Movement Analysis_Altered Muscle Tone Flashcards

0
Q

Hypotonia often use ___________ as props

A

extremities

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1
Q

Hypotonia - primary problem

A

lack of coactivation leads to poor grading of motor performance

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2
Q

Why do children with hypotonia depend on ligamentous stability?

A

often use extremities as props

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3
Q

Children with hypotonia can ____________ but not __________ movements.

A

initiate; sustain

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4
Q

Children with hypotonia demonstrate ___________ ____________ of movement.

A

phasic bursts

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5
Q

ROM associated with hypotonia

A

hypermobile

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6
Q

ROM limitations associated with hypotonia

A

gravity enhanced position (frog position LEs)

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7
Q

Hypotonia prone

A
  • prop with head stacked
  • scapular winging
  • hyperextend on extended UEs
  • shoulders elevated
  • entire trunk lacks coactivation
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8
Q

Hypotonia supine

A
  • gravity bound mobility - phasic bursts of extension patterns
  • initiates antigravity mvt with rectus + hip flexors and abductors
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9
Q

Hypotonia sitting

A
  • W-sit

- ring sit collapsed into trunk flexion

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10
Q

Hypotonia crawling

A
  • lateral flexion on WB side
  • “hanging” in quadruped
  • wide amplitude
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11
Q

Hypotonia transitional movement

A

rapid transitions between positions

- secondary to poor grading

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12
Q

Hypotonia stance - LE

A
  • abduction
  • ER
  • pronation
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13
Q

Hypotonia stance - trunk

A

increased trunk lordosis

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14
Q

Hypotonia stance - shoulders

A

retracted and protracted

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15
Q

Hypotonia gait

A

heavy

foot slap

16
Q

Hypotonia - reflexes

A
  • No persistent tonic reflexes

- Movement patterns not dominated by reflex influenced patterns

17
Q

Hypotonia - automatic reactions

A
  • Sluggish / delayed righting equilibrium

- exaggerated protective responses

18
Q

Hypotonia - volitional movments

A

poor motivation to move

19
Q

Hypotonia - behaviors

A
  • often associated with MR

- sensory integrative disorders

20
Q

Etiology of spastic quadriplegia/diplegia

A
  • lesion of motor cortex
21
Q

Neuromotor status - spastic quadriplegia/diplegia

A
  • Trunk: hypotonia

- Extremities: hypertonia - velocity dependent

22
Q

Neuromotor status of extremities in Spastic Quadriplegia

A

relatively hypertonia of all ext

23
Q

Neuromotor status of extremities in Spastic Diplegia

A

Increased tone LE > UE

- asymmetries usually present

24
Q

Prominence of spasticity in spastic quad-/di-plegia

A

distal > prox