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    Roods Approach

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    CedricFernandez
    The document discusses Margaret Rood's approach to physical therapy, which uses specific sensory stimuli to facilitate or inhibit muscle tone. It describes how different types of muscles are suited for light or heavy work. Facilitation techniques like quick stretches or pressure are used to normalize low muscle tone, while inhibition techniques like deep pressure or rocking normalize high muscle tone. The timing, repetition and progression of stimuli are important to achieve motor development goals.

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    Roods Approach

    Uploaded by

    CedricFernandez
    411 views33 pages
    The document discusses Margaret Rood's approach to physical therapy, which uses specific sensory stimuli to facilitate or inhibit muscle tone. It describes how different types of muscles are suited for light or heavy work. Facilitation techniques like quick stretches or pressure are used to normalize low muscle tone, while inhibition techniques like deep pressure or rocking normalize high muscle tone. The timing, repetition and progression of stimuli are important to achieve motor development goals.

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    Neurodevelopment Technique

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    The document discusses Margaret Rood's approach to physical therapy, which uses specific sensory stimuli to facilitate or inhibit muscle tone. It describes how different types of muscles are suited for light or heavy work. Facilitation techniques like quick stretches or pressure are used to normalize low muscle tone, while inhibition techniques like deep pressure or rocking normalize high muscle tone. The timing, repetition and progression of stimuli are important to achieve motor development goals.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    411 views33 pages

    Roods Approach

    Uploaded by

    CedricFernandez
    The document discusses Margaret Rood's approach to physical therapy, which uses specific sensory stimuli to facilitate or inhibit muscle tone. It describes how different types of muscles are suited for light or heavy work. Facilitation techniques like quick stretches or pressure are used to normalize low muscle tone, while inhibition techniques like deep pressure or rocking normalize high muscle tone. The timing, repetition and progression of stimuli are important to achieve motor development goals.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 33

    06/05/13

    C.B.SENTHILKUMAR

    ROOD APPROACH
    Muscles have different duties. Most of them

    are a combination, but some predominate, in light work , others in heavy work.
    Margaret

    Rood, American Physical therapist, 1956.

    Neurological ? RA,OA, Soft tissue injury, Post fractures ?

    06/05/13

    C.B.SENTHILKUMAR

    Muscle Work
    Light :
    Phasic. Fast glycolytic. Superficial. Multiarthrodial.
    06/05/13 C.B.SENTHILKUMAR

    Heavy:
    Tonic. Slow oxidative. Deep. Single joint muscle.
    3

    Fusiform or strap. Small area

    Pennate. Large area

    attachment.
    ActiveBlood

    attachment.
    All time rich in

    supply.
    High metabolic cost. Rapidly fatigue. Flexors & Adductors.
    06/05/13 C.B.SENTHILKUMAR

    blood.
    Low metabolic cost. Slow fatigue. Extensors &

    abductors.

    To normalize the muscle tone


    Facilitatory technique: --To normalize the muscle tone from a flaccid state. --Icing, fast brushing, tapping, stroking, quick stretch. Inhibitory technique: --To normalize the muscle tone from hypertonic or spastic state. --Deep pressure, slow rolling, and slow rocking.

    06/05/13

    C.B.SENTHILKUMAR

    Facilitation
    Light Work: Quick stretch.
    Unpleasant stimuli. Pain

    Heavy Work: Quick stretch.


    Joint compression. Pressure wt.

    stimu(Nociceptors).

    bearing.

    Lips, tongue, feet,

    palm.

    Resistance. Utricle &

    06/05/13

    SCC(head

    C.B.SENTHILKUMAR

    Saccule(Static).

    Features
    Identification of goal. Identification of factors Poor function. Selecting the relevant need(motor activity). Selecting afferent stimuli. Timing of stimuli. Ensuring repetition.
    06/05/13 C.B.SENTHILKUMAR 7

    Goals
    Communication. Manipulative skills. Gross motor function.

    06/05/13

    C.B.SENTHILKUMAR

    Examination
    Sensation. Perception. Postural reaction. Quality of movement. Muscle tone. Circulatory defects.
    06/05/13 C.B.SENTHILKUMAR 9

    Sequences in Gross Motor Development


    A1:
    Supine. Withdrawal pattern. Total flexion. Tonic heavy work. Reciprocal innervation. Bilateral. Centered at 10th

    thoracic vertebrae.
    06/05/13 C.B.SENTHILKUMAR 10

    A2:
    Roll over. Flexion top arm &

    leg.
    Phasic movement.

    06/05/13

    C.B.SENTHILKUMAR

    11

    A3:
    Pivot pattern. Total extension. Reciprocal

    innervation.
    Bilateral. Cen at 10th

    vertebrae.
    06/05/13 C.B.SENTHILKUMAR 12

    B. Fixed Distal Segments


    B1:
    Neck Co contraction,

    Vertebral extension.
    For head & neck

    hyperkinesia.
    To stabilise eyes if

    nystagmus.

    06/05/13

    C.B.SENTHILKUMAR

    13

    B2:
    Forearm support. Gleno humeral joint

    alignment.

    06/05/13

    C.B.SENTHILKUMAR

    14

    B3:
    All fours.

    B4:
    Sitting. Pressure on knees

    through to heels Auto facilitation.

    06/05/13

    C.B.SENTHILKUMAR

    15

    C:
    Movement over

    D:
    Skilled movement

    fixed distal segment.


    To Dynamic

    distal end of limbs free.


    To mobility. Reaching , Crawling,

    stability.
    Rock side to side,

    back and forward.


    Turning movements.

    Walking.
    Objective &

    Functional.
    06/05/13 C.B.SENTHILKUMAR 16

    Movement Control Sequence


    Flexion. Extension. Adduction. Abduction. Rotation.

    06/05/13

    C.B.SENTHILKUMAR

    17

    Receptors
    Cutaneous:
    Quick light brushing:

    Nerve root. Soft artist or decorators brush or electrically powered.


    06/05/13

    Anterior primary rami local, superficial muscles. Posterior primary rami deep back muscle. Face muscles of mastication & expression( V VII ).
    C.B.SENTHILKUMAR 18

    Delay upto 20 min for inhibited not used

    recently.

    Rapid stimulation effective over Poor

    circulation.

    Cutaneous stimulation rapid & large ms

    spindle modulation thro gamma motoneuron reflexes- Loeb & Hoffer (1981).
    06/05/13 C.B.SENTHILKUMAR 19

    Brief Cold Application


    Quick wipe with ice cube. Warm limb. Immediate & most effective. Limb Extensors. To palm of hand mental process. Lips , tongue suck, swallow, speech.
    06/05/13 C.B.SENTHILKUMAR 20

    Slow Stroking
    Neck to sacrum over centre of back

    chorea athetosis or excessive muscle tone.


    Rhythmically for 3 minutes.

    06/05/13

    C.B.SENTHILKUMAR

    21

    Precautions
    Brush:
    Aware of effect. 3 sec in one place. Repeated in bursts at intervals. Do not use mechanical tools. In flaccid infant seizures(stroking adviced). Ear , outer 3rd forehead central inhi. Avoid

    in brain stem injury.

    06/05/13

    C.B.SENTHILKUMAR

    22

    Precautions
    Ice:
    Behind ear sudden of blood pressure. Sole , Palm nociceptive(avoid in children &

    emotionally unstable). Ice over posterior primary rami which shares nerve supply to vessels supplies organ. Left shoulder in cardiac diseased.

    06/05/13

    C.B.SENTHILKUMAR

    23

    Muscle Spindles
    Quick Stretch: Ia afferent Facilitatory. Slow Stretch:
    Single joint deep muscles 5 minutes

    II(length measuring from nuclear chain fibres) Inhi. Quadriceps, hip abductors, lumbar & cervical deep extensors, glenohumeral & shoulder girdle retractors.

    06/05/13

    C.B.SENTHILKUMAR

    24

    Vibration
    Mech vibrator muscle on stretch muscle

    spindle stim tonic vibratory reflex.


    Cutaneous brushing prior to vibrator

    effective.

    06/05/13

    C.B.SENTHILKUMAR

    25

    Golgi Tendon Organs(Ib)


    Contraction receptors. Auto inhi to a non resisted repeated

    contraction. Multiarthrodial. Fast glycolytic. Slow repeated Flexors & Adductors strong isotonic for extensors. Inhi only for flexor not for extensors?
    06/05/13 C.B.SENTHILKUMAR 26

    Mechanoreceptors
    Maintained pressure medial heeldorsiflexor. Pressure Heel of hand normalization. Pisiform pressure. Skull to ischial weighted cap, shoulder bag

    athetosis.
    Skin stimu over convex part. Compression over concave part.
    06/05/13 C.B.SENTHILKUMAR Prone on elbow , hand rock forward & back. 27

    Labyrinthine System
    Head mvmt in vetical (revolving chair) SCC

    postural tone & improves in bradykinesia.


    Prone on tilting plinth , large ball head rock

    up & down activation of fast twitch muscles.


    06/05/13 C.B.SENTHILKUMAR 28

    Special Sense Organs


    Nose & Mouth face & tongue mvmt. Quinine on back of tongue tongue thrust. Ammonia nose Parkinson mask. Lemon juice salivation swallowing , clear

    secretion from throat.


    Optical righting reactions. Roods facili resp ms in unconscious
    06/05/13 C.B.SENTHILKUMAR patients..? 29

    Timing
    Body position & activity. Head control before swallow or speech

    therapy.
    Skin brushing precedes all other stimuli. Verbal coincide with stimuli(icing).

    06/05/13

    C.B.SENTHILKUMAR

    30

    Repetition
    Axoplasmic flow changes nerve & muscle

    tissue molecules.
    Sufficient period of time changes in muscle

    unit type.
    Regimes planned to follow in daily routine at

    home beneficial.

    06/05/13

    C.B.SENTHILKUMAR

    31

    06/05/13

    C.B.SENTHILKUMAR

    32

    Thank U

    06/05/13

    C.B.SENTHILKUMAR

    33

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