Neuro

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Author:
jessiekate22
ID:
173117
Filename:
Neuro
Updated:
2012-09-24 20:37:44
Tags:
UL shoulder assessment treatment
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Description:
VIVA
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  1. Look at pg 65 for notes on primary moves for various activities
  2. In a pt who has had a stoke what will you notice with their hand?
    - they will have a flattening of the three arches in their hand
  3. Repetition of UL tasks why important?
    • - 15-40min/ day for several weeks help retrain brain and mm how to do activity
    • - can increase by doing in a large group- competitive and pts are pushed
    • - make sure the activity is challenging but achievable
    • - ensure training is task sepcific
    • - whole and part practise can be used- whole is thought to be best
    • - there is a deceleration phase when grasping
    • - neural pathways will adapt according to what is practiced
  4. What do you need to think about when setting a task for a pt?
    • - type of contraction
    • - range of movement
    •  Speed of contraction
    •  Direction
    •  Synergic muscle activity
    •  Relationship to gravity
    •  Short or sustained contraction
    •  Overall motor schema
  5. Pts post stroke usually have shoulder pain: info
    • - 33-85%
    • FROM- IMMOBILITY, MM, CAPSULE, LIG LENGHTM JT STIFFNESS
    • - do not use pully- as it produces incorrect range
    • - manage by strapping, education and training
    • - 80% stroke survivors have a shoulder that subluxes- inferior most common- results in loss function etc
  6. What are the risk factors for shoulder sublux?
    • - severe arm paralysis/ complete loss of function
    • - decrease supraspinatus contraction
    • - sensory imapirement
    • - decreased proprioceptio
    • - haemorrhagic stroke
  7. Management of shoulder sublux?
    • edu
    • - positioning
    • - supportive dvices
    • - ES
    • - task specific functional activities
    • - stregnthen RC mm

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