Examination Flashcards

Question

motor assessment:

Answer 1

identify what they move and how the accomplish each movement - isometric - eccentric - concentric assess movement, posture and where the movement is initiated from ways to test: - MMT - movement in planes - placing and holding - Brunstrom/ Fugl-Meyer staging - motor development sequence

Answer 2

stage I = flaccidity, central shock stage II = associated movements, little tone, general hypotonic- "overflow" (effort = >associated movements) stage III: flexion synergy pattern/ extension synergy pattern stage IV-V: basic movements of synergy patterns stage VI: full isolated movement (MMT)

Answer 3

1-mobility- ability to assume position 2-stability- ability to maintain position 3- controlled mobility- weight shifting in position 4- skilled- can do a functional activity in the position standardized tests: - Fugl myer - Motor assessment scale

Answer 4

control movement of the COM relative to stability limits in order to maintain equilibrium or stability

Answer 5

area in which the COM can be moved safely without changing the BOS Mechanical: area of stability determined by the biomechanics of the individual, environment and task Perceived: area of stability in which individuals perceive themselves to be stable (what you are testing)

Answer 6

Absent Poor = (document amount of assistance required) Fair- = can sit/stand w/ UE support mat/walker Fair = can sit/stand consistently w/out UE support or assistance Good- = 1/4 active weight shifting Good = 1/2 active weight shifting Good+ = 3/4 active weight shifting Normal = full active weight shifting

Answer 7

motor strategy: automatic (latency response 100 ms, too long for simple stretch reflex but too short for voluntary) - ankle strategy - hip strategy - stepping response sensory strategy: (vestibular, visual, proprioception) the way in which the CNS combines and "weighs" sensory info from vision, vestibular and somatosensory sources (foam and dome/balance master) can use Romberg - knocks out visual & uses proprioception CTSIB test= clinical test of sensory integration of balance "foam and dome"-- separates the 3 systems

Answer 8

Righting: baby- if you turn their head their body follows (opposite direction of weight shift) Equilibrium Protective: same direction of weight shift

Answer 9

balance and mobility assessment Berg balance test Functional reach Balance master Get up and go Mini BEST

Answer 10

smooth, accurate purposeful movement brought about by the integrated action of many muscles, superimposed upon a basis of efficient postural activity, monitored primarily by sensory input Gross motor coordination Fine motor coordination

Answer 11

includes evaluation of body posture, balance and extremity movements involving large muscle groups

Answer 12

evaluation of extremity movements concerned with small muscle groups (manipulation of objects with hands or finger dexterity which involves skillful, controlled manipulation of small objects)

Answer 13

``` speed control steadiness response orientation reaction time ```

Answer 14

increased speed of performance does not affect level (quality) of motor performance

Answer 15

continuous and appropriate motor adjustments can be made if speed and direction are changed (the ability to correctly judge movement and diastase as in following a target). movements are direct, accurate and easily reversed, initiated and ceased

Answer 16

maintenance of position or posture or body or specific extremities, without swaying, tremors or extra movements

Answer 17

correct movement occurs in response to stimulus, usually verbal (involves memory, cognition, and motor planning)

Answer 18

movement occurs within a reasonable or normal amount of time (may involve initiation)

Answer 19

alternate or reciprocal motion- the ability to quickly reverse movement from agonist to antagonist ``` adiadochokinesia= loss of ability dysdiadochokinesia= impaired ability ``` ``` finger to nose finger to finger alternate finger to nose, finger to finger finger opposition alternate supination/pronation patting (hand) tapping (foot) heel to knee to toe (shin slides) ```

Answer 20

synergy of movement- ability to perform movement achieved by muscle groups acting together ``` asynergia= loss of ability dyssynergia= impaired ability ``` ``` finger to nose finger to finger heel to knee to toe pointing past pointing throwing a ball kicking a ball walking ```

Answer 21

=ability to judge distances and speeds of movement ``` ametria = loss of ability dysmetria = impaired ability ``` ``` finger to nose finger to finger heel to knee to toe pointing past pointing toe to examiner's finger drawing a circle making a figure eight with foot ```

Answer 22

= ability to hold a posture of individual parts of the body UE: patient holds both arms horizontally in front of him (first with eyes open and then with eyes closed) LE: supine- patient raises one leg at a time, holds and lowers slowly (guard patient for possible loss of control. sitting- patient holds knee extended

Answer 23

note any swaying or unsteadiness of posture during the following activities: - rising from a supine position to a sitting position w/o the use of one's hands - rising from a sitting position to a standing position - standing, laterally flexing the trunk to each side - standing, bending forward and returning to the upright position - standing, slightly extending the head and trunk - walking, placing the heel or one foot directly in front of the toe of the opposite foot - walking along a straight line - walking sideways (braiding) - stopping and starting abruptly while walking - climbing stairs - Mexican hat dance assess activities for unilateral, ipsilateral, contralateral, bilateral, symmetrical, bilateral asymmetrical, bilateral unrelated (UE's and LE's performing dissimilar activities simultaneously), and 4 limb activities

Answer 24

analysis functional capabilities, amount of assistance required: - supine to sit - sit to supine - sit to stand - transfers - wheelchair mobility - ADL's - ambulation - stairclimbing - ADL's

Answer 25

bed mobility transfers ambulation w/c mobility and management