ICF Model, Movement System, Pt Management Model Flashcards
what level do expert clinicians function at
metacognitive level
what are the stages of the patient management model
examination
evaluation
diagnosis
prognosis
intervention
outcomes
what are the 5 categories of the ICF Model
body functions/structures
activities
participation
environmental factors
personal factors
ICF: aerobic capacity/endurance, assistive technology, balance, circulation, cranial and peripheral N integrity, gait, integumentary integrity, joint, mental functions, mobility, muscle performance, pain, posture, ROM, reflex integrity, sensory integrity, skeletal integrity, ventilation and respiration
body functions and structures
ICF: community, social, civil life, education life, self care and domestic life, work life
participation
ICF: products and technology, natural environment and human made changes to environment, support and relationships, attitudes, services/systems/policies
environmental factors
ICF: age, gender, race, educational levels, copying styles, economic status, support
personal factors
what is PT specific and is how we frame decision making and PT dx for functional impairment with movement
movement system
original movement system model
endocrine
nervous
cardiovascular
pulmonary
integumentary
MSK
new 4-item movement system
motion
force
motor control
energy
describe motion in movement system
- passive movement
- Related to the length of tissues, mechanical cx’s, tissue tension (hyper/hypo/normal)
- Assessed via PROM, accessory motion, special testing
- Interventions depend on nature of problem: need for stretching shortened structures, reducing neural tension/hypertonicity
describe force in movement system
- producing movement
- Ability of contractile and noncontractile tissues to produce movement and provide stability around joints
- Assessed via MMT, isokinetic testing, dynamometry
- Interventions specific to impairment (strengthening)
describe energy in movement system
- ability to perform repeated movements
- Integrated function of CV, pulmonary, endocrine, and NM systems
- Assessed via CV testing (6 MWT, 2 MWT, BCTT), RPE, time
- Addressed via aerobic training
describe motor control in movement system
- planning, executing and adaption of goal directed movement
- Receive and process task-specific input (visual, vestibular, somatosensory); select, plan and execute movement to accomplish goal
- Relies on intact sensory motor pathways, perception, cognition (feedforward/feedback)
- Assessed via observation of task analysis, coordination, precision, movement quality, coordination, balance/gait, sensory testing
- Addressed via task-oriented practice
CASSS
control
amount
speed
symmetry
symptoms
