Movement Analysis_Altered Muscle Tone

Question 0

Hypotonia often use ___________ as props

Answer 0

extremities

Question 1

Hypotonia - primary problem

Answer 1

lack of coactivation leads to poor grading of motor performance

Question 2

Why do children with hypotonia depend on ligamentous stability?

Answer 2

often use extremities as props

Question 3

Children with hypotonia can ____________ but not __________ movements.

Answer 3

initiate; sustain

Question 4

Children with hypotonia demonstrate ___________ ____________ of movement.

Answer 4

phasic bursts

Question 5

ROM associated with hypotonia

Answer 5

hypermobile

Question 6

ROM limitations associated with hypotonia

Answer 6

gravity enhanced position (frog position LEs)

Question 7

Hypotonia prone

Answer 7

• prop with head stacked
• scapular winging
• hyperextend on extended UEs
• shoulders elevated
• entire trunk lacks coactivation

Question 8

Hypotonia supine

Answer 8

• gravity bound mobility - phasic bursts of extension patterns
• initiates antigravity mvt with rectus + hip flexors and abductors

Question 9

Hypotonia sitting

Answer 9

• W-sit

- ring sit collapsed into trunk flexion

Question 10

Hypotonia crawling

Answer 10

• lateral flexion on WB side
• “hanging” in quadruped
• wide amplitude

Question 11

Hypotonia transitional movement

Answer 11

rapid transitions between positions

- secondary to poor grading

Question 12

Hypotonia stance - LE

Answer 12

• abduction
• ER
• pronation

Question 13

Hypotonia stance - trunk

Answer 13

increased trunk lordosis

Question 14

Hypotonia stance - shoulders

Answer 14

retracted and protracted

Question 15

Hypotonia gait

Answer 15

heavy

foot slap

Question 16

Hypotonia - reflexes

Answer 16

• No persistent tonic reflexes

- Movement patterns not dominated by reflex influenced patterns

Question 17

Hypotonia - automatic reactions

Answer 17

• Sluggish / delayed righting equilibrium

- exaggerated protective responses

Question 18

Hypotonia - volitional movments

Answer 18

poor motivation to move

Question 19

Hypotonia - behaviors

Answer 19

• often associated with MR

- sensory integrative disorders

Question 20

Etiology of spastic quadriplegia/diplegia

Answer 20

• lesion of motor cortex

Question 21

Neuromotor status - spastic quadriplegia/diplegia

Answer 21

• Trunk: hypotonia

- Extremities: hypertonia - velocity dependent

Question 22

Neuromotor status of extremities in Spastic Quadriplegia

Answer 22

relatively hypertonia of all ext

Question 23

Neuromotor status of extremities in Spastic Diplegia

Answer 23

Increased tone LE > UE

- asymmetries usually present

Question 24

Prominence of spasticity in spastic quad-/di-plegia

Answer 24

distal > prox