Lecture 12 Movement Analysis

Question 1

What is a pathoanatomical diagnosis

Answer 1

The cause of the problem is structural

Question 2

What is a pathokinesiologic diagnosis

Answer 2

The movement problem is caused by a pathoanatomic or pathophysiological problem

Question 3

What is a kinesiopathic diagnosis

Answer 3

Abnormal movement is caused by a specific anatomical or physiological problem

Question 4

What are the CORE TASKS of movement analysis

Answer 4

Sitting

Sit to stand

Standing

Walk and turn

Step up and down

Reach/grasp and manipulate

Question 5

What are the 9 kinds of movement system diagnosis?

Answer 5

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

Question 6

What is it called when a patient has a problem with coordinating a task?

Answer 6

Movement pattern coordination deficit

Question 7

What kind of movement system diagnosis is this: pt quads are too weak to stand up

Answer 7

Force production deficit

Question 8

What kind of movement system diagnosis is this: pt cant control movement in joints of their arm independently

Answer 8

Fractioned movement deficit

Question 9

What kind of movement system diagnosis is this: pt relies too heavily on vision for balance and not enough on vestibular system

Answer 9

Sensory selection and weighting deficit

Question 10

What kind of movement system diagnosis is this: patient is blind

Answer 10

Sensory detection deficit

Question 11

What kind of movement system diagnosis is this: pt doesn’t move enough

Answer 11

Hypokinesia

Question 12

What kind of movement system diagnosis is this: pt has trouble coordinating their limbs in straight line or going to a target

Answer 12

Dysmetria

Question 13

What kind of movement system diagnosis is this: pt can’t understand the task

Answer 13

Cognitive deficit

Question 14

What is the first thing assessed in the movement screen?

Answer 14

Whether the patient understands the task or not/ cognitive deficit

Question 15

What scale is used to measure tone?

Answer 15

Modified ashworth scale

Note: ONLY FOR HYPERTONICITY, doesn’t include hypo

Question 16

Muscle tone problems are a hallmark of what kind of movement system diagnosis?

Answer 16

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

Question 17

Non fractionated movement is likely to present with what kind of tone

Answer 17

Hypertonicity

Question 18

Strength (MMT) and fatigue deficits are a hallmark of what kind of movement system diagnosis

Answer 18

Force production deficit

Question 19

Non equilibrium coordination, problems with accuracy are a hallmark of what movement system diagnosis

Answer 19

Dysmetria

Question 20

Somatosensory deficits and joint position sense are a hallmark of what movement system diagnosis

Answer 20

Sensory detection deficit

Question 21

Contraversive pushing (pusher syndrome) And vertical orientation are hallmarks of what movement system diagnosis

Answer 21

Postural vertical deficit

Or

Sensory selection and weighting deficit

Question 22

Backward dysequilibrium behavior is a hallmark of what movement system diagnosis

Answer 22

Postural vertical deficit

Question 23

Examining sensation, vestibular symptoms and dizziness are hallmarks of what movement system disorder

Answer 23

Sensory selection and weighting

Question 24

What steps of the movement continuum are examined in each task?

Answer 24

Initial conditions

Preparation

Initiation

Execution

Termination.

Question 25

If the expected outcome of a task is achieved, what do you do next?

If it’s not achieved?

Answer 25

If achieved: repeat task at lease once with progression as needed

If not: repeat task with regression

Question 26

What are the observable constructs included in movement analysis

Answer 26

symmetry
Speed
Amplitude
Alignment
Postural control
Verticality
Stability
Coordination
Smoothness
Sequencing
Timing
Accuracy
Symptom provocation

Question 27

How can you progress and regress task with changes to the task?

Answer 27

Base of support

Speed of perturbation

Cognitive demands

Question 28

How can you use environmental changes to progress or regress a task

Answer 28

Surface type or height
cueing
Physical assistance
External support
Environmental inputs