proprioception/co-ordination

Question 1

how to perform

Answer 1

P: patients eyes closed, hold affected side, ask to replicate position with good side, observe accuracy
single joints: limb to mid range, move up/down, ask whether more up/down

Co: touch physios finger to own nose, physio moves finger, speed up repeats / heel down shin, repeat, look for instability, compare sides

Question 2

contraindications / precautions

Answer 2

MSK: fractures, unstable joints
CR: infection
CV: disease
N: conscious, pain, numbness, altered sensation
weakness, poor balance

Question 3

how to know if normal

Answer 3

visually measure accuracy of repeat/answer

normal / impaired

Question 4

principles

Answer 4

compare sides

Question 5

purpose

Answer 5

measure awareness of joint position in space, direction of movement, muscle force
accuracy of cerebellum in providing feedback to correct motor plan
see if lacking in functional tasks

Question 6

structures effected

Answer 6

visual, vestibular, somatosensory systems
muscle spindles, golgi tendon organs
PNS, CNS