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SENTHILKUMAR 1
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 ?
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Muscle Work
Light : Heavy:
Phasic. Tonic.
Superficial. Deep.
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Fusiform or strap. Pennate.
Inhibitory technique:
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Facilitation
Light Work: Heavy Work:
Quick stretch. Quick stretch.
Pain Pressurewt.
stimu(Nociceptors). bearing.
Timing of stimuli.
Ensuring repetition.
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Goals
Communication.
Manipulative skills.
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Examination
Sensation.
Perception.
Postural reaction.
Quality of movement.
Muscle tone.
Circulatory defects.
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Sequences in Gross Motor
Development
A1:
Supine.
Withdrawal pattern.
Total flexion.
Reciprocal innervation.
Bilateral.
Centered at 10th
thoracic vertebrae.
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A2:
Roll over.
Phasic movement.
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A3:
Pivot pattern.
Total extension.
Reciprocal
innervation.
Bilateral.
Cen at 10th
vertebrae.
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B. Fixed Distal Segments
B1:
Neck Co contraction,
Vertebral extension.
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B2:
Forearm support.
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B3:
All fours.
B4:
Sitting.
Pressure on knees
through to heels
Auto facilitation.
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C: D:
Extension.
Adduction.
Abduction.
Rotation.
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Receptors
Cutaneous:
Quick light brushing:
Nerve root.
Soft artist or decorator’s brush or electrically
powered.
Anterior primary rami local, superficial muscles.
Posterior primary rami deep back muscle.
Face muscles of mastication & expression( V VII
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).
Delay upto 20 min for inhibited not used
recently.
Warm limb.
Limb Extensors.
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Slow Stroking
Neck to sacrum over centre of back ↓
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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.
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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.
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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.
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Vibration
Mech vibrator muscle on stretch muscle
spindle stim tonic vibratory reflex.
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Golgi Tendon Organs(Ib)
Contraction receptors.
Auto inhi to a non resisted repeated
contraction.
Multiarthrodial.
Fast glycolytic.
Slow repeated Flexors & Adductorsstrong
isotonic for extensors.
Inhi only for flexor not for extensors…………?
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Mechanoreceptors
Maintained pressure medial heel↑dorsiflexor.
Pressure Heel of hand normalization.
Pisiform pressure.
athetosis.
Skin stimu over convex part.
Prone on elbow
11/29/08 , hand rock forward & back.
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Labyrinthine System
Head mvmt in vetical (revolving chair) SCC
muscles.
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Special Sense Organs
Nose & Mouth face & tongue mvmt.
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Repetition
Axoplasmic flow changes nerve & muscle
tissue molecules.
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?
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Thank U
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