ch 4 Flashcards

1
Q

Neuromusculoskeletal and Movement-Related Body Functions

A

 Joint Mobility
 Joint Stability
 Muscle Power
 Muscle Tone
 Muscle Endurance
 Involuntary Movement Reactions
 Gait patterns

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2
Q

 Performance Skills (Examples…)
 Motor Skills

A

 Bends
 Paces
 Coordinates
 Maintains
 Stabilizes
 Manipulates
 Endures
 Walks

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3
Q

Motor Behavior

A

 Motor development
 Motor learning
 Motor control
Motor development identifies the changes in movement behavior that occur as the client progresses through the lifespan from infancy until death.
 Includes events covering months and years
 Motor Milestones of the Developmental Sequence

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4
Q

Motor Behavior

A

Motor learning is also defined as the acquisition or modification of learned movement patterns over time.
 Includes events over hours, days, weeks
 Considers person, task, and environment
 Full discussion outside the scope of this text

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5
Q

Motor Behavior

A

Motor control is defined as the outcome of motor learning
involving the ability to produce purposeful movements of the
extremities and postural adjustments in response to activity and environment demands.
 Includes events over short time intervals
 Very similar concept to motor skills

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6
Q

Movement Characteristics
 Adaptive Motor Behaviors
 Abnormal atypical movement

A

 Characterized by the inability to produce the desired
movement strategy necessary to complete an activity or
occupation within generally accepted parameters
 Complete lack of movement options
 Examples include flaccid paralysis following stroke and not being able to write

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7
Q

Movement Characteristics
 Adaptive Motor Behaviors
 Normal atypical movement

A

 Reflects the motor behavior response of a client/individual
when typical movement strategies are temporarily or
completely no longer feasible
 Movement characteristics include awkward, inefficient,
uncoordinated, conscious thought; low complexity; limited
movement options; increased time needed; low joint angle;
one joint motion; low velocity; and low acceleration

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8
Q

Movement Characteristics
 Adaptive Motor Behaviors
 Normal typical movement

A

 Ability to access and select from numerous movement
possibilities to produce multiplanar, complex combinations of
movement
(Greene & Wolf, 1989)
 Movement characteristics include smooth; coordinated;
efficient; automatic;

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9
Q

Movement Characteristics
 Adaptive Motor Behaviors
 Normal (enhanced) typical movement

A

 Motor behavior allows for high efficiency, adaptability, and
consistency in performance of a task in a variety of
environments.
 Specific to the individual, task, and context.
 Quite often does not occur naturally

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10
Q

Posture

A

State of the body in relationship to gravity, the ground and
to its body parts or extremities.”

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11
Q

Postural Control:

A

The regulation of the body’s position in space for
the dual purpose of stability and orientation.”

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12
Q

anticipatory Postural Movements:

A

“Reflect movements of the trunk or posture in response to changes in task or environmental demands.”

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13
Q

Posture and Anticipatory
Postural Movements

A

 Stability refers to the ability to maintain the body in equilibrium.
 Center of gravity (COG) refers to the balance point of an object
where all sides are equal.
 Line of gravity (LOG) is the vertical line from the COG to the earth and base of support

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14
Q

Principles of stability

A
  1. Lowering the COG will increase stability.
  2. COG and line of gravity must remain in the base of support for stability.
  3. Increasing the base of support will increase the stability.
  4. Increasing the mass will increase the stability.
  5. Increasing friction between the object and surface will increase stability.
  6. Focusing on a spot will increase stability.
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15
Q

There are many different methods to assess movement.

A

 Amount of use and quality of use scales
 Range of motion (ROM)
 Manual muscle testing (MMT)

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16
Q

Levels to assess movement

A
  1. Action: Can the client complete activity?
  2. Movement: Movement strategies used
  3. Neuromotor process: Body functions impacting movement
17
Q

ROM

A

arc of motion through
which a joint moves.

18
Q

AROM.

A

describes the joint movements as the client alone moves a joint through the available ROM.

19
Q

PROM

A

on the other hand, refers to joint movement created by the OTA moving the extremity.

20
Q

AAROM

A

involves the therapist
manually assisting the client to move the joint; however, the client also activates some joint motion

21
Q

Measurement of ROM with goniometer

A

 Has moving arm, stable arm, and axis
 Use neutral zero method of ROM measurement
 0 to 180 degrees for possible normal ROM measurement
 25 to 180 degrees identifies ROM limitation at starting
position
 0 to 95 degrees for possible ROM limitation at end range
 A (-) “negative” sign can mean a loss of ROM at the starting
position
 A (+) “positive” sign can mean ROM past the starting
position for a joint extension or hyperextension

22
Q

Soft end feel:

A

The feel experienced when two muscle groups are
compressed

23
Q

Firm end feel

A

the feel experienced when a normal joint or
ligament is stretched

24
Q

Hard end feel

A

he feel experienced when two bones block motion

25
Q

Abnormal end feel

A

the feel experienced when the typical quality of feel is different.

26
Q

Introduction to Gross
Manual Muscle Testing

A

 MMT is graded on a scale from “0” to “5” where the MMT grade of “0” is equivalent to no muscular contraction or movement and the MMT
grade of “5” is equivalent to normal MMT strength.
 0 Zero
 1 Trace (T)
 2 Poor (P)
 3 Fair (F)
 4 Good (G)
 5 Normal (N)

27
Q

The steps of MMT include

A
  1. Positioning the client and extremity
  2. Stabilizing the joint
  3. Palpating appropriate joint muscle groups
  4. Observing muscle contractions
  5. Resisting muscles
  6. Grading strength