Rood’s Approach

1. Ramesh debur

2. Understanding of the brain functioning
Gives a direction to treatment
Ability to understand concepts in practice
Deeper understanding of treatment and
effects
Ability to detect change in status early

3. Theoretical concepts that help CNS functions
To some extent based on practical knowledge
Understanding morphology using physiology
Brain recovers the way it developed from birth
Informed assumption to established facts

4. Muscle Re-education Approach (1920s)
Neurodevelopmental Approaches (1940-70s)
Sensorimotor Approach (Rood, 1940s)
Movement Therapy Approach (Brunnstrom, 1950s)
NDT Approach (Bobath, 1960-70s)
PNF Approach (Knot and Voss, 1960-70s)
Motor Relearning Program for Stroke (1980s)
Contemporary Task-Oriented Approach
(1990s)

6. Hirerchial theory
Top to bottom approach
Normalization of muscle tone
Mobilizers and stabilizers
Voluntary movement based on reflexes and
uses reflexes to augment motor response

7. Development cephalocaudal
 therefore treatment is
◦ toe to head
◦ flexors >extensors> abductors > adductors
Movement is towards function
Repetition is necessary

8. 
LR and labyrinthine responses can affect sensory
stimulation

Three basic observations
◦Stimulation of receptors - Homeostatic response via ANS
◦Reflexive and protective response via brainstem, ANS and
Spinal circuits
◦Adaptive response that require greater integration of higher levels
of CNS

9. 1. fast brief stimulus – large synchronous
motor output
2. fast repetitive – maintained response
3. maintained sensory – maintained motor
response
4. slow rhythmical sensory – deactivates
body and mind

10. PNF :
Steady joint compression
Stretch
Light touch moving
Fast brusing
Icing

11. Resistance
Vestibular stimulation :
positioning etc
Intrinsic stretch
Secondary ending
stretch
Stretch pressure

12. Normal warmth
Gentle shaking or walking
Slow stroking
Slow icing

13. Uses

Uses
Modulate muscle tone
Re educate movements
Pure sensory feed back
Make patient aware “aware” of the joints
Alter reflex patterns

14. Slow rolling
Light joint compression
Tendionus pressure
Maintained stretch

15. AdvantagesAdvantages
Strong reactions ( if used properly)
Transient responses
Does not require the cooperation of the
patient as the responses are automatic
Easy to apply
Immediate outcome

16. Disadvantages

Disadvantages
No responses under altered conditions
No Long term effects
Very less evidence in support
Change of thinking
Change of knowledge base has outdated
this method as a standalone therapy

17. SummarySummary
Elementary method of treatment
Uses body responses to cause change
Action - Reaction principle
Can be used in the initial phases of
recovery