Rood
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What are the key concepts in the Rood approach? | Coeffect: between muscle tone and motor control; interactions between the nervous system and occupations, Intention (goal direction) coeffects movement, Repetition: of muscular patterns creates movement patterns, Real life context increase treatment effectiveness, Therapist uses somatic markers to select interaction methods with clients | |
What are the four components of motor control? | Mobility, Stability, WS, and Skill | |
What are the components of Mobility? | o Reciprocal inhibition (innervation) o Protective function o Phasic (quick) o Cocontraction of agonists o Reflex governed o Basis for movement needed to engage in occupation | |
What are the components of stability | o Cocontraction o Provides stability o Tonic o Hold for long period of time o Simultaneous contraction of agonist and antagonists o Foundation of postural control o Usually test in weight bearing | |
What are the components of weight shifting (aka: heavy work)? | o Mobility superimposed on Stability o Proximal muscles contract; Distal segment is fixed o Agriculture and industry occupations (lifting, moving, pulling) | |
What are the components of skill? | o Highest level of motor control o Proximal segment stabilized; Distal segment moves freely o Mobility AND Stability o Oil painting; computer work | |
What do motor patterns help with? | The integration of reflexes | |
Describe the motor pattern of supine withdrawal. | o Total flexion response toward vertebral level T10 o Protective o Mobility posture requiring reciprocal innvervation; heavy work of proximal muscles o Aids integration of TLR o Therapeutically: used for pt.s who lack reciprocal flexion pattern and for those dominated by extensor tone | |
Describe the motor pattern of rollover. | o Mobility pattern for the extremities o Activates lateral trunk musculature o Stimulates semicircular canals of vestibular system; activates neck and extraocular muscles o Therapeutically: used with dominant TLR in supine position | |
Describe the motor pattern of pivot prone (prone extension). | o Need full range of extension in neck, shoulders, trunk, LE o Is a Mobility AND Stability pattern o Does preparation for extensor muscles in upright postures o Associated with labyrinthine righting reactions of the head o Shows integration of STNR and TLR | |
Describe the motor pattern of neck cocontraction (coinnervation). | o First Stability pattern (genuine) o Cocontraction of neck precedes cocontraction of trunk and extremities o Elicits TLR when face is perpendicular to the floor o Promotes neck stability and extraocular control | |
Describe the ontogenetic development pattern of prone on elbows. | o Stretches upper trunk to influence stability of scapula and glenohumeral regions o Good visibility o Weight shift side to side- sagittal plane o Inhibits the STNR |
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