NEURO DAY 3 Intensive July 2021 Cycle Strengthening Concentric Isometric Eccentric Concentric Eccentric Concentric Isometric Activation Isometric Stability Eccentric O'Sullivan, S. B., & Schmitz, T. J. (2007). Physical rehabilitation. Philadelphia, PA: F.A. Davis. O'Sullivan, S. B., & Schmitz, T. J. (2007). Physical rehabilitation. Philadelphia, PA: F.A. Davis. O'Sullivan, S. B., & Schmitz, T. J. (2007). Physical rehabilitation. Philadelphia, PA: F.A. Davis. Kisner, C., & Colby, L. A. (1996). Therapeutic exercise: Foundations and techniques. Philadelphia: F.A. Davis. Kisner, C., & Colby, L. A. (1996). Therapeutic exercise: Foundations and techniques. Philadelphia: F.A. Davis. Kisner, C., & Colby, L. A. (1996). Therapeutic exercise: Foundations and techniques. Philadelphia: F.A. Davis. Source: O'Sullivan, S. B., & Schmitz, T. J. (2007). Physical rehabilitation. Philadelphia, PA: F.A. Davis. Kisner, C., & Colby, L. A. (1996). Therapeutic exercise: Foundations and techniques. Philadelphia: F.A. Davis. Kisner, C., & Colby, L. A. (1996). Therapeutic exercise: Foundations and techniques. Philadelphia: F.A. Davis. Brunnstrom, S., Lehmkuhl, L. D., & Smith, L. K. (1983). Brunnstrom's Clinical kinesiology. Philadelphia: F.A. Davis Co. Brunnstrom, S., Lehmkuhl, L. D., & Smith, L. K. (1983). Brunnstrom's Clinical kinesiology. Philadelphia: F.A. Davis Co. Motor Learning Strategies Practice • • • • • Massed vs. Distributed Blocked vs. Random Practice Order Mental Practice Part-Whole Practice Source: Kisner, C., & Colby, L. A. (1996). Therapeutic exercise: Foundations and techniques. Philadelphia: F.A. Davis. Source: Kisner, C., & Colby, L. A. (1996). Therapeutic exercise: Foundations and techniques. Philadelphia: F.A. Davis. Flexion Biased • Stenosis • Spondylosis • Spondylolisthesis • Spondylolysis Extension Biased • HNP • Ankylosing spondylitis LOWER EXTREMITY D1 Flexion D1 Extension D2 Flexion D2 Extension Hip FAdER ExAbIR FAbIR ExAdER Ankle and Toes DF Inversion PF Eversion DF Eversion PF Inversion Reference limb: Right lower extremity Hip flexion, ankle DF D1 Flexion D2 Flexion Hip ADER, ankle inversion Hip ABIR, ankle eversion D2 Extension D1 Extension Hip extension, ankle PF Source: Kisner, C., & Colby, L. A. (1996). Therapeutic exercise: Foundations and techniques. Philadelphia: F.A. Davis. UPPER EXTREMITY D1 Flexion Shoulder Forearm Wrist FAdER Supination Flexion RD D1 D2 D2 Flexion Extension Extension ExABIR Pronation Extension UD FAbER Supination Extension RD ExAdIR Pronation Flexion UD Scapula and Shoulder Ulnar Thrust/ D1 Thrust Ulnar Withdrawal/ D1 Withdrawal Radial Thrust/ D2 Thrust Radial Withdrawal/ D2 Withdrawal Elbow D1 flexion FADER Extension D1 extension EXABIR Flexion D2 extension EXABIR Extension D2 flexion FABER Flexion FA, Wrist and Fingers D1 extension Pronation & extension D1 flexion Supination & flexion D2 flexion Supination & extension D2 extension Pronation & flexion Functional Activities Supine to sidelying Table top push up (Sit to stand) Magee, D. J. (2008). Orthopedic physical assessment. St. Louis, Mo: Saunders Elsevier. Source: Kisner, C., & Colby, L. A. (1996). Therapeutic exercise: Foundations and techniques. Philadelphia: F.A. Davis. Source: Kisner, C., & Colby, L. A. (1996). Therapeutic exercise: Foundations and techniques. Philadelphia: F.A. Davis. Magee, D. J. (2008). Orthopedic physical assessment. St. Louis, Mo: Saunders Elsevier. BILATERAL PATTERNS • Bilateral Symmetrical (BS) § 1 diagonal; same direction • Bilateral Asymmetrical (BA) § 2 diagonals; same direction • Reciprocal Symmetrical (RS) § 1 diagonal; opposite direction • Reciprocal Asymmetrical (RA) § 2 diagonals; opposite direction THRUST PATTERNS • • • • Chop - BA UE extension with neck flexion Lift - BA UE flexion with neck extension Reverse Chop Reverse Lift O'Sullivan, S. B., & Schmitz, T. J. (2007). Physical rehabilitation. Philadelphia, PA: F.A. Davis. Source: Kisner, C., & Colby, L. A. (1996). Therapeutic exercise: Foundations and techniques. Philadelphia: F.A. Davis. Rood Sensorimotor Technique FACILITATION INHIBITION Approximation Heavy joint Compression Icing Light touch Fast brushing Quick stretch Resistance Tapping Traction Deep pressure Prolonged stretch Warmth Prolonged cold Slow stroking Gentle rocking Slow rolling Graded Oscillation Techniques Maitland GRADE I • SARO (Small-amplitude rhythmic oscillations) • Beginning of the range GRADE II • LARO (Large-amplitude rhythmic oscillations) • Within the range, not reaching the limit GRADE III • LARO • Up to the limit of the available motion; stressed into tissue resistance GRADE IV • SARO • At the limit of the available motion; stressed into tissue resistance GRADE V • Small-amplitude, high-velocity thrust • At the limit of the available motion Source: Kisner, C., & Colby, L. A. (1996). Therapeutic exercise: Foundations and techniques. Philadelphia: F.A. Davis. Sustained Translatory Joint-Play Techniques Kaltenborn GRADE I • Loosen • Small-amplitude distraction GRADE II • Tighten • Enough distraction or glide • “taking up the slack” GRADE III • Stretch • Large-amplitude distraction or stretch • Stretch on joint capsule and surrounding peri-articular structures Source: Kisner, C., & Colby, L. A. (1996). Therapeutic exercise: Foundations and techniques. Philadelphia: F.A. Davis. Magee, D. J. (2008). Orthopedic physical assessment. St. Louis, Mo: Saunders Elsevier. Source: O'Sullivan, S. B., & Schmitz, T. J. (2007). Physical rehabilitation. Philadelphia, PA: F.A. Davis. Rhythmic Initiation PROM AAROM AROM or Resistance Repeated Contractions Contract Contract Contract Slow Reversal Isotonic (antagonist) Isotonic (agonist) Slow Reversal Hold Isotonic (antagonist) Isometric (antagonist) Isotonic (agonist) Isometric (agonist) Contract Relax Passive movement towards agonist Isotonic (antagonist) Relaxation PROM to new range Hold Relax Passive movement towards agonist Isometric (antagonist) Relaxation PROM to new range Alternating Isometrics •Isometric contractions from one side of the joint to the other, with no relaxation occurring between contractions Rhythmic Stabilization •Progression of alternating isometrics •Multidirectional resistance Source: Kisner, C., & Colby, L. A. (1996). Therapeutic exercise: Foundations and techniques. Philadelphia: F.A. Davis. Source: O'Sullivan, S. B., & Schmitz, T. J. (2007). Physical rehabilitation. Philadelphia, PA: F.A. Davis. Motor Learning Strategies Practice • • • • • Massed vs. Distributed Blocked vs. Random Practice Order Mental Practice Part-Whole Practice Source: Kisner, C., & Colby, L. A. (1996). Therapeutic exercise: Foundations and techniques. Philadelphia: F.A. Davis. Magee, D. J. (2008). Orthopedic physical assessment. St. Louis, Mo: Saunders Elsevier. Movement Strategies for Balance Ankle Strategy • Distal-to-proximal sequence • Forward sway: • Gastrocnemius • Hamstrings • Paraspinals • Backward sway: • Tibialis Anterior • Quadriceps • Abdominals • Low sway frequencies • Small disturbances Hip Strategy • Proximal-to-distal sequence • Forward sway: • Abdominals • Quadriceps • Backward sway: • Paraspinal muscles • Hamstrings • Faster sway frequencies • Small and/or unaeven surface Stepping Strategy • Uses rapid steps or hops in the direction of the diplacing force • Fast, large postural perturbations (COM exceeds BOS) THANK YOU FOR LISTENING! 🤗 ”If there is no struggle, there is no progress” – Frederick Douglas Email: ianachristine.ghpremier@gmail.com
