Rood Approach – Flashcards
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Rood classified muscles into
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light work muscles (function is primarily movement) and heavy work muscles (mm. that stabilize)
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heavy work muscles are more ______ controlled
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reflexively
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light work muscles are more _______ controlled
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voluntarily
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muscle tone refers to
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the state of stiffness or tension in a muscle
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muscle tone is maintained by
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the CNS in response to ongoing sensory stimulus
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much of Rood's technique centers on providing appropriate
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sensory inputs to evoke muscle responses
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the control of movement is controlled by the interaction of
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person, task, and environmental factors
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the contemporary model of motor control in OT emphasizes
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the role of occupation being performed and the occupational context in which it is performed
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Founder
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Margaret Rood was a PT/OT and practiced in the 1940's
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history (what did margaret rood look at)
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Integrated neurophysiological and ontogenic information with clinical phenomena
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ontogeny =
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development
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ontogenic sequence
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how babies develop
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phylogeny
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how animals go up the ladder lower animals capable of less and higher animals are capable of more
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Rood's hypothesis
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Appropriate stimulus can yield specific motor responses
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Clients/settings
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From acute to long-term rehabilitation Any motor dysfunction Across age groups
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Goals of treatment
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Normalize muscle tone Treatment begins at the developmental level of functioning Movement is directed towards a purposeful goal Repetition is necessary for the training of muscular responses
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what do we want to treat first?
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normalization of muscle tone
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how is this different from brunnstrom?
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we use muscle tone!
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Treatment begins at the developmental level of functioning by...
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seeing what developmental position they can hold
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Sequence of Motor Development
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Reciprocal inhibition Cocontraction Heavy Work Skill
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reciprocal inhibition
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either doing all flexion or all extension (babies or people recovering from a stroke) very little graded movement
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co-contraction
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is it what we do when we lean on our limb...a mixture between flexion and extension weight bearing is co-contraction
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heavy work
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walking holding a sheet cake aspects of flexion and extension and their is a goal to it aspects of stability and mobility
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skill
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contains all the levels of heavy work plus a skilled movement (typing, writing)
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Ontogenic Motor Patterns
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Supine Withdrawal Roll to side-lying Pivot prone Neck co contraction Prone on elbow Quadruped Static Standing Walking
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start therapy from
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the ontogenic motor pattern that they can hold and then work the way up through this sequence until they get to skilled positions
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supine withdrawal
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pulling arms and legs in
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examples of reciprocal inhibition
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supine withdrawal and roll to side lying
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pivot prone
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full extension (superman)
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neck co contraction
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on elbows/weight bearing through elbow
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co contraction example
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prone on elbows standing
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heavy work examples
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quadruped once crawling/mobility starts (co contraction in 4 joints) walking (stability and mobility)
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treatment (facilitory)
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cutaneous stimulation proprioceptive techniques
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cutaneous stimulation
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Icing Brushing Light touch Fast brushing
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ice will cause
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facilitation of movement in the muscle the ice is over because it is very very stimulatory
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Brushing
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stimulate the cutaneous nerve that help limbs to raise
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proprioceptive techniques (facilitory)
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Heavy joint compression Stretch Intrinsic stretch Inversion Vestibular stimulation Tapping Resistance Osteopressure
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heavy joint compression
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weight bearing helps normalize tone
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stretch
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fires the golgi tendons so it is facilitory
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Inversion
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dont recommend doing feet higher than head--can cause cardiovascular collapse
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vestibular stimulation
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spinning table squishy mat helps raise tone
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tapping
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tap muscle belly stimulates golgi tendons raises tension in muscles
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Osteopressure
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pressure at the bone that you put on the antagonist muscle facilitating tricep by inhibiting bicep
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Specific inhibition techniques
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Neutral warmth Shaking or rocking in ontogenic sequence Slow stroking Rolling Light joint compression Tendon pressure Prolonged stretch
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neutral warmth
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loosens muscles relaxation
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shaking or rocking in ontogenic sequence
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rocking back and forth in quadruped
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slow stroking
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like brushing but slow relaxes
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rolling
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like massage relaxes muscles
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tendon pressure
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arm wrestling trick
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prolonged stretch
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stretch and hold muscles start to relax over time
