Lecture 12 Movement Analysis Flashcards
What is a pathoanatomical diagnosis
The cause of the problem is structural
What is a pathokinesiologic diagnosis
The movement problem is caused by a pathoanatomic or pathophysiological problem
What is a kinesiopathic diagnosis
Abnormal movement is caused by a specific anatomical or physiological problem
What are the CORE TASKS of movement analysis
Sitting
Sit to stand
Standing
Walk and turn
Step up and down
Reach/grasp and manipulate
What are the 9 kinds of movement system diagnosis?
Movement pattern coordination deficit
Force production deficit
Fractionated movement deficit
Postural vertical deficit
Sensory selection and weighting deficit
Sensory detection deficit
Hypokinesia
dysmetria
Cognitive deficit
What is it called when a patient has a problem with coordinating a task?
Movement pattern coordination deficit
What kind of movement system diagnosis is this: pt quads are too weak to stand up
Force production deficit
What kind of movement system diagnosis is this: pt cant control movement in joints of their arm independently
Fractioned movement deficit
What kind of movement system diagnosis is this: pt relies too heavily on vision for balance and not enough on vestibular system
Sensory selection and weighting deficit
What kind of movement system diagnosis is this: patient is blind
Sensory detection deficit
What kind of movement system diagnosis is this: pt doesn’t move enough
Hypokinesia
What kind of movement system diagnosis is this: pt has trouble coordinating their limbs in straight line or going to a target
Dysmetria
What kind of movement system diagnosis is this: pt can’t understand the task
Cognitive deficit
What is the first thing assessed in the movement screen?
Whether the patient understands the task or not/ cognitive deficit
What scale is used to measure tone?
Modified ashworth scale
Note: ONLY FOR HYPERTONICITY, doesn’t include hypo
Muscle tone problems are a hallmark of what kind of movement system diagnosis?
Fractionated movement deficit - they’re too hypertonic to be able to separate their joint movement
Force production deficit - they’re too flaccid
Motor planning coordination deficit - mild
Non fractionated movement is likely to present with what kind of tone
Hypertonicity
Strength (MMT) and fatigue deficits are a hallmark of what kind of movement system diagnosis
Force production deficit
Non equilibrium coordination, problems with accuracy are a hallmark of what movement system diagnosis
Dysmetria
Somatosensory deficits and joint position sense are a hallmark of what movement system diagnosis
Sensory detection deficit
Contraversive pushing (pusher syndrome) And vertical orientation are hallmarks of what movement system diagnosis
Postural vertical deficit
Or
Sensory selection and weighting deficit
Backward dysequilibrium behavior is a hallmark of what movement system diagnosis
Postural vertical deficit
Examining sensation, vestibular symptoms and dizziness are hallmarks of what movement system disorder
Sensory selection and weighting
What steps of the movement continuum are examined in each task?
Initial conditions
Preparation
Initiation
Execution
Termination.
If the expected outcome of a task is achieved, what do you do next?
If it’s not achieved?
If achieved: repeat task at lease once with progression as needed
If not: repeat task with regression
What are the observable constructs included in movement analysis
symmetry
Speed
Amplitude
Alignment
Postural control
Verticality
Stability
Coordination
Smoothness
Sequencing
Timing
Accuracy
Symptom provocation
How can you progress and regress task with changes to the task?
Base of support
Speed of perturbation
Cognitive demands
How can you use environmental changes to progress or regress a task
Surface type or height
cueing
Physical assistance
External support
Environmental inputs
