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Flashcards by Eric Reames, updated more than 1 year ago
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| Question | Answer |
| Slow Reversal (SR) - aka Dynamic Reversals or Isotonic Reversals Multi-faceted Mobility, Stability, Controlled Mobility - Stages I, II, III | Alternating, slow, rhythmical concentric contractions of all of the agonistic and antagonistic patterns without relaxation between reversals. |
| Slow Reversal Hold (SRH) - aka Dynamic Reversals, Hold Multi-faceted Mobility, Stability, Controlled Mobility - Stages I, II, III | Same as SR except that a gradually applied isometric contraction is introduced at the end of range of the movement pattern. |
| Repeated Contractions (RC) - aka Repeated Contractions Multi-faceted | Similar to SR except repeated contractions to the weakened muscles is applied for facilitation. |
| Timing for Emphasis (TE) Multi-faceted Controlled Mobility in preparation for Skill Stages III-IV | A strong isometric contraction is elicited in that part of the range where the pt is strong in order to facilitate overflow to the weaker components of the pattern. |
| Agonist Reversals (AR) - Combination of Isotonics Multi-faceted Controlled Mobility in preparation for Skill Stages III-IV | Emphasizing either the flexion or extension portion of a pattern, the patient moves isotonically through the range. Resistance is provided to the concentric and then the eccentric movement several times. |
| Rhythmic Initiation (RI) Mobility - Stage I | Used with hypertonus. Movement through a pattern moves from passive to active-assisted to active to slightly resisted. |
| Hold Relax Active Movement (HRAM) - aka Replication - applied to agonist in shortened range r/i reciprocal inhibition & agonist recruitment Mobility - Stage I | Used with hypotonia or weakness. Pt. holds a graded, manually resisted isometric contraction in mid- to shortened range. Pt. then told to relax, moved into lengthened position, and a quick stretch is applied. Pt. actively moves through the range against RCs. PT may assist, track, or resist. |
| Hold Relax (HR) - applied to antagonist in lengthened position r/i autogenic inhibition Mobility - Stage I | Used with mm tightness on one side of a joint and/or pain. An isometric contraction of antagonists to movement is elicited. Once maximized, pt. relaxes and then moves actively against minimal resistance through newly gained range. Repeat until no range increases occur. |
| Contract Relax (CR) Mobility - Stage I | Used with decreased ROM on one side of a joint. Similar to HR except, with the joint at the point of limitation, the pt. turns and pushes (or pulls) against resistance that blocks all except the rotatory component of the antagonist mm movement pattern. |
| Rhythmic Stabilization (RS) - aka per Martin: Isometric Stabilizing Reversals Mobility - Stage I Stability - Stage II | Used with pain. Isometric contractions of both agonist and antagonist patterns are simultaneously and then alternately elicited by the therapist. Relaxation is not permitted as manual contacts are altered. Build up to maximal contraction and then relax. |
| Rhythmical Rotation (RR) Mobility - Stage I | Completely passive motion, used with hypertonia. Therapist rotates back and forth along long axis for about 10 seconds. May be followed by passive or active movement into new range. |
| Assist to Position | Technique wherein the pt. has the range of motion (mobility) to assume a position but is not able to do so independently. He/she may be assisted to position in order to begin working on stage II (stability). |
| Shortened Held Resisted Contraction (SHRC) Stability - Stage II | Pt. is placed in a shortened, non-weightbearing position (such as side lying) and isometric contractions are resisted by the PT. |
| Alternating Isometrics (AI) - aka Isometric Stabilizing Reversals Stability - Stage II | Isometric resistance of agonists followed by isometric resistance of antagonists. |
| Resisted Progression (RP) - aka Resisted Gait Progression Skill - Stage IV | Resistance to progression (in prone, quadruped, or upright positions) to increase strength and endurance and to enhance normal timing. Manual contacts on part to be emphasized. |
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