RT Book, Section A1 O'Sullivan, Susan B. A2 O’Sullivan, Susan B. A2 Schmitz, Thomas J. SR Print(0) ID 1186958271 T1 Interventions to Improve Motor Function T2 Improving Functional Outcomes in Physical Rehabilitation, 2e YR 2016 FD 2016 PB McGraw-Hill Education PP New York, NY SN 9780803646124 LK fadavispt.mhmedical.com/content.aspx?aid=1186958271 RD 2024/03/28 AB Careful examination and evaluation of impairments, activity limitations, and participation restrictions enable the therapist to identify movement deficiencies to target during rehabilitation. Restorative interventions focus on targeted movement deficiencies and utilize activity-based interventions and motor learning strategies. To be most effective, restorative interventions include three basic elements: (1) repetitive and intense practice of task-oriented, functional activities, (2) strategies that enhance active motor learning and adherence-enhancing behaviors, and (3) strategies that encourage use of more-impaired body segments while limiting use of less-impaired segments. During early recovery, patients with limited motor function who are unable to perform voluntary movements or have limited control (e.g., patients with stroke or traumatic brain injury [TBI]) may benefit from augmented intervention strategies. This is a more hands-on approach to training and includes guided, assisted, or facilitated movements. Neuromotor approaches such as Proprioceptive Neuromuscular Facilitation (PNF) and Neurodevelopmental Treatment (NDT) incorporate a number of strategies and techniques to promote movement. Patients with severe movement deficiencies, limited recovery potential, and multiple comorbidities and impairments (e.g., the patient with severe stroke and severe cardiac and respiratory compromise) benefit from compensatory intervention strategies designed to promote early resumption of function. Interventions include using altered movement strategies, focusing on using less-involved body segments for function, assistive devices, and environmental adaptation.