UE Assessments & Interventions Flashcards
Fugl Meyer Motor Function
- 5 domains include sensory, balance, motor, ROM, pain
- Scored 0-2 (0= can’t perform, 2 = perform completely)
- Does not look at function; looks at patterns of motor recovery
- Not sensitive, low interrater reliability
Wolf Motor-Function Test
- Tasks ranging from reaching to pinching (all UE tasks)
- Strengths: high interrater reliability
- Limitations: Very detailed instruction, very complex, less likely to use in clinic unless doing CIMT
Motor Activity Log
• questionnaire with list of activities
“Did you perform this task during last week?”
“How much did affected UE participate?”
“How well did affected arm help?”
• Y/N or 0-5
Disability of Arm, Shoulder, Hand
DASH:
- 21 activities, rate ability to do them from no difficulty(1) to unable(5)
- Rate limitations caused by arm problem across settings (1-5)
- Rate symptoms (1-5)
o Limitations: doesn’t specify if affected arm is involved or not, doesn’t take into account how much they are compensating with other arm
o Strengths: good for pre-post testing
Jebsen-Taylor Hand Function Test
Evaluates functional capabilities
•writing, card turning, picking up small objects, simulated feeding, stacking checkers
•More functional, variety, easy to administer
Minnesota Rate of Manipulation Test
Measure dexterity
•assesses placing, turning, displacing, etc
•Pros: balance and color differentiation
•Cons: not functional, tedious and repetitive, time consuming
Purdue Peg Board
Measures movements of arms, hands, fingers, and fingertip dexterity
•Pros: good for someone with sensory problems, requires cognitive ability
• Cons: only industrial worker/college student; requires cognitive ability
Box and Block Test
Measures manual dexterity
•Pros: easy to administer, easy and inexpensive to make; good for limited fine motor function; quick and not frustrating; clients usually find success
•Cons: difficult to count finger movement
Mober Picking Up Test
- Pros: inexpensive, easy, can be done anywhere
* Cons: not functional, not strong psychometrics
Acute Injury Treatment
Symptoms: Pain, Inflammation
RICE: rest, ice, compression, elevation
Move surrounding joints
Post Acute
Priorities: Address Pain PAMs increase joint motion increase strength improve motor control
Physical Agent Modalities
Superficial Heat (hot packs, parrafin, fluidotherapy, whirlpool)
Deep Heat, Ultrasound
Therapeutic Cold (cold packs, cold baths, ice massage)
Contrast Baths
Electrotherapy Iontonphoresis
Superficial Heat
hot packs, heating pads, parrafin wax, fluidotherapy, whirlpool
Use:
•prior to exercise, passive stretching, joint mobilization
•before traction and soft tissue mobilization
•to reduce pain/muscle spasms
•after acute inflammation to increase tissue healing
Precautions: •edema •decreased circulation or sensation •open wounds or healed burns •acute inflammation
Deep Heat
Ultrasounds
Use: •soft tissue tightness •subacute/chronic inflammation •bone fracture •wound healing
Precautions:
•eyes, ears, heart, prenancy, tumors, pacemakers, metal implants
Therapeutic Cold
cold packs, cold baths, ice massage
Use:
•minimize acute inflammation
•reduce edema and bleeding
•reduce spasticity
Contrast Baths
immersing hand in warm and cold water
Use:
•promotes tissue healing
Precautions: •cardiovascular problems •peripheral vascular disease •loss of sensation •pregnancy
Electrotherapy
Iontophoresis Use: •modulate pain •decrease inflammation •reduce edema
Passive Exercise
passive range of motion and passive stretch
•stretch held 15-30 seconds
•muscle grades 0-trace
Isotonic Active Assistive Exercise
Client moves joint as far as possible then is assisted to move through rest of motion
•no resistance
•muscle grades trace, poor minus, fair minus
Isotonic Active Exercise
Client moves joint through available ROM without any assistance
•muscle grades poor, fair
Isometric without resistance
Client contracts muscle and holds for 5 seconds
•used when motion at a joint is prohibited
•no resistance
•muscle grades: trace, poor, fair, good
Isotonic Resistive Exercise
isotonic contraction held against resistance
•resistance = weights, theraputty
•muscle grades: fair plus, good
Isometric Resistive Exercise
Isometric contraction against a load
•resistance: immovable surface
•muscle grades: fair plus-good
Isokinetic Exercise
Exercise using a machine that control speed of contraction within ROM
•resistance: controlled by machine
•muscle grade: fair plus-good
