Week 3.11 TI for Impaired MC Mobility

Question 1

what are some movement components

Answer 1

simple to complex, variable

Question 2

to be optimally functional, moving quickly and efficiently to generate movements in ways that are extremely flexible and adaptable

Answer 2

motor control

Question 3

what do neuromuscular disorders do to motor control

Answer 3

disrupts it

Question 4

what are positive S and S

Answer 4

these are an increase in abnormal behaviors, like herperflexia and hypertonia

Question 5

what are negative S+S?

Answer 5

reception of normal activity like hypotonia or reflex

Question 6

what are primary impairments

Answer 6

direct result from the abnormality in the CNS, like limb paralysis and sensory deficits because of an SCI

Question 7

what are secondary impairments

Answer 7

not directly caused by the CNS lesion, but caused by the primary impairments, so like soft tissue restriction, that are a result of paralysis following an SCI

Question 8

what are the 3 primary movement issues

Answer 8

activation and sequencing, timing and scaling

Question 9

what are some activation and sequencing problems

Answer 9

synergies, abnormal and normal, coactivation and impaired inter joint coordination. so things like the antagonist and agonist moving at the same time, and movements decomposition because the joints don’t coordinate.

Question 10

what are some timing problems

Answer 10

reaction time, movement time and termination time are screwed up

Question 11

what are scaling problems

Answer 11

dysmetria, under or overshooting

Question 12

in an SCI what kind of patterns do you have in UE and LE

Answer 12

flexion patterns in both

Question 13

after stroke and TBI, what kind of patters do you have in the UE and LE

Answer 13

UE is flexion synergies

LE is extension synergies

Question 14

what are the stroke stages of recovery from 1- 6 with tone

Answer 14

flaccidity immediately 
spasticity begins 
spasticity more severe 
then spasticity declines 
then continues to decline 
then gone

Question 15

what are the stroke stages of recovery from 1-6 with motor function

Answer 15

1. no movement initiated
2. minimal voluntary motion
3. voluntary control of movement synergies
4. movement combos out of synergy are difficult and then mastered
5. basic synergies loose dominance over tasks
6. individual joint movements and coordination approach normal

Question 16

what are some preparatory interventions we can do

Answer 16

PNK, NDT, constraint induced movement therapy, NMES, technology like VR and robots.

Question 17

what is the ultimate goal

Answer 17

enhancing motor control during function

Question 18

what can we manipulate and grade

Answer 18

complexity, environment, timing,

Question 19

what is easier initially, single joint or many

Answer 19

single

Question 20

what is easier, end range or mid range

Answer 20

mid

Question 21

how can we add complexity

Answer 21

stability, timing and direction changes

Question 22

interventions for UE functional activity should progress to

Answer 22

functional task and personal control of movement

Question 23

interventions for LE functional activity should focus on the use of

Answer 23

functional mobility tasks

Question 24

what is the benefit of locomotion training

Answer 24

gait rehab, using intrinsic mechanisms of the spinal cord. Essentially, they feel the treadmill moving under them, and it helps

Question 25

can we use mirrors and VR

Answer 25

yes!

Question 26

what is a transfer package component

Answer 26

needs to transfer to home with an HEP that is safe. also, need to educate them on movements, problem solving and get their caretakers involved.