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(1) Mvmt System Dx Flashcards

1
Q

what are the 7 benefits to using the mvmt system dx?

A
  1. facilitate recognition of PT as a doctoring profession with mvmt expertise
  2. clarify treatment
  3. reduce variability/increase efficiency in practice
  4. aid in defining effective treatment strategies
  5. consistent terminology
  6. reduce documentation burden
  7. more cost effective
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2
Q

what are the 6 core tasks

A
  • sitting
  • standing
  • STS
  • step up/down
  • walking
  • reaching/grabbing/manipulating
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3
Q

what are the 8 Neuromuscular Mvmt System Dx?

A
  1. mvmt pattern coordination deficit
  2. force production deficit
  3. fractionated mvmt deficit
  4. postural vertical deficit
  5. sensory selection and weighting deficit
  6. sensory detection deficit
  7. dysmetria
  8. hypokinesia
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4
Q

what is the key impairment in MPCD

A

mild coordination deficit - deficits in timing and sequencing

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5
Q

which NM mvmt system dx has and inability to coordinate and inter-segmental task because of a deficit in timing and sequencing of one segment in relationship to another

A

MPCD

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6
Q

what is the typical medical dx for pts with MPCD

A

varied but tends to be higher level of function

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7
Q

the following key tests and signs are used for what mvmt system dx?
- postural responses poor or slow
- timing of mvmt is issue

A

MPCD

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8
Q

what is the intervention strategy for MPCD

A
  • increased limb use and mvmt speed/amplitude
  • refine mvmt strategies
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9
Q

you have a pt that is climbing stairs, and they are unable to lift their foot up onto the step. However, after some practice and some cueing about lifting the leg higher, they are successfully completing the task. What mvmt system dx is this?

A

MPCD

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10
Q

what mvmt system dx: performance improves with practice / instruction

A

MPCD

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11
Q

what is the typical outcome for a pt with MPCD

A

good/favorable

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12
Q

What mvmt system dx is being described:
- little/no m weakness
- generally fractionated mvmt
- no to mild spasticity
- no to mild sensory loss
- no to mild non-equilibrium coordination deficits
- inappropriate amplitude of mvmt affecting balance

A

MPCD

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13
Q

what score will a pt with MPCD have on the modified ashworth scale?

A

0-2

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14
Q

what is the key impairment for force production deficit

A

weakness

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15
Q

what medical dx are common with FPD

A

CNS or PNS lesion

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16
Q

what are the key tests and signs in a pt with FPD

A
  • strength testing < 3+ OR
  • can’t move thru full ROM OR
  • deterioration with m fatigue
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17
Q

what are the focus interventions for pts with FPD

A
  • resistance training
  • limb protection
  • short term or long term compensation
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18
Q

what is the outcome for pts with FPD

A

good or poor

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19
Q

what mvmt system dx is being described:
- fractionated mvmt may be difficult
- normal to mildly altered tone
- normal to mildly impaired sensation
- coordination bay be unable to test OR slow but accurate
- possible need for supportive structures

A

FPD

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20
Q

what is the key impairment for sensory detection deficit?

A

lack of joint position sense or multi-sensory failure

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21
Q

what medical dx are often associated with sensory detection deficit

A
  • those that affect JPS, vision, bilateral, vestibular loss
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22
Q

THe following are some key tests and signs for what mvmt system dx?
- decreased light touch/proprioception
- trouble with timing STS
- wide based gait
- difficulty in low light/eyes closed/uneven situations

A

sensory detection deficit

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23
Q

what is the intervention focus for sensory detection deficit

A

compensatory and adaptive strategies

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24
Q

what is the outcome for pts with sensory detection deficit

A

variable but often poor

25
the following associated signs are common with what mvmt system dx? - poor timing and coordination mvmt - slow and clumsy - some improvement with visual guidance
sensory detection deficit
26
what is the key impairment in sensory selection and weighting deficit
decreased ability to screen and attend to appropriate sensory input
27
the following are associated with what mvmt system dx? - difficulty maintaining postural orientation - positional instability - complain of dizziness and/or visual motion sensitivity
sensory selection and weighting deificit
28
what medical dx are common with sensory selection and weighting deficit
vestibular deficits dizziness, visual sensitivity, spinning, vertigo, sensory avoidance, unsteadiness, stroke, MS, TBI, Etc.
29
the following are key tests and signs of what mvmt system dx? - increased sway - greater instability with head mvmts - rely heavily on hip strategies - symptoms with smooth pursuits and saccades
sensory selection and weighting
30
what is the intervention focus for pts with sensory selection and weighting deficit?
- stability tasks in simple /complex environments - head turns - desensitization to visual flow info
31
what is the outcome for sensory selection and weighting deficit
good - usually ambulate well with no or mild deficits
32
the following are signs associated with what mvmt system dx? - mvmt is fractionated and non-equilibrium coordination is intact - may have + vestibular tests - gaze aversion - self stim behaviors
sensory selection and weighting
33
what is the key impairment of postural vertical deficit
inaccurate perception of vertical orientation w/ resistance of correction of COM alignment
34
what is the common medical dx associated with postural vertical deficit
stroke
35
what are the common key tests and signs for postural vertical deficits
- resistance to correction - may have neglect
36
what is the intervention focus for postural vertical deficit
- teach awareness of true vertical - increase awareness of involved side - COM over BOS
37
what is the outcome for postural vertical deficit
variable - based on severity of cognitive/behavioral deficits
38
the following are signs associated with what mvmt system dx? - volitional mvmt is variable - may have motor planning difficulty - sensation may be lacking (LT and JPS) - behavior may be impulsive or fear avoidant - judgement = possibly poor or fear avoidance
postural vertical
39
what is the key impairment for pts with Fractionated mvmt deficit
- inability to fractionate mvmt - moderate or greater hyperexcitability
40
what medical dx is associated with FMD
ALWAYS CNS (stroke, TBI, etc.)
41
what are some key tests and signs associated with FMD
- non-fractionated mvmt during functional tasks - dominated by synergy mvmt patterns - unable to make rapid reversals in mvmt - stiff gait
42
what score on the Modified Ashworth scale will a pt with FMD demonstrate?
3-4
43
what is the intervention focus for pts with FMD
- maximize speed and endurance, and timing and amplitude of postural responses - pain free ROM
44
what is the outcome for pts with FMD
Poor - depends on amt of antigravity strength
45
the following signs are associated with what condition? - associated reaction seen with effort - lacks dissociation of m groups during activities - compensatory gait signs * stiffness of gait
FMD
46
the following are signs associated with what mvmt system dx? - scissoring - assistive devices and AFO commonly needed - reach is limited, minimal hand mvmt in grasp - asymmetrical postural control is frequent
FMD
47
what is the key impairment in DYsmetria
inability to grade forces appropriately for distance and speed of task
48
what medical dx are commonly associated with dysmetria
most commonly associated with cerebellar dysfunction
49
the following are key signs and tests associated with what mvmt system dx? - overshoot with walk and reach - poor termination phase of mvmt - impaired non-equilibrium coordination
dysmetria
50
what is the intervention focus for pts with dysmetria
- simplify mvmts / reduce degrees of freedom - assistive devices - weighted vest
51
what is the outcome like for pts with dysmetria
variable with compensation
52
the following signs are associated with pts of what mvmt system dx? - often need UE support to sit safely - wide BOS / high guard - variable foot placement and overshooting - generally require assistance
dysmetria
53
what is the key impairment in hypokinesia
- slowness in initiating and executing mvmt
54
what medical dx is often associated with hypokinesia
Parkinson's Disease - can also be stoke involving BG
55
the following signs and tests are seen in pts with what mvmt system dx? - trouble initiating OR slow mvmt - lose balance backwards/retropulsion - rigid with passive mvmts
hypokinesi
56
what is the intervention focus for pts with hypokinesia
- improve mvmt speed and amplitude - improve coordination and postural responses
57
what is the outcome like for pts with hypokinesia
variable with compensation but generally poor
58
the following signs are associated with what mvmt system dx? - rigidity - non-equilibrium coordination --> undershoots target, slow reciprocal mvmts - peds --> delayed integration of early primitive reflexes
hypokinesia

NM PT (16 decks)

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