Analyzing Mobility Flashcards
what are the key elements to analyze mobility?
how the pt initiates, executes, and terminates movement
what are 6 core tasks of movement analysis?
Sitting
Sit to Stand
Standing
Walking
Step-up/down
Reach/grasp/manipulate
what constructs do we analyze during movement analysis?
Symmetry
Speed
Amplitude
Alignment
Verticality
Stability
Smoothness
Sequencing
Timing
Accuracy
Symptom Provocation
what is symmetry?
Agreement of external kinetics and kinematics (R vs. L)
what is speed?
Rate of change or Velocity of segment/body from start to finish
what is amplitude?
Extent or range of movement to complete a task
what is alignment?
Relationship of Body segments to one another and BOS to achieve task
what is vericality?
Ability to orient the body in relationship to gravity
what is stability?
Sway, center of posture
what is smoothness?
Continual movement fashion without interruptions in velo or trajectory
what is sequencing?
Order of motor output to achieve a goal
what is timing?
Percentage of time devoted to movement
what is accuracy?
Freedom from error
what is symptom provocation?
Observation or patient report of symptoms
t/f: testing should be done with the least amount of assistance as able to complete the task safely
true
t/f: testing should be done at least 2x, except sitting and standing
true
what are some questions to ask yourself during a movement analysis?
- What are the normal requirements of the functional task being observed?
- How successful is the patient’s overall movement in terms of the intended outcome?
- What environmental factors must be considered?
if the expected outcome of the movement analysis is acheived, what should be done?
repeat the task at least once with progression as needed
if the expected outcome of the movement analysis is not achieved, what should be done?
repeat with task regression
what are the components of the initial conditions?
posture
integration with the environment
environmental context
what are the components of preparation?
stimulus identification
response
what are the components of initiation?
timing
direction
smoothness
what are the components of execution?
amplitude
direction
speed
smoothness
what are the components of termination?
timing
stability
accuracy
what is transitional mobility?
control during transitions between positions
what is stability?
static postural control
what is controlled mobility?
dynamic postural control
standing and reaching
what is skill?
consistent performance of coordinated, complex movement sequences
how can we regress a task to make it easier?
increased BOS
slow down the task
alter the surface height
involve verbal or physical prompts
provide physical assistance
add an AD, orthotics, or UE support
move to a quiet environment
how can we progress a task to make it harder?
decrease the BOS
decrease the time to complete it
add internal perturbations (head turn, marching)
add a dual task
alter the surface height or type (foam)
move to a loud, busy environment
add external perturbations
what kind of question is this:
what is happening?
descriptive
what kind of question is this:
why is this happening?
diagnostic
what kind of question is this:
what is likely to happen?
predictive
what kind of question is this:
what do we do about this?
prescriptive
our movement analysis diagnosis is based on what deficits?
Movement Pattern Coordination Deficit
Force Production Deficit
Sensory Detection Deficit
Sensory selection and weighting
Perceptual Deficit
Fractionated Movement Deficit
Hypermetria
Hypokinesia
Cognitive Deficit
