Term
| What percentage of CVA pts fall within the first 6 months? |
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Definition
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Term
| What percentage of Parkinson's patients fall? |
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Definition
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Term
| Impaired postural control in patients with neuro deficits can lead to loss of what? |
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Definition
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Term
| Children with CP, in stance, recruit proximal to distal in the __ extremeity >> increased sway |
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Definition
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Term
| Children with diplegia CP (stand on toes), recruit TA before __ (in response to forward sway) |
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Definition
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Term
| Delayed recruitment of __ synergists are seen in downs syndrome and post TBI pts. This causes excessive knee and hip motion |
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Definition
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Term
| Name 5 disabilties that cause coactivation of antagonists |
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Definition
CP
CVA
TBI
Down's Syndrome
Parkinsons |
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Term
| What will coactivation of ms cause? |
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Definition
| Stiffening of body, inefficient for recovery of balance |
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Term
| Name 3 disabilities that cause delayed activation of postural responses. |
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Definition
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Term
| These pts are unable to increase agonist force for increased perturbation |
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Definition
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Term
| With a lesion here, postural responses to perturbation is too large |
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Definition
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Term
| Name 3 diseases where they pts will have problems quickly modifying postural activity to changing tasks |
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Definition
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Term
| Determines which movement strategies are effective and how muscle are recruited |
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Definition
| Musculoskeletal contribution |
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Term
| Children with CP diplegia, in a crouched posture, used __ of antagonists in response to perturbations (same as healthy children) |
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Definition
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Term
| AFOs have a significant impact on timing and sequencing of muscles used for postural control. Name 3 things. |
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Definition
1. Decreased use of ankle strategy
2. Delay in onset of ankle muscle activity (or none)
3. Increased use of hip and trunk muscles |
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Term
| Inability to activate postural muscles in advance of voluntary movements |
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Definition
| Loss of anticipatory postural control |
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Term
| Name 4 things that can result from a loss of anticipatory postural control. |
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Definition
1. Creates postural destabilization
2. Can improve with training
3. Seen in pts with CVA, CP, Downs, and Parkinsons
4. Damage to any of these areas: supplementary motor cortex, BG, and cerebellum |
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Term
| Organization and coordination of __ input is critical for postural control |
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Definition
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Term
| Affects the ability to adapt to sensory inputs to changes in task and environmental demands. Prevents development of accurate internal models of the body for postural control. |
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Definition
| Sensory/Perceptual disorders |
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Term
| Loss of more than one sense can significantly reduce __ |
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Definition
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Term
| Sitting by 2 years old is predictive of __ in CP children. |
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Definition
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Term
| With CVA or TBI patients, the ability to sit independently at admission to rehab was correlated with higher __ scores at D/C. |
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Definition
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Term
| Name 4 things that is seen with trunk control in sitting post CVA. |
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Definition
1. Reduced ability to recruit paretic ms
2. Upper trunk more active than lower
3. Decreased velocity of trunk movement during reaching tasks
4. Inability to use the hemiparetic LE for support decreases postural control in sitting |
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Term
| Name 5 postural problems with CVA pt |
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Definition
1. Postural responses delayed
2. Synergistic organization of ms response impaired
3. Loss of anticipatory postural ms
4. Secondary impairments (weakness, ROM)
5. Sensory problems (visual, somatosensory, and integration) |
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Term
| Name 6 postural problems seen in Parkinson's pts |
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Definition
1. Co-activation of ms causing rigidity
2. Unable to modify movement patterns quickly and may use same response inappropriately in diff situations
3. Decreased anticipatory postural control
4. Rigidity and bradykinesia leading to secondary impairments
5. Difficulty with sensory organization
6. Difficulty multi-tasking |
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Term
| Name 3 postural problems seen with cerebellar pts |
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Definition
1. Difficulty scaling postural activity
2. Hypermetric response to perturbations(over responds)
3. Difficulty adapting sensory info |
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Term
| Name 5 postural problems seen in spastic CP patients |
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Definition
1. Onset latency of ms reactions delayed
2. Ms activity is slow and reduced in amplitude
3. Impaired sequencing of ms activity
4. Secondary changes in postural alignment, weakness, and ROM
5. Potenial use of AFO |
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