Introduction

Question 1

What are considered under the biopsychosocial model (BPSM) of health?

Answer 1

Biological
1. Physical health
2. Disability
3. Genetic vulnerabilities
4. Temperament (tgt w psycho)
5. IQ (tgt w. psycho)
6. Drug effects (tgt with social)

Psychological
1. Self-esteem
2. Coping skills
3. Social skills
4. Family rs (tgt with social)
5. Trauma (tgt with social

Social
1. Peers
2. Family circumstances
3. School

Mental health (all three intersects)

Question 2

What are the general principles of Movement Continuum Theory?

Answer 2

1. Movement is essential to human life.
2. Movement occurs son a continuum from the microscopic level to the level of the individual in society
3. Movement levels on the continuum are influenced by physical, psychological, social & environmental factors

Question 3

What are the physical therapy principles of the Movement Continuum Theory?

Answer 3

1. Movement levels on the continuum are interdependent.
2. At each level of the continuum there is a maximum achievable movement potential (MAMP) - influenced by MAMP at other levels & physical, social, psychological & env. factors
3. Within the limits. set by the MAMP, each has a preferred movement capability (PMC) & current movement capability (CMC)
4. Pathological & developmental factors have the potential to change the MAMP and/or create a differential between the PMC and CMC
5. Focus of physical therapy is to minimize the potential and/or existing PMC/CMC differential
6. The practice of physical therapy involves therapeutic movement, modalities, therapeutic use of self, education, and technology & env. modifications

Question 4

E.g. of MAMP, PMC, CMC

Answer 4

E.g. Running
MAMP (max achievable movement potential): Max speed they can run

CMC (Current movement capability): I’m running at this pace but I can run even faster (MAMP)

PMS (preferred movement capability): I want to stroll

Question 5

What are the 6 movement dimensions?

Answer 5

1. Flexibility
2. Strength
3. Accuracy
4. Speed
5. Adaptability
6. Endurance

Question 5

In some cases, PMC might be more than CMC

Answer 5

E.g. stroke
Want to run (PMC) but can only walk (CMC)

Question 6

What is flexibility?

Answer 6

• Extent & ease of movement at joints to reach next step (e.g. steps)
• ligament, muscle, soft tissue, fibrous tissue, joint capsule

Question 7

What is strength?

Answer 7

• Force to propel or withstand against forces to lift mass
• muscle man

Question 8

What is accuracy?

Answer 8

• Attainment of target position on each step (e.g. steps)
• Coordination
• Cerebellum usage (e.g. cerebellar disease/cerebellum stroke can affect

Question 9

What is speed?

Answer 9

• Velocity of doing something
• E.g. gait speed (can predict if patient will fall in next few months)

Question 10

What is adaptability?

Answer 10

• Change when unexpected step height/texture is encountered (e.g.steps)
• Can affect accuracy
• Where your limbs are in relation to space

Question 11

What is endurance?

Answer 11

• Persistence of ascent up all steps without flagging (e.g. climbing stairs)
• Heart + lungs + circulation