NM Task Analysis Flashcards
Intro to Analysis
How might you describe functional movements?
What is the starting position / body alignment?
Describe the movement initiation.
Where is the movement initiated?
What is the speed and direction of body movements?What is the starting position / body alignment?
Describe the movement initiation.
Where is the movement initiated?
What is the speed and direction of body movements?What is the starting position / body alignment?
Describe the movement initiation.
Where is the movement initiated?
What is the speed and direction of body movements?
Intro to Analysis
How does the “Rood, Sullinvan, O’Sullivan” model work?
Define a task as needing a specific stage of motor control and/or
Describes what stage of motor control is needed at a specific segment/limb in order to do the task or movement.Define a task as needing a specific stage of motor control and/or
Describes what stage of motor control is needed at a specific segment/limb in order to do the task or movement.Define a task as needing a specific stage of motor control and/or
Describes what stage of motor control is needed at a specific segment/limb in order to do the task or movement.
Intro to Analysis
What are the stages of the “Rood” model?
- Mobility, 2. Stability, 3. Controlled Mobility, 4. Skill
Intro to Analysis
What does Stage 1 “Mobility” describe?
The ability to initiate a functional movement, typically in a dependent position.
Movements are not necessarily sustained or well-coordinatedThe ability to initiate a functional movement, typically in a dependent position.
Movements are not necessarily sustained or well-coordinatedThe ability to initiate a functional movement, typically in a dependent position.
Movements are not necessarily sustained or well-coordinated
Intro to Analysis
What is needed for mobiliy to be present?
adequate range of motion and sufficient motor unit activity for an adequate muscle contraction
Intro to Analysis
What is not fully developed in “Mobility”?
Antigravity control
Intro to Analysis
Describe “Mobility”
- Possibly not full range.
- Not sustained or well coordinated.
- Reflexive base is large (1º low-threshold receptors, phasic stretch reflexes & fast twitch muscle responses).
- Occur in dependent postures (e.g. rolling occurs in supine, side-lying, and prone positions).1. Possibly not full range.
- Not sustained or well coordinated.
- Reflexive base is large (1º low-threshold receptors, phasic stretch reflexes & fast twitch muscle responses).
- Occur in dependent postures (e.g. rolling occurs in supine, side-lying, and prone positions).1. Possibly not full range.
- Not sustained or well coordinated.
- Reflexive base is large (1º low-threshold receptors, phasic stretch reflexes & fast twitch muscle responses).
- Occur in dependent postures (e.g. rolling occurs in supine, side-lying, and prone positions).
Intro to Analysis
Define “Stability”
Ability to maintain a steady position in an antigravity, weight-bearing posture.
Intro to Analysis
Stability is also know as …
static postural control
Intro to Analysis
2 types of Stability
- muscle stability or tonic holding ; 2. Postural stability or co-contraction
Intro to Analysis
Muscle stability or tonic holding
Control via postural muscles holding in shortened range against resistance (e.g. body weight, mechanical load) (shortened held resisted contraction)
Intro to Analysis
Postural stability or co-contraction
Control via midrange holding in antigravity postures, or ability to maintain midline and weight-bearing postures with normal alignment
Intro to Analysis
In Stability Phase, ___________ stabilization is very important to provide a stable base for ________ movements.
proximal segments & trunk; distal
Intro to Analysis
What is an integral part of stability?
Proximal muscle endurance (holding)
Intro to Analysis
What type of stretch receptors does Stability mostly use?
High-threshold receptors (static stretch reflexes and slow twitch muscle responses). Ex. protective reflexes may predominate after TBI.
Intro to Analysis
Define “Controlled Mobility”
Ability to alter position or move into new WB position while maintaining postural control.
Referred to by some as dynamic postural control.Ability to alter position or move into new WB position while maintaining postural control.
Referred to by some as dynamic postural control.Ability to alter position or move into new WB position while maintaining postural control.
Referred to by some as dynamic postural control.
Intro to Analysis
What does Controlled Mobility require?
Requires weight shifting ability. Full ROM, rotation & balance control in all directions are present.
Intro to Analysis
In limbs weight shifting needs fixed ______ segments while ______ segments move over them.
distal segments; proximal segments
Intro to Analysis
What must be achieved before weight shifting/rocking?
Control in a static posture
Intro to Analysis
What range of movements does Controllled Mobility use?
Increments, from small to large
Intro to Analysis
What is expected/needed for Controlled Mobility?
Full ROM & balanced control in reversing directions. Dynamic balance responses (keeping COM over BOS).
Intro to Analysis
What distinguishes normal from ABN control of movement transitions?
Degree to which rotation is incorporated into movement.
Intro to Analysis
What is the Static-Dynamic Stage?
A variation of Controlled Mobility; ability to shift weight onto one-side and free up a limb for non-weight bearing, dynamic activities.
Intro to Analysis
Which limb is typically the initial support limb in Static-Dynamic?
The stronger limb.
Intro to Analysis
Describe skilled movements
Task-specific. Can be sustained over a period of time. Can be performed under different environmental conditions.
Intro to Analysis
In the “Skill” Stage, what type of movements allow for functional interaction with the environment?
Highly coordinated movements, that are consistent, done with minimal effort, and have precise timing and direction. Proximal segments stabilize while distal segments are free for function.
Intro to Analysis
How do investigatory behaviors increase sensory input?
through eye and head movements, grasp, and manipulation, and oral-motor exploration
Intro to Analysis
Adaptive behaviors
Interaction with environment through body orientation, position, and movement.
Intro to Analysis
Examples of Adaptive behaviors
Grasp and manipulation, locomotion and exploration, and functional skills.
Intro to Analysis
What does “Skilled” motor control mean for the Trunk?
Counter-rotation, as in gait.
Intro to Analysis
When is the “Hedman” Model of motor control used?
Used for pts with movement dysfunction from CNS pathology.
Intro to Analysis
The 4 questions of the “Hedman” Model
- What is the problem?
- Where in the movement continuum does the problem interfere with function?
- What are the underlying determinants of the problem?
- How do we treat the problem?1. What is the problem?
- Where in the movement continuum does the problem interfere with function?
- What are the underlying determinants of the problem?
- How do we treat the problem?
Intro to Analysis
6 Stages of Movement in the Hedman Model
- Initial Conditions
- Preparation
- Initiation
- Execution
- Termination
- Outcome
Intro to Analysis
Initial Conditions
How is individual set up, & what are environmental conditions
Intro to Analysis
Preparation
Time when CNS is getting its act together in advance of movement. Involves: stimulus identification, response selection, response programming.
Intro to Analysis
Initiation
Instant when displacement of body segments begins. Involves: timing, direction & smoothness of movement.
Intro to Analysis
Execution
Period of actual segment moving. Involves: amplitude, direction, speed & smoothness of movement.
Intro to Analysis
Termination
When motion stops. Involves: timing, stability & accuracy.
Intro to Analysis
Outcome
Was goal of movement reached successfully?
Intro to Analysis
Primary (neuro) Pathology
specific NS lesion or condition for which pt was referred.
Intro to Analysis
Primary Impairment
Impairments caused by the Primary Pathology
Intro to Analysis
Secondary Pathology
Pathological process occurs as a sequellae to primary pathology
Intro to Analysis
Secondary Impairment
Occur in a system other than nervous system as a sequellae to the primary pathology.
Intro to Analysis
CO-MORBID PATHOLOGY / CONDITION
Pre-existing pathologies or diseases.(i.e. arthritic conditions, underlying cardiac disease)
