ROOD’S APPROCH
DR. DISHA DALAL
NEURO MPT
Gold Medalist
AIMS
The work of Margaret rood evolved from
developmental and neurophysiologic literature
of 1930.
BECAUSE OF THIS LITERATURE
, IT WAS BELIEVED THAT
1. motor out put is dependent upon
sensory input.
2. motor response follow a normal
development sequence.
GOALS OF ROOD’S
THEORY
1. Normalize muscle tone.
2. Treatment begins at the
developmental level of functioning.
3. Movement directed towards the
functional goal.
4. Repetition is necessary for the re-
education of muscular response
GOALS OF ROOD’S
THEORY
Normalize muscle tone
Pt with neurological dysfunction may
have muscle tone ranging from
hypotonic to hypertonic
Roods recognized this “muscles have
different duties”
Some muscles used for heavy work and
others for light work.
The light work muscles are the flexors &
adductors used for skilled movement.
The heavy work muscles are the
extensors and abductors used for
postural support
“the heavy work muscles are
activated before the light work
muscles”
Muscles have different duties
Heavy work muscles should be
integrated before light work muscles
Rood’s techniques seek to reduce spasticity ,
stimulate flaccid muscles, increased soft tissue
range, to provoke normal postural reaction.
FACILITATO
RY
TECHNIQUE
:
• Light moving touch
• Fast brushing
• Icing
• Proprioceptive
facilitatory
technique
1) LIGHT MOVING TOUCH
Touch is Important for normal growth &
development.
Sends input to limbic structure.
Increased corticosteroids levels in blood stream.
Corticosteroids- increasing resistance against disease,
tissue repair, & fluid and electrolyte balance.
PROCEDURE:
Light moving touch Applied with a finger tips, camel
hair, brush, cotton swab-apply 3-5 strokes and allow
30 seconds of rest between strokes to prevent over
stimulation.
The stimulus is applied several times in a Medline to
lateral direction.
Applied to areas of high tactile receptor density
(hands, feet, lips)that are more sensitive to
stimulation.
2) FAST BRUSHING
STIMULUS:
Stimulates c fibers which send many collaterals in the
reticular activating system.
Its maximal effect 30 minutes after stimulation.
Spicer and matyas compared brushing & icing found
that brushing to be a better stimulus than icing.
.
PROCEDURE:
Stimulus Applied for 3 to 5 seconds and repeated
after 30 seconds.
ICING
Icing is an extreme in thermal facilitation and has
been used for facilitation of muscle activity and
autonomic nervous system response.
Quick icing
Used for patients who exhibit hypotonia and are in
a state of relaxation
PROCEDURE:
The ice is applied to the skin in 3 quick swipes and
water blotted with a towel between swipes.
RESPONSE:
To elicit withdrawal response of the limbs, the ice is
applied to the dorsal web spaces or the palms and
soles of the hands and feet.
Ice also alerts the mental processes if applied to the
palmar surfaces of the fingertips.
CONTRAINDICATIONS:
Ice should never be applied above the neck to the
trigeminal nerve distribution or to the pinna of the
ears.
Not be applied along the midline axis of the body.
Avoided in patient with a history of cardiovascular
problems.
If ice applied behind the ear, can facilitate a sudden
lowering of blood pressure.
PROPRIOCEPTIVE FACILITATORY
TECHNIQUES
TECHNIQUES
1) Heavy joint compression
2) Stretch
3) Resistance
4) Tapping
5) Vestibular stimulation
6) Therapeutic vibration
HEAVY JOINT COMPRESSION
Joint awareness may be improved by
joint compression which will lead to
enhanced motor control. Receptors in
joint & muscle s are involved in with the
awareness of joint position & movement
which are stimulated by joint
compression.
Joint compression have both facilitatory
& inhibitory effects.
STRETCH
Stretch is a physiologic stimulus used to
activate the proprioceptors in selected
muscle of the body.
Stretch may be applied in a number of
ways.
The type of stretching used include:
Fast/quick stretch
Prolonged stretch
INHIBITORY
TECHNIQUES
To decrease capacity to initiate a movement
response through altered synaptic potential
GENTAL SHAKING OR ROCKING
Rhythmical circumduction of the head
and slight approximation is given can
also be used in the UE and LE
SLOW ROLLING
Pt is rolled slowly from a SL position to
prone and back in a rhythmical pattern;
use on both sides of the body.
NEUTRAL WARMTH
Stimulus – Retention of body heat.
Response – Generalized inhibition of
tone; warming produce a calming effect ,
relaxation and reduction of pain. Affects
the temperature receptors in the
hypothalamus and PSNS, used for pxs
with hypertonia. Px in recumbent and
wrapped with a blanket for 5-20 minutes.
Pt feels relax and decreased in tone
SLOW STROKING
Pt prone while the therapist provides a
rhythmical, moving deep pressure over
the dorsal distribution of the posterior
rami of the spine; done from occiput to
coccyx and alternated and should not
exceed 3 minutes because it causes a
rebound phenomenon
TENDINOUS PRESSURE
Manual pressure applied to the tendon
insertion of a muscle; can be used in
spastic or tight mm
APPROXIMATION
Jt compression less than or equal BW to
inhibit spastic mm around the joint
MAINTAINED STRETCH
Positioning in the elongated position to
cause lengthening of the mm. Spindle to
reset the afferents of the mm spindle to a
longer position so they become less
sensitive to stretch
Thank
you