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NM PT > (1) Mvmt System Dx > Flashcards

(1) Mvmt System Dx Flashcards

1
Q

what are the 7 benefits to using the mvmt system dx?

A
  1. facilitate recognition of PT as a doctoring profession with mvmt expertise
  2. clarify treatment
  3. reduce variability/increase efficiency in practice
  4. aid in defining effective treatment strategies
  5. consistent terminology
  6. reduce documentation burden
  7. more cost effective
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2
Q

what are the 6 core tasks

A
  • sitting
  • standing
  • STS
  • step up/down
  • walking
  • reaching/grabbing/manipulating
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3
Q

what are the 8 Neuromuscular Mvmt System Dx?

A
  1. mvmt pattern coordination deficit
  2. force production deficit
  3. fractionated mvmt deficit
  4. postural vertical deficit
  5. sensory selection and weighting deficit
  6. sensory detection deficit
  7. dysmetria
  8. hypokinesia
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4
Q

what is the key impairment in MPCD

A

mild coordination deficit - deficits in timing and sequencing

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5
Q

which NM mvmt system dx has and inability to coordinate and inter-segmental task because of a deficit in timing and sequencing of one segment in relationship to another

A

MPCD

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6
Q

what is the typical medical dx for pts with MPCD

A

varied but tends to be higher level of function

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7
Q

the following key tests and signs are used for what mvmt system dx?
- postural responses poor or slow
- timing of mvmt is issue

A

MPCD

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8
Q

what is the intervention strategy for MPCD

A
  • increased limb use and mvmt speed/amplitude
  • refine mvmt strategies
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9
Q

you have a pt that is climbing stairs, and they are unable to lift their foot up onto the step. However, after some practice and some cueing about lifting the leg higher, they are successfully completing the task. What mvmt system dx is this?

A

MPCD

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10
Q

what mvmt system dx: performance improves with practice / instruction

A

MPCD

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11
Q

what is the typical outcome for a pt with MPCD

A

good/favorable

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12
Q

What mvmt system dx is being described:
- little/no m weakness
- generally fractionated mvmt
- no to mild spasticity
- no to mild sensory loss
- no to mild non-equilibrium coordination deficits
- inappropriate amplitude of mvmt affecting balance

A

MPCD

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13
Q

what score will a pt with MPCD have on the modified ashworth scale?

A

0-2

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14
Q

what is the key impairment for force production deficit

A

weakness

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15
Q

what medical dx are common with FPD

A

CNS or PNS lesion

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16
Q

what are the key tests and signs in a pt with FPD

A
  • strength testing < 3+ OR
  • can’t move thru full ROM OR
  • deterioration with m fatigue
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17
Q

what are the focus interventions for pts with FPD

A
  • resistance training
  • limb protection
  • short term or long term compensation
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18
Q

what is the outcome for pts with FPD

A

good or poor

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19
Q

what mvmt system dx is being described:
- fractionated mvmt may be difficult
- normal to mildly altered tone
- normal to mildly impaired sensation
- coordination bay be unable to test OR slow but accurate
- possible need for supportive structures

A

FPD

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20
Q

what is the key impairment for sensory detection deficit?

A

lack of joint position sense or multi-sensory failure

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21
Q

what medical dx are often associated with sensory detection deficit

A
  • those that affect JPS, vision, bilateral, vestibular loss
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22
Q

THe following are some key tests and signs for what mvmt system dx?
- decreased light touch/proprioception
- trouble with timing STS
- wide based gait
- difficulty in low light/eyes closed/uneven situations

A

sensory detection deficit

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23
Q

what is the intervention focus for sensory detection deficit

A

compensatory and adaptive strategies

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24
Q

what is the outcome for pts with sensory detection deficit

A

variable but often poor

25
Q

the following associated signs are common with what mvmt system dx?
- poor timing and coordination mvmt
- slow and clumsy
- some improvement with visual guidance

A

sensory detection deficit

26
Q

what is the key impairment in sensory selection and weighting deficit

A

decreased ability to screen and attend to appropriate sensory input

27
Q

the following are associated with what mvmt system dx?
- difficulty maintaining postural orientation
- positional instability
- complain of dizziness and/or visual motion sensitivity

A

sensory selection and weighting deificit

28
Q

what medical dx are common with sensory selection and weighting deficit

A

vestibular deficits
dizziness, visual sensitivity, spinning, vertigo, sensory avoidance, unsteadiness, stroke, MS, TBI, Etc.

29
Q

the following are key tests and signs of what mvmt system dx?
- increased sway
- greater instability with head mvmts
- rely heavily on hip strategies
- symptoms with smooth pursuits and saccades

A

sensory selection and weighting

30
Q

what is the intervention focus for pts with sensory selection and weighting deficit?

A
  • stability tasks in simple /complex environments
  • head turns
  • desensitization to visual flow info
31
Q

what is the outcome for sensory selection and weighting deficit

A

good - usually ambulate well with no or mild deficits

32
Q

the following are signs associated with what mvmt system dx?
- mvmt is fractionated and non-equilibrium coordination is intact
- may have + vestibular tests
- gaze aversion
- self stim behaviors

A

sensory selection and weighting

33
Q

what is the key impairment of postural vertical deficit

A

inaccurate perception of vertical orientation w/ resistance of correction of COM alignment

34
Q

what is the common medical dx associated with postural vertical deficit

A

stroke

35
Q

what are the common key tests and signs for postural vertical deficits

A
  • resistance to correction
  • may have neglect
36
Q

what is the intervention focus for postural vertical deficit

A
  • teach awareness of true vertical
  • increase awareness of involved side
  • COM over BOS
37
Q

what is the outcome for postural vertical deficit

A

variable - based on severity of cognitive/behavioral deficits

38
Q

the following are signs associated with what mvmt system dx?
- volitional mvmt is variable
- may have motor planning difficulty
- sensation may be lacking (LT and JPS)
- behavior may be impulsive or fear avoidant
- judgement = possibly poor or fear avoidance

A

postural vertical

39
Q

what is the key impairment for pts with Fractionated mvmt deficit

A
  • inability to fractionate mvmt
  • moderate or greater hyperexcitability
40
Q

what medical dx is associated with FMD

A

ALWAYS CNS (stroke, TBI, etc.)

41
Q

what are some key tests and signs associated with FMD

A
  • non-fractionated mvmt during functional tasks
  • dominated by synergy mvmt patterns
  • unable to make rapid reversals in mvmt
  • stiff gait
42
Q

what score on the Modified Ashworth scale will a pt with FMD demonstrate?

A

3-4

43
Q

what is the intervention focus for pts with FMD

A
  • maximize speed and endurance, and timing and amplitude of postural responses
  • pain free ROM
44
Q

what is the outcome for pts with FMD

A

Poor - depends on amt of antigravity strength

45
Q

the following signs are associated with what condition?
- associated reaction seen with effort
- lacks dissociation of m groups during activities
- compensatory gait signs
* stiffness of gait

A

FMD

46
Q

the following are signs associated with what mvmt system dx?
- scissoring
- assistive devices and AFO commonly needed
- reach is limited, minimal hand mvmt in grasp
- asymmetrical postural control is frequent

A

FMD

47
Q

what is the key impairment in DYsmetria

A

inability to grade forces appropriately for distance and speed of task

48
Q

what medical dx are commonly associated with dysmetria

A

most commonly associated with cerebellar dysfunction

49
Q

the following are key signs and tests associated with what mvmt system dx?
- overshoot with walk and reach
- poor termination phase of mvmt
- impaired non-equilibrium coordination

A

dysmetria

50
Q

what is the intervention focus for pts with dysmetria

A
  • simplify mvmts / reduce degrees of freedom
  • assistive devices
  • weighted vest
51
Q

what is the outcome like for pts with dysmetria

A

variable with compensation

52
Q

the following signs are associated with pts of what mvmt system dx?
- often need UE support to sit safely
- wide BOS / high guard
- variable foot placement and overshooting
- generally require assistance

A

dysmetria

53
Q

what is the key impairment in hypokinesia

A
  • slowness in initiating and executing mvmt
54
Q

what medical dx is often associated with hypokinesia

A

Parkinson’s Disease
- can also be stoke involving BG

55
Q

the following signs and tests are seen in pts with what mvmt system dx?
- trouble initiating OR slow mvmt
- lose balance backwards/retropulsion
- rigid with passive mvmts

A

hypokinesi

56
Q

what is the intervention focus for pts with hypokinesia

A
  • improve mvmt speed and amplitude
  • improve coordination and postural responses
57
Q

what is the outcome like for pts with hypokinesia

A

variable with compensation but generally poor

58
Q

the following signs are associated with what mvmt system dx?
- rigidity
- non-equilibrium coordination –> undershoots target, slow reciprocal mvmts
- peds –> delayed integration of early primitive reflexes

A

hypokinesia

NM PT (16 decks)

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