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(1) Labs Flashcards

1
Q

ability to orient body in relation to line of gravity

A

verticality

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2
Q

ability to control body COM in relation to BOS under quasi-static and dynamic conditions

A

stability

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3
Q

mvmt happening in continual fashion w/o interruptions in velocity or trajectory

A

smoothness

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4
Q

specific order of motor output to achieve intended goal of the action

A

sequencing

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5
Q

overall temporal structure of mvmt - % of time devoted to mvmt segments

A

timing

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6
Q

closeness of measured value to standard /freedom from error

A

accuracy

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7
Q

what two mvmt analysis terms are part of postural control

A

verticality and stability

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8
Q

what 4 mvmt analysis terms are part of coordination

A

smoothness, sequencing, timing, accuracy

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9
Q

what are 4 mvmt analysis terms that are observable constructs

A

symmetry, speed, amplitude, alignment

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10
Q

perfect agreement of kinetics and kinematics of mvmt b/w L and R

A

symmetry

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11
Q

rate of change or velocity of segment or body from task start to finish

A

speed

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12
Q

extent or range of mvmt used to complete a task

A

amplitude

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13
Q

biomechanical relationship of body segments to one another as well as base of support and environment, in order to achieve task at hand

A

alignment

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14
Q

observation/pt report of symptom mvmt that evokes particular response

A

symptom provocation

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15
Q

what stage of the mvmt continuum is not observable and indirectly assess understanding of instructions or task requirements

A

preparation

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16
Q

what stage of mvmt continuum looks at environment and starting posture

A

initial condition

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17
Q

describe the phases of the mvmt continuum

A

initial condition –> preparation –> initiation –> execution –> termination –> outcome

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18
Q

what 3 mvmt analysis tasks will you look for during the initiation stage?

A

timing, direction and smoothness

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19
Q

what 4 mvmt analysis tasks will you look for during execution phase

A

amplitude, direction, speed, and smoothness

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20
Q

what 3 mvmt analysis tasks do you look for during termination phase

A

timing, stability and accuracy

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21
Q

why do we perform mvmt analysis early?

A

inform tests and measure selection

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22
Q

what are the 4 underlying principles for mvmt analysis?

A
  • conduct in structured and environmentally controlled manner
  • consistency in assessment procedures
  • perform early to inform test and measure selection
  • generate hypothesis abt contribution fators
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23
Q

what order should you provide assistance?

A
  1. verbal cue
  2. tactile cue
  3. physical assistance
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24
Q

what are the 6 core tasks? which ones are static and which ones are dynamic

A

static - sitting, standing
dynamic - STS, walking, step up/down, reach/grasp/manipulate

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25
what are 3 types of balance/postural control
1. postural stability 2. anticipatory (feed forward) 3. reactive (feed back)
26
what are 3 underlying determinants of balance
- MSK system - NMSK system - cognitive/behavioral
27
what are the 3 main categories for balance dx
- deficit in steady state postural control - deficit in anticipatory postural control - deficit in reactive postural control
28
what 4 categories are within deficit in steady state postural control
- postural mvmt strategies - sensory processing - balance confidence - verticality
29
what 4 deficit categories can be present within anticipatory postual control
- postural mvmt strategies - sensory processing - balance confidence - executive function/multitask ability
30
what 2 deficits can be present in reactive postural control
- postural mvmt strategies sensorry processing
31
pts with postural mvmt strategy deficits will have impairments in what 4 things
- m performance - impaired ability to isolate body segment - tone - coordination
32
what 3 things are needed for STS
torque, stability, and ability to modify mvmts according to environment
33
how many phases of STS are there
4
34
what is phase one of STS
weight shift or flexion momentum (initiation phase)
35
what is phase 2 of STS
transition phase where you are getting forward/horizontal momentum --> vertical momentum - butt off chair, COM comes off surface of stability and needs to get over BOS
36
what is stage 3 of STS
lift or extension phase - goal = body upright
37
what is stage 4 STS
stabilization phase - termination
38
what is a momentum transfer strategy?
when you dont have enough force/strength to create a lift
39
what is the problem with momentum transfer strategies
requirements for stability increase
40
you see a pt rocking themselves forward and backward before standing up, what strategy are they using?
momentum transfer strategy
41
what is the zero momentum strategy
when the pt is so unstable that they are unable to use momentum to get up - move slowly and requires a lot of forward flexion
42
an increase in stability when using the zero momentum strategy means that there will also be an increase in ...?
strength requirements - may be difficult for pts with force production deficit
43
Modified Ashworth scale of what indicates FMD
3 or 4
44
the Motorneuron Response Assessment examines what?
hyperexcitability
45
what does hyperexcitability mean
term used to describe both tone and spasticity
46
persistent m activity at rest
rigidity
47
measure that reflects the pt's ability to move one joint w/o moving other joints
fractionated mvmt
48
what are the 6 general guidelines for assessing fractionated mvmt
1. sitting with back supported 2. check PROM 1st 3. instruction to perform isolated mvmts can be verbal or visual 4. note category mvmt corresponds 5. record additional info that may help interpret results 6. perform all tests on involved extremities
49
how many components are in the UE fractionated mvmt exam? what are they
1. shoulder 2. elbow 3. wrist 4. fingers 5. index finger
50
for the shoulder fractionated mvmt exam - the mvmt is fractioned when...?
pt can move thru at least 50% ROM w/o substitution or associated reactions
51
for elbow fractionated mvmt exam - mvmt is fractionated if ...?
pt moves elbow thru at least 50% ROM
52
what position should the forearm be in when checking FM of the elbow
neutral supination/pronation
53
for wrist FM exam - the mvmt is fractionated if the pt can ...?
flex/extend wrist thru 100% ROM
54
for the fingers and index finger FM exam - mvmt is fractionated if the pt can ...
fully flex and extend thru 100% ROM index finger must be done with other fingers flexed
55
how many sections are there for the LE fractionated mvmt exam? what are they?
1. hip 2. knee 3. ankle
56
for hip fractionated mvmt exam - mvmt is fractionated when ...
pt can flex hip at least 50% ROM when seated in chair with back
57
for knee fractionated mvmt exam - mvmt is fractionated when...
pt can move knee thru at least 50% extension when seated
58
for ankle FM exam - mvmt is fractionated when...
pt can DF ankle 100% ROM
59
how do we grade fractionated mvmt?
- each joint rated separately - complete task = "yes" - if unable to complete mvmt b/c they have no mvmt, must mark on data sheet
60
reaction that may appear in the affected extremity as generalized muscular tension without joint mvmt or as varying degrees of joint mvmt
associated reaction
61
what are 2 reactive perturbation tests
resist and release test lean and release test
62
what is the key you are looking for for a FMD
modified ashworth of 3 or 4
63
FMD is an inability to perform independent isolated mvmt due to ...
spasticity or tone NOT m weakness
64
what is a key when looking at a pt with mvmt pattern coordination dx
with verbal or tactile cueing, they improve - strength is usually good
65
what are some of the main issues that pts with mvmt pattern coordination deficit have?
issues with amplitude, speed, coordination within task
66
what is a key issue for pts with dysmetria
issues with termination of task
67
what is a good treatment option for pts with dysmetria?
weighted objects - utensils, vests, etc
68
what phase of gait do pts with hypokinesia have the most difficulty wiht?
initiation - but all phases really
69
why do we perform mvmt analysis with pts?
to help drive our treatment
70
the purpose of the bowline knot activity was to assess...
modeling vs verbal instructions
71
the purpose of the blinded beanbag toss was to assess...
feedback - KP or KR
72
the purpose of the bosu ball activity was to assess...
internal vs external focus of attention
73
the purpose of learning to tie a neck tie, fold a napkin and tie a shoelace with one hand was to assess...
blocked vs random practice

NM PT (16 decks)

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