Practice Makes Perfect
The highest level of Fitts' stages
What is autonomous (automatic adaptation)?
Based on an Ontogenic Development Sequence
What is Rood's intervention philosophy?
Shelby placed her hands on her hips and leaned back to get a good stretch after a long Zoom lecture. As she stretched her spine, she felt her hips and knee extensors engage. Her muscle response is an example of this neurophysiologic phenomenon.
What is irradiation?
The 3 Rs
What are Registration (immediate memory), Recall (STM), and Remote (LTM)?
Your doctor makes you open your mouth and say, "Aah." He is testing these cranial nerves.
What are cranial nerves IX (Glossopharyngeal) and X (Vagus)?
Not Fitts -- the other guy
Who is Bernstein (Neo-Bernsteinian model)?
Developed to help people with hemiplegia recover by inhibiting abnormal postural reflex activity and muscle tone, then superimposing normal movement patterns.
What is Bobath's Neurodevelopmental Treatment (NDT)?
Andre's new physical therapist made him sit on a giant, inflated ball while she pushed him side to side, front to back and all random directions. He thought she was crazy, but she was actually using this technique.
What is Rhythmic Stabilization?
You visit your new patient, Frank Dettweiler, at his hospital bedside on a sunny, January morning. He is recovering from a heart attack. "Call me Frank," he says. He says he can't wait to leave the hospital, complaining he'll have to cancel his 4th of July pool party this weekend. "How long until you put a cast on this, so I can get out of here?" he asks, pointing at his arm. This is how you record his status:
A&O x2 (unaware of time and situation)
Your doctor takes a hammer to the middle of your forearm. Your muscle twitches, confirming that this spinal level is not damaged.
What is C6?
Cindy Lou is learning to walk. She's finally got her balance and figured out the basics of moving one foot in front of the other and is toddling around pretty well. She falls every now and then, but gets right back up, learning from her mistake. According to Fitts, she is in this stage of motor learning:
What is stage 2 (associative or refinement)?
Brunnstrom's Synergy patterns were developed to help people recover from this affliction:
What is a stroke?
A technique that promotes SKILL development in locomotion
What is Resisted Progression?
An orderly wheels Mrs. Herrick into the gym for rehab. She seems to have dozed off mid-transit. You say her name, "Mrs. Herrick, time to get up now." She does not respond. You try clapping your hands, and her eyes flutter open slowly. She is embarrassed and apologizes for drifting off. This is how you rate her level of consciousness.
What is lethargy? (slow to respond, requires louder input)
The doctor flicks his patient's middle finger and observes the thumb and forefinger. He is looking for this sign, which would indicate a lesion at C7-C8.
What is Hoffman's?
A rehab specialist is trying to help Noah walk again after sustaining injuries in a car wreck. Instead of teaching him to stand, balance, and walk all in one treatment session, today she will just focus on the "rocking" part of sit to stand. What type of learning is this?
What is pure-part learning?
According to Bobath's NDT, this is where you should put your hands if you wish to help your patient learn to control trunk movements.
What is on distal key points (elbows, hands, knees and feet)?
What is Weight Bearing (WB)?
A therapist asks her patient to close his eyes. She places a mechanical pencil in his hand and asks him to identify it. He replies, "Toothbrush!" This is his dysfunction.
What is astereognosis?
Eli was walking his dog, Bruno, when the dog saw a squirrel and pulled him onto a concrete sidewalk. He woke up with a concussion. The doctor shined a bright light in his eyes and was concerned when they did not constrict, because he may have a problem with these nerves.
What are Cranial Nerves II (Optic) and III (Oculomotor)?
Addison completed a scale on the piano.
"Again," her teacher prompted. Addison performed the scale twice, three times. Over and over. Her fingers burned, but she continued to repeated the scale until it was burned into memory.
This an example of ________.
What is mass practice (frequent with little rest, ex: rolling baby)?
Could also be blocked practice (focused on one task)
According to Signe Brunnstrom, people recovering from a stroke might reach a plateau and get "stuck" or rapidly progress through the recovery stages. When a patient begins to develop normal function, these motions are typically the FIRST to emerge.
What are flexion/extension?
Cuing for this technique includes:"I will resist your movement, but you win." AND "You keep performing that movement, but I win."
What is agonistic reversals?
You overhear the doctor reassuring a woman who is distraught after her husband suffered a stroke. "Will he ever use his arm again?" she asks. "Possibly," the doctor replies. "His nervous system may make new connections or may adapt to make-up for the damage. Time will tell." The doctor is describing this concept.
What is neuroplasticity?
Elsa volunteered to help test a machine at Nemours. She was asked to stand upright while the machine tested her stability in different positions, sometimes with eyes opened and sometimes closed. It is an example of this type of measurement.
What is posturography?