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PTRS 853 Final > Examination & Tx of UE Function > Flashcards

Examination & Tx of UE Function Flashcards

1
Q

Model:

  • Define pt’s roles [participation]
  • What skills are needed [activities]
  • What resources does the pt have/lacks
  • Set goals related to functional recovery
A

Enablement Model

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2
Q

List factors that affect reach-and-grasp movements (6)

A
  • Size
  • Shape
  • Surface Texture
  • Object orientation
  • Distance form body
  • Location with respect to body
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3
Q

List the functional roles of the UE (6)

A
  • Balance [arm swing w/gait]
  • Point/Gesturing
  • WB
  • Reaching
  • Grasping
  • Manipulation
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4
Q

Theory: The process by which various brain and spinal centers work cooperatively to accommodate the demands of intended movements

A

Systems theory

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5
Q

When ___1___ movement is necessary to look at an object, the ____2____ of __3__ movement is usually only about ____4____ of the distance to the target.

A
  1. Head
  2. Amplitude
  3. Head
  4. 60-75%
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6
Q

The dorsal stream controls ___1___ of reaching and manual estimation tasks while the ventral stream controls ____2____.

A
  1. Action
  2. Perception
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7
Q

List the sensory systems involved in normal UE function (2)

A
  • Somatosensory input
  • Visual feedback
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8
Q

List the motor systems involved in normal UE function (8)

A
  • Multiple degrees of freedome
  • Reach/Grasp
  • ROM/Strength/Tone/Coordination
  • Posture [Scapula and Grasp Patterns]
  • Eye movement [Saccades]
  • Head/Trunk movement
  • Transport Hand {Thumbs, Hand Shape]
  • Postural Support
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9
Q

Movement during reaching is ___1___ than pointing. Preparing to __2__ an object entails the acceleration of reaching being ___3____ than the deceleration. While ___4___ entails the acceleration being ___5___ than deceleration [__6__ velocity when finishing movement.

A
  1. Longer
  2. Grasp
  3. Shorter
  4. Pointing
  5. Longer
  6. High
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10
Q

Coordination of Grasp (3)

A
  1. Close on an object by moving fingers [thumb stabilizes]
  2. Sensory info on object characteristics [weight, firm, slick, shape]
  3. Grasp patterns
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11
Q

Explain the trade off of Fitt’s Law

A

Speed-Accuracy Trade Off

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12
Q

UE Dysfunctions - Impairments (4)

A
  • Vision
  • Perception
  • Sensation
  • Proprioception
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13
Q

UE Dysfunctions - Abnormalities (2)

A
  • Tone [Syndergies and Stages]
  • Voluntary Movement [Strength and Coordination]
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14
Q

Reach Dysfunction (3)

A
  • Timing problems
  • Impaired inter-limb coordination [elbow/shld DoF]
  • Proximal weakness
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15
Q

Grasp Dysfunction (5)

A
  • Anticipatory hand shape
  • Grip force
  • Precision grip
  • Premature finger closure
  • Slow release
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16
Q

Neuro Recovery (3)

A
  • Proximal vs. distal motor control
  • Unilateral vs. bilateral function
  • Driven by active movement, task goals
17
Q

Neuro Assessment: Functional Performance Scales (6)

A
  • Motor Activity Log
  • Wolf Motor Function Test
  • Chedoke-McMaster Stroke/Hand and Arm Inventory
  • Box and Block Test
  • Arm Reaction Arm Test
  • Nine Hole Peg Test
18
Q

Shoulder Complications Post CVA (4)

A
  • Pain {RC, capsulitits, scap position, S/H rhythm, repeated trauma]
  • Learned non-use
  • Subluxation
  • CRPS [10-25%]
19
Q

Condition:

  • Chronic pain condition affecting te paretic arm/leg
  • Hand tenderness
  • Hypersensitivity
  • Swelling, warm, red, glossy skin
A

CRPS

20
Q

Tx for reduced scapular mobility post CVA (3)

A
  • Soft tissue scapular mobilization
  • Side-lying
  • Add active movements and/or PNF diagonals
21
Q

Tx of Hand Impairments (6)

A
  • Control swelling
  • Work on grasp function
  • Work on release function
  • Alien hand syndrome
  • Mm faciliation/inhibition
  • Hand positioning/splinting
22
Q

Task-Oriented Training (TOT) (3)

A
  • Treat impairments
  • Retrain strategy [eye/head coordination, reach, grasp, relese, manip]
  • Restore function
23
Q

Describe why the uninvolved UE may present with deficits in coordinatio, timing/speed, grip strength (4)

A
  • Bilateral cortical control
  • Component or corticospinal tract that doesnt not decussate
  • Cognitive deficits
  • Visual-perceptual deficits
24
Q

Constrained Induced Movement Therapy (CIMT) (4)

A
  • Overcome learned nonuse in stroke
  • Show changes in brain mapping
  • Restrict less-affected limb during waking hours
  • Improved motor and function that is maintained
25
Q

Cons of CIMT (3)

A
  • Pt. compliance
  • Safety
  • Reimbursement

PTRS 853 Final (10 decks)

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