| Neuroplasticity | Locomotor Training/CIMT | ALS/HD | Pain | Prosthetics |
|---|---|---|---|---|
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What is repetition, specificity and intensity
Principles of neuroplasticity - the 3 key ingredients
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What is Walking with moderate to high aerobic intensities and Walking with VR
CPG Green light recommendations to improve locomotor function
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What is
2 types of onsets of ALS and some distinguishing factors of progression
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What is a heightened pain response - Evoked neuropathic pain
Hyperalgesia
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What is a person who has the ability or potential for ambulation with the ability to traverse low level environmental barriers such as curbs, stairs, or uneven surfaces. Typical of the limited community ambulator
K2 functional level - describe
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What is Map expansion - Shift/flexibility in sensorimotor maps “cortical map plasticity” – an area can expand in response to training
Reassignment - Function of the injured area is assumed by uninjured areas Compensatory masquerade describes the process of re-routing or the formation of alternate routes/strategies Mirror region takeover describes the process by which the same structure of opposite hemisphere takes over
4 types of neuroplasticity
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What is Stance control, limb advancement, propulsion, balance
4 Criteria for successful walking
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What is
Your patient with ALS presents to you in home therapy after a recent hospitalization due to respiratory failure. Rephrase the following question to avoid assumptions and improve patient respect.
To the caregiver: “How many hours a day does he spend in his wheelchair and how much assistance do you have to provide for pressure relief?” |
What is Education + LL + MT + motor imagery + sensory discrimination
Best outcomes for pain management
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What is a fluid controlled knee (pneumatic, hydraulic), microprocessor (C leg)
Knee joints used in K3 prostheses
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What is the nature of the training experience dictates the nature of the plasticity; skill dependent- incorporating new skills into tx can help maximize neuroplasticity
Define principle of Specificity + example
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What is stepping over obstacles, backward stepping, stairs
An example of a variable stepping task
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What is
Describe one strategy to be incorporated into your PT session for someone in the middle stage of HD with cognitive symptoms. Provide a specific example of your treatment with the modification.
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What is...
Example of motor imagery for person with chronic L leg painful when ambulating - give a progression
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What is painful limb, ill fitting prosthesis, insecurity/lack of confidence in stance; decreased balance, hip/knee muscle weakness
Decreased weight bearing on the prosthetic side - potential causes
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What is restoration of function; learned/taught adaptations
Recovery and compensation - definition and examples of each
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What is
F: 3x/wk x 3-4wks (at a minimum) I: 60-80% HRR RPE 15-17 (equates to ~70-85% HRmax) T: as much of session as possible (2/3rds of sessions is feasible) T: HIT variable stepping tasks (including TM variety of drxns, overground variety of challenges, stairs)
Recommended FITT dose for HIT
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What is
Describe your modifications to a PT treatment session to minimize the fatigue factor for an individual with HD when working on aerobic exercise. Be specific.
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What is the mirror creates a reflection of the non-affected extremity; “Tricks” the brain into thinking that the affected extremity is moving; Pt performs various exercises/activities with the non-affected side while looking at the mirror; May also move the affected extremity simultaneously; Presence of mirror neurons
Mirror Therapy - Describe to your patient what MT is and how it works
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Let's see your strut... demonstrate 2 common gait deviations seen in prosthetic gait - discuss causes
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