Kinematic Deviations

Question 1

List the kinematic deviations and impairments for STS

Answer 1

DECREASED ANKLE DF -strength, sensation, passive ankle DF
DECREASED FORWARD INCLINATION - strength hip flex/ext, strength all LL ext, sensation
DECREASED WB AFFECTED LEG - strength LL ext, coordination, sensation
DECREASED HIP EXT IN FINAL ALIGNMENT - strength hip ext/soleus, coordination LL ext, sensation, hip ext ROM
DECREASED KNEE EXT IN FINAL ALIGNMENT - strength knee ext/PF, coordination LL ext, sensation, passive knee ext ROM

Question 2

Describe kinematic deviations for sitting

Answer 2

FALLING TO AFFECTED SIDE - strength LL ext, coordination, sensation, loss of orientation to vertical
DECREASED WB AFFECTED SIDE - strength LL ext, coordination, sensation
DECREASED ABILITY TO REACH BEYOND ARMS LENGTH - strength LL ext, decreased sensation

Question 3

List kinematic deviations for standing

Answer 3

FALLING TOWARDS AFFECTED SIDE - strength LL ext, hip abd, coordination LL ext, decreased sensation
DECREASED WB THROUGH AFFECTED SIDE - decreased strength LL ext, hip abd, coordination, sensation
DECREASED HIP EXT - strength hip ext, PF, coordination, sensation, decreased PROM
DECREASED KNEE EXT - strength knee ext esp inner range, coordination, sensation, PROM knee ext

Question 4

List kinematic deviations for walking

Answer 4

DECREASED ANKLE DF MS->HO
DECREASED KNEE EXT MS
KNEE HYPEREXT MS
DECREASED HIP EXT MS->TO
DECREASED PF HO->TO
DECREASED/INCREASED HIP ADD IC->MS
DECREASED DF SWING
DECREASED HIP FLEX SWING

Question 5

List kinematic deviations for reaching

Answer 5

DECREASED SHOULDER FLEX - strength/coordination flex/ext rot, decreased PROM ext rot
DECREASED SHOULDER EXT ROT - as above
DECREASED ELBOW EXT - strength elbow ext, decreased ROM
DECREASED SUPINATION - strength supinators, coordination supi/pron, decreased ROM

Question 6

List kinematic deviations for manipulation

Answer 6

DECREASED WRIST EXT
THUMB ABD/CONJOINT ROTATION
DECREASED MCP FLEX/EXT
DECREASED OPPOSITION 4th/5th FINGERS/CUPPING OF HAND
DECREASED FORCE 2nd FINGER WITH IP EXT
DECREASED FORCE MODULATION
DECREASED INDIVIDUALISATION OF FINGERS