Week 3 Impaired Motor Control Mobility Flashcards
what is motor control
quick and effective movements and the planning and initiating, sustaining and accurately controlling movement.
what happens to motor control with neuromuscular disorders
it is disrupted
what are the 3 primary movement issues
activation and sequencing problems
timing problems
scaling problems
how can we get activation and sequencing problems
by normal or abnormal synergies, or coactivation of the agonist and antagonist, and impaired inter joint coordination
how can we get timing problems
reaction time, movement time, and termination time
how can we get scaling problems
dysmetria, or over and under shooting.
after a SCI, what is the pattern in both UE and LE
flexion
after a stroke or TBI, what is the pattern in the UE and LE
UE: flexion
LE: extension
with a stroke, how is tone throughout the stages
initially, flaccid, then spasticity and then it increases and then it will disappear.
what are some preparatory interventions we can do
PNF, NDT, constraint induced movement therapy, NMES, robotics or VR
what are some application tips for working on motor control
manipulate the complexity and timing and the environment, and single joints at first are easier. Use midrange tasks, and work on stability, timing and directional changes.
how do we want to manipulate intrinsic and extrinsic feedback
increase intrinsic, decrease extrinsic
how can we intervene with functional activities
UE and LE functional things, locomotion training, and VR, mirror therapy (use the limb of the non paretic side to appear as if the paretic side is moving.
what are some interventions beyond therapy
transfer package, need to be safe and able to be done at home and in the community, also need to educate the patients on movement, and the caregivers. Help them problem solve.
