04/12/12

C.B.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 ? RA,OA, Soft tissue injury, Post fractures ?

04/12/12

C.B.SENTHILKUMAR

2

Muscle Work
Light :
Phasic. Fast glycolytic. Superficial. Multiarthrodial.
04/12/12 C.B.SENTHILKUMAR

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

Small area Pennate. Rapidly fatigue. Low metabolic cost. 04/12/12 C. All time rich in blood. Slow fatigue.Fusiform or strap. 4 .SENTHILKUMAR abductors. supply. Extensors & Flexors & Adductors. Large area attachment. High metabolic cost. Active↑Blood attachment.B.

tapping. slow rolling. fast brushing. stroking. 04/12/12 C. and slow rocking.B.SENTHILKUMAR 5 . --Deep pressure. Inhibitory technique: --To normalize the muscle tone from hypertonic or spastic state. --Icing.To normalize the muscle tone Facilitatory technique: --To normalize the muscle tone from a flaccid state. quick stretch.

Facilitation Light Work: Quick stretch.SENTHILKUMAR Saccule(Static). feet. Utricle & 04/12/12 SCC(head C. Joint compression. tongue. Pain Heavy Work: Quick stretch. 6 . bearing. Pressure wt. Unpleasant stimuli. Lips.B. palm. Resistance. stimu(Nociceptors).

 Timing of stimuli.  Identification of factors  Poor function.SENTHILKUMAR 7 .  Selecting afferent stimuli.  Ensuring repetition. 04/12/12 C.  Selecting the relevant need(motor activity).B.Features  Identification of goal.

Goals Communication. Manipulative skills. Gross motor function. 04/12/12 C.B.SENTHILKUMAR 8 .

Postural reaction. Quality of movement. 04/12/12 C. Muscle tone. Circulatory defects.B. Perception.SENTHILKUMAR 9 .Examination Sensation.

04/12/12 C.B.  Bilateral.  Withdrawal pattern.  Tonic heavy work.  Reciprocal innervation.  Total flexion.SENTHILKUMAR 10 .  Centered at 10th thoracic vertebrae.Sequences in Gross Motor Development A1:  Supine.

A2: Roll over.B.SENTHILKUMAR 11 . 04/12/12 C. Phasic movement. Flexion top arm & leg.

B.A3: Pivot pattern. 04/12/12 C. Total extension. Cen at 10th vertebrae. Bilateral. Reciprocal innervation.SENTHILKUMAR 12 .

B. To stabilise eyes if nystagmus.SENTHILKUMAR 13 . For head & neck hyperkinesia. Vertebral extension. Fixed Distal Segments B1: Neck Co contraction.B. 04/12/12 C.

04/12/12 C.B. Gleno humeral joint alignment.B2: Forearm support.SENTHILKUMAR 14 .

SENTHILKUMAR 15 . Pressure on knees through to heels Auto facilitation.B. B4: Sitting. 04/12/12 C.B3: All fours.

Walking. Rock side to side. To ↑ mobility. back and forward. stability. Objective & Functional. 04/12/12 C.C: Movement over fixed D: Skilled movement distal segment. Reaching . To ↑ Dynamic distal end of limbs free. Turning movements.B.SENTHILKUMAR 16 . Crawling.

Extension. Adduction. Abduction.Movement Control Sequence Flexion. 04/12/12 C.SENTHILKUMAR 17 .B. Rotation.

Soft artist or decorator’s brush or electrically powered.SENTHILKUMAR 18 . Face  muscles of mastication & expression( V  VII ).Receptors Cutaneous: Quick light brushing:   Nerve root.    04/12/12 Anterior primary rami  local. Posterior primary rami  deep back muscle.B. C. superficial muscles.

Delay upto 20 min for inhibited not used recently.SENTHILKUMAR 19 .Loeb & Hoffer (1981). Rapid stimulation effective over Poor circulation. 04/12/12 C. ‘Cutaneous stimulation  rapid & large ms spindle modulation thro gamma motoneuron reflexes’.B.

tongue  suck. swallow.B.Brief Cold Application Quick wipe with ice cube. Warm limb.SENTHILKUMAR 20 . Lips . Limb Extensors. 04/12/12 C. Immediate & most effective. speech. To palm of hand  ↑ mental process.

B.Slow Stroking Neck to sacrum over centre of back  ↓ chorea athetosis or excessive muscle tone.SENTHILKUMAR 21 . 04/12/12 C. Rhythmically for 3 minutes.

 Avoid in brain stem injury. Do not use mechanical tools. Ear . In flaccid infant  seizures(stroking adviced).Precautions Brush: Aware of effect. Repeated in bursts at intervals.SENTHILKUMAR 22 . outer 3rd forehead  central inhi. 04/12/12 C. 3 sec in one place.B.

B. Sole .Precautions Ice: Behind ear  sudden ↓ of blood pressure.SENTHILKUMAR 23 . Left shoulder in cardiac diseased. Ice over posterior primary rami which shares nerve supply to vessels supplies organ. 04/12/12 C. Palm  nociceptive(avoid in children & emotionally unstable).

Quadriceps. lumbar & cervical deep extensors.B. hip abductors. Slow Stretch: Single joint deep muscles  5 minutes  II(length measuring from nuclear chain fibres)  Inhi.SENTHILKUMAR 24 . glenohumeral & shoulder girdle retractors. 04/12/12 C.Muscle Spindles Quick Stretch: Ia afferent  Facilitatory.

SENTHILKUMAR 25 .Vibration Mech vibrator  muscle on stretch  muscle spindle stim tonic vibratory reflex. 04/12/12 C. Cutaneous brushing prior to vibrator  effective.B.

Auto inhi to a non resisted repeated contraction.Golgi Tendon Organs(Ib) Contraction receptors. Fast glycolytic.B.SENTHILKUMAR 26 . Slow repeated Flexors & Adductorsstrong isotonic for extensors. Multiarthrodial. Inhi only for flexor not for extensors…………? 04/12/12 C.

shoulder bag athetosis.Mechanoreceptors Maintained pressure medial heel↑dorsiflexor. Pisiform pressure. Compression over concave part. 04/12/12 C. Pressure Heel of hand  normalization. 27 . Skin stimu over convex part.B.SENTHILKUMAR Prone on elbow . hand  rock forward & back. Skull to ischial  weighted cap.

04/12/12 C. Prone on tilting plinth .B.SENTHILKUMAR 28 .Labyrinthine System Head mvmt in vetical (revolving chair)  SCC  ↓postural tone & improves in bradykinesia. large ball  head rock up & down  activation of fast twitch muscles.

SENTHILKUMAR patients….B.. clear secretion from throat. Lemon juice  salivation swallowing . Rood’s  facili resp ms in unconscious 04/12/12 C. Quinine on back of tongue  ↓ tongue thrust. Optical righting reactions.? 29 .Special Sense Organs Nose & Mouth face & tongue mvmt. Ammonia  nose  ↓ Parkinson mask.

Timing Body position & activity.B. 04/12/12 C.SENTHILKUMAR 30 . Skin brushing precedes all other stimuli. Verbal coincide with stimuli(icing). Head control before swallow or speech therapy.

SENTHILKUMAR 31 .B.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. 04/12/12 C.

B.? 04/12/12 C.SENTHILKUMAR 32 .

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