
WEEK 6 PTA145 Managing Hyper/Hypo lab pt2
Authored by Diana Sanchez
Science
University
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1.
CATEGORIZE QUESTION
3 mins • 1 pt
Managing HYPER/HYPO
Groups:
(a) Managing Hypertonicity
,
(b) Managing Hypotonicity
Quick stretch
Weight beaing (hypo)
Modalities
Neutral warmth
Positioning (hypo)
Inhibitory pressure
Serial casting
Strengthening w/o overload
Prolonged icing
Resistance without overload
Prolonged stretch
Rhythmic rotation
Approximation
Tapping
Weight bearing
2.
DROPDOWN QUESTION
1 min • 1 pt
Managing Hypertonicity
Prolonged Icing
-Reduce neurotransmission & spasticity
-Muscle spindles (a) to where there is no longer an excessive stretch reflex
-Effects can last (b)
-Most common method is LOCAL IMMERSION
-Useful w/hand (c) tone
Inhibitory Pressure
-Firm/moderate inhibitory pressure on (d)
-Manually and/or through devices such as splints or positioning (weight bearing)
Prolonged Stretching
-Inhibition of hyperactive muscle responses
-Active/passive stretching for prolonged time
(e)
Neutral Warmth
Stimulates thermoreceptors and activates parasympathetic response
-10-20 minutes to produce an effect
-Wrapping body parts with towels, hot packs, tepid baths, paraffin, and SPLINTS
3.
DRAG AND DROP QUESTION
1 min • 1 pt
Managing Hypertonicity CONT.
Rhythmic Rotation
- (a) of a limb at a point where limitation is noticed
-As muscles relax the limb is SLOWLY and GENTLY moved into the range
-As new tension is felt, rhythmic rotation is repeated
-Active or Passive
-Voluntary relaxation when possible
Modalities
-Electrical Stimulation (NMES, TENS)
-On (b) muscle for reciprocal inhibition
Weight Bearing
-Prolonged inhibitory pressure
-Proprioceptive sensory feedback to (c)
Serial Casting
(d)
-At risk for contractures
-Maintained pressure
(e)
-Recast every 5-7 days as ROM progresses
4.
DROPDOWN QUESTION
1 min • 1 pt
Managing Hypertonicity Cont.
Strengthening contraction (reciprocal inhibition)
-If quads are overactive due to extensor tone, strengthening/activation of HS will inhibit quads via (a)
-AAROM until AROM possible
-Let me move you, now help if you can
-Smooth, reciprocal short arc to long arc
-Minimize stress & effort initially
-Primary functional skills emphasized
-Family & patient training for maintenance
5.
DRAG AND DROP QUESTION
1 min • 1 pt
Managing Spasticity
-Spasticity untreated ---> contractures, deformities, asymmetries
PRIMARY INTERVENTION: Stretching and positioning
Handling Skills
*Lengthen vis (a) repeated rhythmic rotation
-Maintain (b) position
-Resting splints
6.
CATEGORIZE QUESTION
3 mins • 1 pt
Decorticate vs Decerebrate Posturing
Groups:
(a) Decorticate
,
(b) Decerebrate
Elbows extended, legs extended and IR
Elbows, wrist, and fingers flexed, legs extended and IR
MORE INDACTIVE OF SEVERE DAMAGE
MORE EXTENSION
MORE FLEXION
7.
MULTIPLE SELECT QUESTION
45 sec • 1 pt
Loss of higher cortical activation, results in lack of Inhibition of these patterns= REEMERGENCE
Prolonged patterns lead to MUSCULOSKELETAL IMPAIREMENTS
Nervous system MUST be able to control both AGONISTIC & ANTAGONISTIC patterns & combinations of each for functional movement
DON'T FEED THE PATTERN!!!!!
MOST ARE PRE-PROGRAMMED INTO CNS
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