ICF MODEL AND ROLE IN ASSESSMENT AND TREATMENT
- ICF Models guide to clinical reasoning
- Levels of ICF definitions and examples
- Correlation with assessment, prognosis and treatment planning
PATHOPHYSIOLOGY OF “PUSHING”
- Role of vestibular system
- Localization of lesions correlating with “pushing”
- Thalamic lesions and “pushing”
- Role of graviceptive systems
- Best support for occurrence of “pushing”
COMMON CHARACTERISTICS OF “PUSHERS”
- Alignment faults (trunk, head, pelvis, femur)
- Movement dysfunction
- Midline deficits
- Other (sensory loss, visual, neglect, cognition)
ASSESSMENT TOOLS
- Tests to confirm presence of “Pushing”
- Outcome measures
- Role of upper and lower trunk assessment
TASK-ANALYSIS, HYPOTHESIS DRIVE APPROACH
- Why use this framework for clinical reasoning
- What is the framework
- How it guides tasks assessment and guides treatment choices
- How to execute a task analysis
- Neuroplasticity and directing treatment
choices
- Motor control and motor learning theories on set-up and progression
TREATMENT SET-UP FOR SUCCESS (REDUCE RISK, IMPROVE SAFETY, IMPROVE OUTCOMES)
- Choosing a position for treatment
- Align patient for best results
- Activate muscles in coordinated sequenced fashion to mimic functional demands
- Rehabilitation of function
- Compensation or Recovery?
TREATMENT FOR THE LOW, MID AND HIGH-LEVEL “PUSHER”
- Primary characteristic for each level
- Starting point and progression
- Functional re-education considerations
- Use of objects, adjunct, and equipment in treatment