PT examination of the Pts with Neuromuscular dysfunction Flashcards
1
Q
What goes into evaluation: analyzing the cause of functional activity limitations
levels of impact
A
- impact of the condition (pathology level)
- Impact of specific impairments (impairment level)
- impact of problems with motor control, postural control and functional movements (strategy level)
- impact of problems with safety, speed, environment, follow-through, support (disability level)
2
Q
Pathology level problems
A
- impact of the patient’s history and health conditions
3
Q
what goes into Examining health condition/pathology/physiological recovery
A
- pt observation
- chart review/health history
- imaging reports
- medications
- patient reports
4
Q
Types of data that may be generated from a patient or client history
A
- activities and participation
- current conditions
- family history
- general demographics
- general health status
- general demogaphics
- general health status
- growth and development
- living environment
- medical/surgical history
- medications
- other clinical tests
- review of systems
- social/health habits
social history
5
Q
Impairment level problems
A
- assessing body structure
- assessing body function
6
Q
Impairments important to assess
A
- cognitive and psychological status
- sensation
- ROM
- muscle tone/reflexes
- fractionated movements (synergies/can they move joints independently)
- strength
- coordination
- speed
- vertical orientation
- orientation to movement/vestibular input
7
Q
Strategy Level problems
A
impact of problems with
- motor control
- postural control
- functional movements
these contribute to activity limitations
8
Q
Assessment of a function
A
Task analysis
- rolling
- sitting
- STS
- standing: feet apart/feet together
- stepping up
- gait
- walking with head turns, stepping over obstacles, forward/backward walking
9
Q
Motor control: how to analyze tasks
A
- task-environment analysis
- temporal sequence
10
Q
Task-environment
A
- static patient on static environment
- moving patient in static environment
- static patient in moving environment
- moving patient in moving environment
11
Q
Temporal sequence
A
- initial conditions: how did you find the pt
- preparation: stimulus/being asked to move
- initiation
- execution: amplitude, speed, smooth
- termination:
- also ability to use feedback
- improvement with repetition
12
Q
Disability level problems
A
- impact of problems with safety, speed, follow-through, environment, support
- lead to participation restriction
13
Q
Evaluation
important things to know and consider
A
- what are patient’s resources
- what are patients limitations?
- patient-identified problems
- non-patient-identified problems
- what does the patient want?
