8527715 Roods Approach

04/10/23 C.B.SENTHILKUMAR 1

ROOD APPROACHMuscles 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 ?


Muscle WorkLight :

Phasic.

Fast glycolytic.

Superficial.

Multiarthrodial.

Heavy:

Tonic.

Slow oxidative.

Deep.

Single joint muscle.


Fusiform or strap. Small area

attachment.

Active↑Blood supply.

High metabolic cost.

Rapidly fatigue.

Flexors & Adductors.

Pennate.

Large area attachment.

All time rich in blood.

Low metabolic cost.

Slow fatigue.

Extensors & abductors.


To normalize the muscle toneFacilitatory 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.


FacilitationLight Work:

Quick stretch.

Unpleasant stimuli.

Pain stimu(Nociceptors).

Lips, tongue, feet, palm.

SCC(head movement).

Heavy Work:Quick stretch.

Joint compression.

Pressure wt. bearing.

Resistance.

Utricle & 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.


Goals

Communication.

Manipulative skills.

Gross motor function.


Examination Sensation.

Perception.

Postural reaction.

Quality of movement.

Muscle tone.

Circulatory defects.


Sequences in Gross Motor DevelopmentA1:

Supine.

Withdrawal pattern.

Total flexion.

Tonic heavy work.

Reciprocal innervation.

Bilateral.

Centered at 10th

thoracic vertebrae.


A2:

Roll over.

Flexion top arm & leg.

Phasic movement.


A3:Pivot pattern.

Total extension.

Reciprocal innervation.

Bilateral.

Cen at 10th vertebrae.


B. Fixed Distal Segments B1:

Neck Co contraction, Vertebral extension.

For head & neck hyperkinesia.

To stabilise eyes if nystagmus.


B2:Forearm support.

Gleno humeral joint alignment.


B3:All fours.

B4:Sitting.

Pressure on knees through to heels Auto facilitation.


C:

Movement over fixed distal segment.

To ↑ Dynamic

stability.

Rock side to side, back and forward.

Turning movements.

D:

Skilled movement distal end of limbs free.

To ↑ mobility.

Reaching , Crawling, Walking.

Objective & Functional.


Movement Control SequenceFlexion.

Extension.

Adduction.

Abduction.

Rotation.


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 ).


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).


Brief Cold ApplicationQuick wipe with ice cube.

Warm limb.

Immediate & most effective.

Limb Extensors.

To palm of hand ↑ mental process.

Lips , tongue suck, swallow, speech.


Slow Stroking

Neck to sacrum over centre of back ↓

chorea athetosis or excessive muscle tone.

Rhythmically for 3 minutes.


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.


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.


Muscle SpindlesQuick 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.


Vibration

Mech vibrator muscle on stretch muscle spindle stim tonic vibratory reflex.

Cutaneous brushing prior to vibrator effective.


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…………?


Mechanoreceptors Maintained pressure medial heel↑dorsiflexor.

Pressure Heel of hand normalization.

Pisiform pressure.

Skull to ischial weighted cap, shoulder bag athetosis.

Skin stimu over convex part.

Compression over concave part.

Prone on elbow , hand rock forward & back.


Labyrinthine SystemHead 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.


Special Sense OrgansNose & 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.

Rood’s facili resp ms in unconscious patients…..?04/10/23 C.B.SENTHILKUMAR 29

Timing Body position & activity.

Head control before swallow or speech therapy.

Skin brushing precedes all other stimuli.

Verbal coincide with stimuli(icing).


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.


?


Thank U


8527715 Roods Approach

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