the mat. What treatment phase is FES supporting?
Functional Skill Training
ABRT is built on repeated ______ activity.
What is near-normal activity?
This ABRT component involves completing a high volume of repetitions.
What is massed practice?
This phase focuses on translating gains into meaningful activities.
What is functional skill training?
Using the buoyancy of the aquatic environment, the therapist facilitates 1,500 continuous steps, repeated direction changes, and obstacle negotiation over 30 minutes at a moderate-to-high effort level. Which treatment phase is being supported.
What is High-Intensity Training?
ABRT is characterized by these two hallmarks.
What are High-intensity practice and Task-specific and patterned activity above and below the level of the lesion?
A patient with tetraplegia wants to eat independently. During treatment, the therapist repeatedly practices grasping utensils, scooping food, and bringing food to the mouth.
What is task-specific training?
A patient with SCI has a goal of walking independently and returning to work as a construction worker. The therapist begins treatment with AIH. The patient then completes treadmill training, accumulating over 2,000 steps while working at an RPE of 5-6. The session concludes with repeated stair climbing practice to support the patient's work-related goal. Identify each phase of the session.
What is: Priming (AIH), High-Intensity Training (treadmill walking), Functional Skill Training (stairs)
A patient with MS has impaired proprioception. The therapist uses BFR with aerobic protocol to enhance proprioceptive awareness. Which treatment phase is BFR supporting?
What is Priming? --> BFR to prepare or augment sensory input before the primary therapeutic work.
A patient with SCI completes a comprehensive ABRT program to improve neurologic recovery while reducing risks associated with long-term inactivity, including deconditioning and other sequelae of SCI. According to the ABRT definition, what are the two primary goals of this approach?
What are Restore CNS function and promote neural recovery and regeneration? or
What are Optimize the neurological system and Offset the rapid aging, physical deterioration and secondary complications associated with SCI?
A patient with SCI has a goal of walking independently. During the session, the patient completes treadmill training with 10% body-weight support to maximize weight bearing through the lower extremities, then transitions to overground walking. By the end of the session, the patient has accumulated 2,000 steps. Name all ABRT principles demonstrated.
what are LT, Weight bearing, Massed practice, Task-specific training?
A patient with tetraplegia has a goal of brushing their teeth independently. The therapist begins with WBV to decrease UE tone, then applies BFR to the upper extremity while the patient performs repeated elbow flexion/extension and shoulder flexion/extension in gravity lessened plane, and ends by practicing applying toothpaste, brushing teeth, and rinsing. Explain why the final activity belongs in that phase.
The final activity belongs in Functional Skill Training because it directly practices the patient's meaningful real-world goal of independent oral hygiene through task-specific application of the skills developed earlier in the session?
A patient with SCI has a goal of improving independence with transfers. The therapist paired TSS with triggered FES to the lower extremities, while patient completed over 100 sit-to-stand repetitions from varying surface heights. Which treatment phase and ABRT principles are being demonstrated?
what are Massed Practice, Task-Specific Training, FES, Weight Bearing and high intensity or task specific.