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Margaret Rood

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Ali Hutton

on 24 October 2013

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Transcript of Margaret Rood

Margaret Rood &
The Rood Approach

Educational Background
Basic Schooling: Wisconsin & Minnesota
1928: Enrolled at Downer College in Milkwaukee
1932: Received Bachelor’s Degree
1933: Received Certificate in Occupational Therapy
Received Master’s Degree from Standford University & Certificate in Physical Therapy Approx. 1943-1953

Professional Background
1933-1936: Milwaukee County Asylum for Chronic Insane
After 1936: Moved to Indianapolis
Riley Hospital of the Indiana University Medical Complex
Supervisor of OT
1943: Started Education Program in Occupational Therapy at University of Southern California
1943-1952: USC Department of Occupational Therapy's Director
Professional Background
1944: Helped to initiate a War Emergency Program
Trained OTs for service during WWII
1952-1955: Elk’s Major Project in Palm Springs & Indio, CA
1956-1957: Rancho Los Amigos Hospital
1957-1972: University of California
Physical Therapy Department
1972: Retirement
Honors
Eleanor Clarke Slagle Lecture for AOTA in 1958
McMillian Lectureship from APTA in 1969
Distinguished Emerita Status at University of South Carolina in 1984


Margaret S. Rood
AKA “Roody”
1909-1984
Born in Wisconsin
Youngest of three children
All About
Margaret Rood

Eleanor Clarke Slagle Lecture
"Every One Counts"
Lectured on the “physical, emotional, intellectual and professional aspects in relation to selected principles of muscle reaction (Rood, 1958, p. 41).”
"It is important in development and growth that there be stimulation from without anfrom within so that autogenetic or self-igniting facilitation and inhibition be developed. There are many steps along the road but heavy work patterns of effort and stress must befaced and overcome before the finer, higher level patterns are possible (Rood, 1958, p. 46).
“May our journey as explorers in life be fruitful and satisfying, and increasingly stimulating mentally. Our physical age of maturity has definite limiits but our mental and spiritual age need not (Rood, 1958, p. 46).”

The Rood Approach
Developed in the 1950s
Sensorimotor Intervention Approach
Rood''s Philosophy: "the interaction of somatic, autonomic, and psychological factors and their interactions with motor activities (Montgomery & Connolly, 2003, p. 10)"
Treatment of Neurological Dysfunction with sensory stimuli
"One of the first that considered motor functions to be inseparable from sensory mechanisms.(Montgomery & Connolly, 2003, p. 10)."
Order of Activation of Muscle Groups

1. Reciprocal innervation—reflex activation for movement patterns using reciprocal innervation of proximal joints in the developmental sequence until voluntary movement without the reflex is achieved

2. Coinnervation—co-contraction of antagonists and agonists working together to stabilize the body beginning at the head and neck and working downward

3. Heavy work—movement superimposed on co-contraction

4. Skill—skilled work with emphasis on distal portions of the body that requires control from the highest cortical level
(Montgomery & Connolly, 2003)
Defining "Work"
Light work - movement with reciprocal inhibition of antagonists
voluntary movement
autonomic nervous system action.

Heavy work- holding or co-contraction of muscles that are antagonists in normal movement and that are used to provide a stable support of a joint in a fixed position.
(Montgomery & Connolly, 2003)
Types of Sensory Stimuli & it's Purpose
slow rolling
neutral warmth
deep pressure
tapping
prolonged stretch

Applied to muscles and joints
Inhibitory or facilitatory effect
Developmental Systems
Skeletal functions: activities of the head, neck, trunk, and extremities
Vital functions: vegetative, respiratory, and speech activities.
Both functions can be used to analyze the stages during which acquisition of the four levels of control occurs.
(Montgomery & Connolly, 2003)

Application of
The Rood Approach
Purpose: "to restore that component in the sequence in the manner in which would be normally acquired
(Montgomery & Connolly, 2003)."

Stroke Clients
(Noll, Bender, and Nelson, 1996)
TBI Clients
Adjunctive or Preliminary Intervention
Applicable at any age
References
Cromwell, F.S. (1985). In Memorium. American Journal of Occupational Therapy. vol. 39 (1). 54-55. doi: 10.5014/ajot.39.1.54.
Montgomery, P.C. & Connolly, B.H. (2003). Clinical Applications for Motor Control. NJ: Slack Incorporated.
Pendleton, H.M., & Schultz-Krohn, W. (2013). Pedretti 's Occupational Therapy: Practice Skills for Physical Dysfunction. MI: Elsevier Mosby.
Rood, M.S. (1958). Eleanor Clarke Slagle Lecture: Every One Counts. American Journal of Occupational Therapy. 12. 326-329 .

Limitations of the
Rood Approach
Sensory Stimuli:
passive in nature
short-lasting and unpredictable effect (Pendleton & Schultz-Krohn, 2013)
Being named Chair of OT Department at USC in 1943
(http://www.flickr.com/photos/uscosot/)
War Emergency OT Training
1944
(http://www.flickr.com/photos/uscosot)
Ali Hutton
OT 501
Dr. Haynes

(Cromwell, 1985)
Rood's Levels of Ontogenic Motor Patterns
1. Withdrawal-Supine
2. Roll Over
3. Pivot Prone
4. Cocontraction of Neck
5. On Elbows
6. On All Fours
7. Standing
8. Walking
(http://www.maisfisio.com.br/biblioteca/clinical_applications_for_motor_control.pdf)
Rood's Levels of Ontogenic Motor Patterns
Full transcript