Principles of Roods Approach!!!!!!!.pptx
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Principles of Rood’s Approach Treatment technique used in physiotherapy for neurological patients which aids them to recover and improve quality of life Facilitatory techniques Inhibitory techniques
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Principles of Roods Approach!!!!!!!.pptx
- 1. DR. QUAZI IBTESAAM HUMA MPT (NEUROSCIENCES) ASSISTANT PROFESSOR
- 2. OBJECTIVES •AT THE END OF SEMINAR, STUDENT SHOULD UNDERSTAND •PRINCIPLES OF ROOD’S APPROACH •FACILITATORY TECHNIQUES •INHIBITORY TECHNIQUES
- 3. INTRODUCTION • IT IS NEUROPHYSIOLOGICAL APPROACH DEVELOPED BY MARGARET ROOD IN 1940 ACTIVATION • ROOD’S APPROACH DEACTIVATION Sensory Somatic Autonomic Psychic
- 4. • ROOD’S APPROACH INCLUDES THREE COMPONENTS: 1.CONTROLLED SENSORY STIMULATION. 2.THE USE OF DEVELOPMENTAL SEQUENCE 3.THE USE OF ACTIVITY TO DEMAND A PURPOSEFUL RESPONSE.
- 5. •ROODS BASIC ASSERTION WAS THAT MOTOR PATTERNS ARE DEVELOPED FROM PRIMITIVE REFLEXES THROUGH PROPER SENSORY STIMULI TO THE APPROPRIATE SENSORY RECEPTORS.
- 6. BASIC ASSUMPTIONS • MOTOR OUTPUT IS DEPENDENT ON SENSORY INPUT. • NORMALIZE MUSCLE TONE. • TREATMENT BEGINS AT DEVELOPMENTAL LEVEL OF FUNCTIONING. • MOVEMENT IS DIRECTED TOWARDS FUNCTIONAL GOALS. • REPETITION IS NECESSARY FOR THE REEDUCATION OF MUSCULAR RESPONSES.
- 7. PRINCIPLES OF TREATMENT • 1) TONIC NECK AND LABYRINTHINE REFLEXES CAN ASSIST OR RETARD THEEFFECTS OF SENSORY STIMULATION. • 2) STIMULATION OF SPECIFIC RECEPTORS CAN PRODUCE THREE MAJOR REACTIONS, FOUR RULES OF SENSORY INPUT. • 3) MUSCLES HAVE DIFFERENT DUTIES. • 4) HEAVY WORK MUSCLES SHOULD BE INTEGRATED BEFORE LIGHT WORK MUSCLES.
- 8. PRINCIPLE 1: TONIC NECK AND LABYRINTHINE REFLEXES CAN ASSIST OR RETARD THE EFFECTS OF SENSORY STIMULATION
- 9. PRINCIPLE 2: STIMULATION OF SPECIFIC RECEPTORS CAN PRODUCE THREE MAJOR REACTIONS, FOUR RULES OF SENSORY INPUT. 1.A FAST BRIEF STIMULUS PRODUCES A LARGE SYNCHRONOUS MOTOR OUTPUT 2.A FAST REPETITIVE SENSORY INPUT PRODUCES A MAINTAINED RESPONSE 3.A MAINTAINED SENSORY INPUT PRODUCES A MAINTAINED RESPONSE. 4.SLOW, RHYTHMIC REPETITIVE SENSORY INPUT DEACTIVATES BODY AND MIND.
- 10. PRINCIPLE 3 AND 4 MUSCLES HAVE DIFFERENT DUTIES • STABILISERS & MOBILISERS • HEAVY WORK & LIGHT WORK • INTEGRATION OF HEAVY WORK MUSCLE
- 11. LIGHT WORK MUSCLES VS HEAVY WORK MUSCLES Light work • PHASIC MOVEMENT • FAST GLYCOLYTIC MOTOR UNIT • SUPERFICIAL, USUALLY MULTIARTHRODIAL • FUSIFORM OR STRAP; SMALL AREA OF ATTACHMENT • HIGH METABOLIC COST, GETS RAPIDLY FATIGUE • EXAMPLES : FLEXORS AND ADDUCTORS • MOBILISER Heavy work • TONIC CO-CONTRACTION • SLOW OXIDATIVE MOTOR UNIT • DEEP AND ONE JOINT • PENNATE; LARGE AREAS OF ATTACHMENTS • LOW METABOLIC COST • EXAMPLES : EXTENSOR AND ABDUCTORS • STABILIZER
- 12. PRINCIPLES OF DEVELOPMENTAL DIRECTION • REFLEX CONTROL BEFORE CORTICAL CONTROL
- 13. • TOTAL RESPONSE BEFORE LOCALIZED RESPONSE
- 14. • PROXIMAL CONTROL BEFORE DISTAL CONTROL • CEPHALIC CONTROL BEFORE CAUDAL CONTROL
- 16. • MEDIAL CONTROL BEFORE LATERAL CONTROL • FOR EG: THREE ULNAR FINGERS DOMINATE FIRST GRASP. THUMB AND INDEX FINGER DOMINATE PINCER GRASP FOREFINGER DOMINANCE DEVELOPS
- 17. • GROSS MOTOR CONTROL BEFORE FINE MOTOR CONTROL CHILD STABILIZES THE SHOULDERS AND HOLDS A BABY BOTTLE WITH BOTH HANDS. CHILD PICKS UP TINY PELLETS AND PUTS THEM IN A SMALL BOTTLE.
- 18. • WEIGHT BEARING OCCURS ON FLEXED EXTREMITIES BEFORE ON EXTENDED EXTREMITIES CHILD BEARS WEIGHT ON UPPER EXTREMITIES FLEXED AT ELBOWS IN PRONE-ON-ELBOWS. CHILD BEARS WEIGHT ON EXTENDED ELBOWS IN PRONE-ON-EXTENDED-ARMS AND QUADRUPED.
- 20. FACILITATION TECHNIQUES • CUTANEOUS FACILITATION: • FAST BRUSHING • ICING STIMULATE EXTEROCEPTORS OF SKIN SUBSERVES PROTECTIVE WITHDRAWAL RESPONSES PROFOUND EFFECT ON RETICULAR ACTIVATING SYSTEM & ANS
- 21. FAST BRUSHING • BATTERY OPERATED BRUSH TO STIMULATE C FIBERS • HAS MAXIMAL EFFECTS 30 MIN AFTER STIMULATION • IS A NONSPECIFIC HIGH INTENSITY STIMULUS THAT INCREASESFUSIMOTOR ACTIVITY OF SELECTED MUSCLES. • TO BE APPLIED OVER THE SAME DERMATOMES AS THAT OF MYOTOME • APPLIED FOR 3-5 SECONDS REPEATED AFTER 30 SECONDS.
- 22. ICING • FACILITATION OF MUSCLE ACTIVITY & AUTONOMIC NERVOUS SYSTEM RESPONSE • A ICING OR QUICK ICING –PTS WITH HYPOTONIA OR RELAXATION • ACTIVATES A DELTA FIBERS • 3 QUICK SWIPES • C ICING HIGH INTENSITY NOCICEPTIVE STIMULUS AFFECTING NONSPECIFIC C FIBERS.
- 23. LIGHT MOVING TOUCH • TO ACTIVATE SUPERFICIAL MOBILISING MUSCLES • APPLIED WITH FINGER TIP, CAMEL BRUSH, COTTON SWAB. • 2 TIMES PER SECOND AT LEAST 10 TIMES ,REPEATED 3-5 TIMES ,30 SEC REST PERIOD BETWEEN TWO STROKES
- 24. • SITES OF APPLICATION: UPPER RIGHT QUADRANT OFOF ABDOMEN-FROM MIDLINE TO LATERAL DIRECTION –TO INCREASE BREATHING PATTERNS VOICE PRODUCTION, GENERAL VITALITY. • INSIDE TO MOUTH- TO STIMULATE MUCOSA, TO FACILITATE CLOSURE OF MOUTH, TO AID SWALLOWING • INNER WALLS OF CHEEKS , POSTERIOR OF TONGUE • OVER THE LIPS –TO AID OPENING OF MOUTH
- 25. • UPPER STERNAL NOTCH –AIDS SWALLOWING • CONTRAINDICATED AT-MUCOSA OF MOUTH, NECK OF TRIGEMINAL RING , ALONG THE MIDLIINE OF THE BODY, • IN PATIENTS WITH HISTORY OF CARDIOVASCULAR PROBLEMS
- 26. PROPRIOCEPTIVE FACILITATORY TECHNIQUES • HEAVY JOINT COMPRESSION • STRETCH • INTRINSIC STRETCH • RESISTANCE • TAPPING • VESTIBULAR STIMULATION • THERAPEUTIC VIBRATION • OSTEOPRESSURE
- 27. INHIBITION TECHNIQUES • NEUTRAL WARMTH • GENTLE SHAKING OR ROCKING • SLOW STROKING • SLOW ROLLING • LIGHT JOINT COMPRESSION • TENDINOUS PRESSURE • MAINTAINED STRETCH
- 28. PREMISE •IF IT WERE POSSIBLE TO APPLY PROPER SENSORY STIMULI TO THE APPROPRIATE SENSORY RECEPTORS AS IT IS UTILIZED IN NORMAL SEQUENTIAL DEVELOPMENT.
- 29. SUMMARY • INTRODUCTION • NORMAL DEVELOPMENTAL PATTERN. • HEAVY WORK AND LIGHT WORK MUSCLES. • PRINCIPLES OF TREATMENT OF ROODS APPROACH. • TECHNIQUES OF APPLICATION
- 30. REFERENCES • JAN S TECKLIN; PEDIATRIC PHYSICAL THERAPY; FIFTH EDITION. • SUVARNA GANVIR; SHYAM GANVIR; MANUAL THERAPY APPROACHES IN NEUROPHYSIOTHERAPY. • KUKI BORDOLOI, RUP SEKHAR DEKA; SCIENTIFIC RECONCILIATION OF THECONCEPTS AND PRINCIPLES OF ROODS APPROACH; INTERNATIONAL JOURNAL OF HEALTH SCIENCES AND RESEARCH; 2018; VOL 8, ISSUE 9; PG NO 225-234.
- 31. THANK YOU!!!!!