Motor Coordination - Class 8 Flashcards

1
Q

motor exam

A

compare side to side

proximal to distal

voluntary movement

bilateral MMT

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2
Q

voluntary movement –> motor exam

A

isolated v. synergic

quality of movement

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3
Q

quality of movement –> voluntary movement –> motor exam

A

speed

amplitude

smooth v. rough

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4
Q

main players of the motor system

A

direct corticospinal tract

LMN

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5
Q

UMN signs

A

decreased mm strength

decreased dexterity

+ Babinksi sign

increased tone

hyperreflexia

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6
Q

LMN signs

A

final common path

loss of strength

loss of tone

loss of reflexes

atrophy

fasciculations

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7
Q

motor exam components

A

DTR testing

tone

babinksi

atrophy

arm drift

involuntary movements

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8
Q

DTR testing

A

scale

asymmetrical

bilateral decrease

decreased UE/increased LE

increase

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9
Q

DTR testing scale

A

0-5+ scale

biceps, brachioradialis, triceps, patellar, achilles

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10
Q

tone

A

hypotonic

hypertonic

rigidity cogwheel, lead-pipe

spasticity

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11
Q

what scale should we utilize with tone

A

ashworth scale

0, 1, 1+, 2, 3

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12
Q

modified ashworth scale

A

0, 1, 1+, 2, 3

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13
Q

0 –> modified ashworth scale

A

no increase in muscle tone

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14
Q

1 –> modified ashworth scale

A

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

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15
Q

1+ –> modified ashworth scale

A

slight increase in muscle tone

manifested by a catch, followed by minimal resistance to the remainder of the ROM
–> less than half

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16
Q

2 –> modified ashworth scale

A

more marked increase in muscle tone through most of the ROM

affected part(s) easily moved

17
Q

3 –> modified ashworth scale

A

considerable increase in muscle tone

PROM difficult

18
Q

involuntary movements

A

tremor

chorea

athetosis

19
Q

tremor –> involuntary movements

A

intention

resting

20
Q

intention –> tremor –> involuntary movements

A

cerebellar

21
Q

resting –> tremor –> involuntary movements

A

BG (PD)

22
Q

transfers

A

try and being watching as pt is called back to room

23
Q

what should we check for –> transfers

A

check for multiple attempts

does the pt need to use their UEs

does the pt need assistance

24
Q

posture

A

stooping

hyper-erect

lumbar lordosis

25
Q

lumbar lordosis –> posture

A

pt hanging on hip ligaments

26
Q

balance

A

sitting balance (static v. dynamic)

standing balance

special tests