Term
| Handling techniques to inhibit tone (5) |
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Definition
rotation
dissociation
gentle shaking (of extremity; trunk stable)
approximation (WB)
motion |
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Term
| Examples of tone inhibiting activities (11) |
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Definition
supine curls
seated flexion
seated thoracic ext
prone thoracic ext
prone hip ext
sidelying for dissociation
half-kneeling
3-pt quadruped
squatting
standing wt shifts
half-standing |
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Term
|
Definition
| inhibit incr ext mm tone (esp spine, LEs) |
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Term
| Supine Curls: technique (4) |
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Definition
flex LE
post pelvic tilt
cervical flex
lengthen UE |
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Term
| Supine Curls: suggestions (5) |
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Definition
use approximation through shldr girdles/trunk/pelvis to reinforce stability
activate UE c reaching
activate abs: reach feet for toy
spinal rotation mobility/flexibility
stretch LE unilaterally |
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Term
|
Definition
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Term
|
Definition
| facilitate overall flexion (inhibit overall ext tone) |
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Term
| Seated Flexion: technique (5) |
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Definition
child seated on lap/ball
post pelvic tilt (roll ball back)
inhibit scap/UE retr
facilitate active trunk flex/ext
reach for toys |
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Term
| Seated Flexion: suggestions (5) |
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Definition
add approximation through shoulders >> incr approx @ hips
lateral WS through pelvis >> activate trunk
decr support c incr child strength (hold onto ball only)
following inhibition ex >> work on GMS/transitions using mm/activities you just activated |
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Term
| Seated Flexion: fxnl task |
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Definition
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Term
| Seated Thoracic Extension: purpose |
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Definition
| facilitate thoracic ext + cervical flexion; DISSOCIATION |
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Term
| Seated Thoracic Extension: technique (4) |
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Definition
child seated EOB/ball
UE WB behind child; shld ER, elbow ext, hands open, chin tucked
facilitate as needed
Approximate though shld (down through hands/trunk, toward midline) |
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Term
| Seated Thoracic Extension: other tidbits (2) |
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Definition
WB on UE c shld girdle depr
most helpful p flex activities |
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Term
| Seated Thoracic Extension: fxnl task |
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Definition
| post protective extension rxn |
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Term
| Seated Thoracic Extension: suggestions (3) |
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Definition
remove support as child grows stronger; work on games into/out of this position c ROTATION
progress to crab standing
transition quad <=> crab (motor planning) |
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Term
| Prone Thoracic Ext: purpose |
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Definition
| gain isolated thoracic ext (ΓΈ scap retr) |
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Term
| Prone Thoracic Ext: technique (2) |
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Definition
child prone across PT lap (, mat, ball)
UE brought into shld flex & WB |
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Term
| Prone Thoracic Ext: fxnl task |
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Definition
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Term
| Prone Thoracic Ext: suggestions (4) |
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Definition
follow c transition to sit on lap
follow c facilitation of active thoracic ext c active fwd reach
superman on theraball (keep LE in slight ABER)
wheelbarrow walking |
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Term
|
Definition
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Term
| Prone Hip Ext: technique (8) |
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Definition
child prone over mat/ball
UE in WB (or free)
press on pelvis for hip ext
shift wt to one hip
ABER non-WB LE
WS to ABER hip
hold in approximation 5-10sec
repeat (alternating) |
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Term
| Prone Hip Ext: additional tidbits (1) |
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Definition
| can add cervical ext (look @ magnets on wall) |
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Term
| Sidelying for Dissociation: purpose |
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Definition
gain flex & lat flex @ neck/trunk;
dissociation of UE from trunk
dissociation of LE |
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Term
| Sidelying for Dissociation: technique (4) |
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Definition
child sidelying on mat/lap/ball
bring UE into protr, shld depr, elbow ext
dissociate LE by flexing upper LE @ hip/knee, ABER slightly to WB thru foot
WS fwd/back moving in/out of DF |
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Term
| Sidelying for Dissociation: suggestions |
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Definition
| transition sidelying to sit |
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Term
|
Definition
achieve dissociation between LE
encourage WS & positioning in gait cycle |
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Term
| Half Kneeling: purpose - flexed side |
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Definition
decr dext tone (hip FABER)
WS over DF foot
closed chain ext/abd |
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Term
| Half Kneeling: purpose - extended side |
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Definition
| dissociation btwn ext hip & post pelvic tilt |
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Term
| Half Kneeling: technique (5) |
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Definition
PT behind child @ bench
OR
PT in front of child to incr support @ UE
child half-kneeling
give input to hip ext/abd on extended ide
WS to flexed side; ask child to hold |
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Term
| Half Kneeling: suggestion |
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Definition
transition to stand
transition to no bench
cross midline |
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Term
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Definition
gain LE dissociation
gain head control s shld girdle retr
gain active UE WB
inhibit STNR |
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Term
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Definition
child over bolster/ball/bench
UE WB c hand flat
support 1 LE into hip/knee flex
support other LE into hip/knee ext (WB against PT or wall) |
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Term
| 3-Point Quad: suggestions (4) |
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Definition
rock back/forth btwn UE/LE
transition to sidesit
transition to quad -> half kneel
transition to wheelbarrow (PT provides pelvic rot WSs) |
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Term
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Definition
break up ext tone in LE
incr flexibility of PFs, adds
activate ankle balance rxns
activate DF while ext is fully inhibited |
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Term
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Definition
support child in full squat
play WS/reaching games c them |
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Term
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Definition
incr active hip ext c fwd WS
incr fully ext hip/knee c DF |
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Term
| Standing WSs: technique (3) |
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Definition
child standing c UE WB on wall
lift one LE into hip/knee ext
WS toward WB LE actively |
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Term
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Definition
facilitate post pelvic tilt in upright
facilitate unilat fwd WS
incr fxnl extensibility & control of PF |
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Term
| Half-Standing: technique (3) |
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Definition
child standing facing kneeling PT - UE assist as needed
1 foot on lap/block; LE WB c knee/hip flex
challenge balance & WS c reaching games |
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