Motor Coordination - Class 8 Flashcards
motor exam
compare side to side
proximal to distal
voluntary movement
bilateral MMT
voluntary movement –> motor exam
isolated v. synergic
quality of movement
quality of movement –> voluntary movement –> motor exam
speed
amplitude
smooth v. rough
main players of the motor system
direct corticospinal tract
LMN
UMN signs
decreased mm strength
decreased dexterity
+ Babinksi sign
increased tone
hyperreflexia
LMN signs
final common path
loss of strength
loss of tone
loss of reflexes
atrophy
fasciculations
motor exam components
DTR testing
tone
babinksi
atrophy
arm drift
involuntary movements
DTR testing
scale
asymmetrical
bilateral decrease
decreased UE/increased LE
increase
DTR testing scale
0-5+ scale
biceps, brachioradialis, triceps, patellar, achilles
tone
hypotonic
hypertonic
rigidity cogwheel, lead-pipe
spasticity
what scale should we utilize with tone
ashworth scale
0, 1, 1+, 2, 3
modified ashworth scale
0, 1, 1+, 2, 3
0 –> modified ashworth scale
no increase in muscle tone
1 –> modified ashworth scale
slight increase in muscle tone
manifested by a catch and release or by minimal resistance at the end of the ROM
when the affected part (s) is moved in flexion or ext
1+ –> modified ashworth scale
slight increase in muscle tone
manifested by a catch, followed by minimal resistance to the remainder of the ROM
–> less than half
2 –> modified ashworth scale
more marked increase in muscle tone through most of the ROM
affected part(s) easily moved
3 –> modified ashworth scale
considerable increase in muscle tone
PROM difficult
involuntary movements
tremor
chorea
athetosis
tremor –> involuntary movements
intention
resting
intention –> tremor –> involuntary movements
cerebellar
resting –> tremor –> involuntary movements
BG (PD)
transfers
try and being watching as pt is called back to room
what should we check for –> transfers
check for multiple attempts
does the pt need to use their UEs
does the pt need assistance
posture
stooping
hyper-erect
lumbar lordosis
lumbar lordosis –> posture
pt hanging on hip ligaments
balance
sitting balance (static v. dynamic)
standing balance
special tests
