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Neuro Disorders (Rita) > NM Task Analysis > Flashcards

NM Task Analysis Flashcards

1
Q

Intro to Analysis

How might you describe functional movements?

A

What is the starting position / body alignment?
Describe the movement initiation.
Where is the movement initiated?
What is the speed and direction of body movements?What is the starting position / body alignment?
Describe the movement initiation.
Where is the movement initiated?
What is the speed and direction of body movements?What is the starting position / body alignment?
Describe the movement initiation.
Where is the movement initiated?
What is the speed and direction of body movements?

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2
Q

Intro to Analysis

How does the “Rood, Sullinvan, O’Sullivan” model work?

A

Define a task as needing a specific stage of motor control and/or
Describes what stage of motor control is needed at a specific segment/limb in order to do the task or movement.Define a task as needing a specific stage of motor control and/or
Describes what stage of motor control is needed at a specific segment/limb in order to do the task or movement.Define a task as needing a specific stage of motor control and/or
Describes what stage of motor control is needed at a specific segment/limb in order to do the task or movement.

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3
Q

Intro to Analysis

What are the stages of the “Rood” model?

A
  1. Mobility, 2. Stability, 3. Controlled Mobility, 4. Skill
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4
Q

Intro to Analysis

What does Stage 1 “Mobility” describe?

A

The ability to initiate a functional movement, typically in a dependent position.
Movements are not necessarily sustained or well-coordinatedThe ability to initiate a functional movement, typically in a dependent position.
Movements are not necessarily sustained or well-coordinatedThe ability to initiate a functional movement, typically in a dependent position.
Movements are not necessarily sustained or well-coordinated

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5
Q

Intro to Analysis

What is needed for mobiliy to be present?

A

adequate range of motion and sufficient motor unit activity for an adequate muscle contraction

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6
Q

Intro to Analysis

What is not fully developed in “Mobility”?

A

Antigravity control

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7
Q

Intro to Analysis

Describe “Mobility”

A
  1. Possibly not full range.
  2. Not sustained or well coordinated.
  3. Reflexive base is large (1º low-threshold receptors, phasic stretch reflexes & fast twitch muscle responses).
  4. Occur in dependent postures (e.g. rolling occurs in supine, side-lying, and prone positions).1. Possibly not full range.
  5. Not sustained or well coordinated.
  6. Reflexive base is large (1º low-threshold receptors, phasic stretch reflexes & fast twitch muscle responses).
  7. Occur in dependent postures (e.g. rolling occurs in supine, side-lying, and prone positions).1. Possibly not full range.
  8. Not sustained or well coordinated.
  9. Reflexive base is large (1º low-threshold receptors, phasic stretch reflexes & fast twitch muscle responses).
  10. Occur in dependent postures (e.g. rolling occurs in supine, side-lying, and prone positions).
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8
Q

Intro to Analysis

Define “Stability”

A

Ability to maintain a steady position in an antigravity, weight-bearing posture.

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9
Q

Intro to Analysis

Stability is also know as …

A

static postural control

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10
Q

Intro to Analysis

2 types of Stability

A
  1. muscle stability or tonic holding ; 2. Postural stability or co-contraction
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11
Q

Intro to Analysis

Muscle stability or tonic holding

A

Control via postural muscles holding in shortened range against resistance (e.g. body weight, mechanical load) (shortened held resisted contraction)

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12
Q

Intro to Analysis

Postural stability or co-contraction

A

Control via midrange holding in antigravity postures, or ability to maintain midline and weight-bearing postures with normal alignment

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13
Q

Intro to Analysis

In Stability Phase, ___________ stabilization is very important to provide a stable base for ________ movements.

A

proximal segments & trunk; distal

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14
Q

Intro to Analysis

What is an integral part of stability?

A

Proximal muscle endurance (holding)

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15
Q

Intro to Analysis

What type of stretch receptors does Stability mostly use?

A

High-threshold receptors (static stretch reflexes and slow twitch muscle responses). Ex. protective reflexes may predominate after TBI.

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16
Q

Intro to Analysis

Define “Controlled Mobility”

A

Ability to alter position or move into new WB position while maintaining postural control.
Referred to by some as dynamic postural control.Ability to alter position or move into new WB position while maintaining postural control.
Referred to by some as dynamic postural control.Ability to alter position or move into new WB position while maintaining postural control.
Referred to by some as dynamic postural control.

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17
Q

Intro to Analysis

What does Controlled Mobility require?

A

Requires weight shifting ability. Full ROM, rotation & balance control in all directions are present.

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18
Q

Intro to Analysis

In limbs weight shifting needs fixed ______ segments while ______ segments move over them.

A

distal segments; proximal segments

19
Q

Intro to Analysis

What must be achieved before weight shifting/rocking?

A

Control in a static posture

20
Q

Intro to Analysis

What range of movements does Controllled Mobility use?

A

Increments, from small to large

21
Q

Intro to Analysis

What is expected/needed for Controlled Mobility?

A

Full ROM & balanced control in reversing directions. Dynamic balance responses (keeping COM over BOS).

22
Q

Intro to Analysis

What distinguishes normal from ABN control of movement transitions?

A

Degree to which rotation is incorporated into movement.

23
Q

Intro to Analysis

What is the Static-Dynamic Stage?

A

A variation of Controlled Mobility; ability to shift weight onto one-side and free up a limb for non-weight bearing, dynamic activities.

24
Q

Intro to Analysis

Which limb is typically the initial support limb in Static-Dynamic?

A

The stronger limb.

25
Q

Intro to Analysis

Describe skilled movements

A

Task-specific. Can be sustained over a period of time. Can be performed under different environmental conditions.

26
Q

Intro to Analysis

In the “Skill” Stage, what type of movements allow for functional interaction with the environment?

A

Highly coordinated movements, that are consistent, done with minimal effort, and have precise timing and direction. Proximal segments stabilize while distal segments are free for function.

27
Q

Intro to Analysis

How do investigatory behaviors increase sensory input?

A

through eye and head movements, grasp, and manipulation, and oral-motor exploration

28
Q

Intro to Analysis

Adaptive behaviors

A

Interaction with environment through body orientation, position, and movement.

29
Q

Intro to Analysis

Examples of Adaptive behaviors

A

Grasp and manipulation, locomotion and exploration, and functional skills.

30
Q

Intro to Analysis

What does “Skilled” motor control mean for the Trunk?

A

Counter-rotation, as in gait.

31
Q

Intro to Analysis

When is the “Hedman” Model of motor control used?

A

Used for pts with movement dysfunction from CNS pathology.

32
Q

Intro to Analysis

The 4 questions of the “Hedman” Model

A
  1. What is the problem?
  2. Where in the movement continuum does the problem interfere with function?
  3. What are the underlying determinants of the problem?
  4. How do we treat the problem?1. What is the problem?
  5. Where in the movement continuum does the problem interfere with function?
  6. What are the underlying determinants of the problem?
  7. How do we treat the problem?
33
Q

Intro to Analysis

6 Stages of Movement in the Hedman Model

A
  1. Initial Conditions
  2. Preparation
  3. Initiation
  4. Execution
  5. Termination
  6. Outcome
34
Q

Intro to Analysis

Initial Conditions

A

How is individual set up, & what are environmental conditions

35
Q

Intro to Analysis

Preparation

A

Time when CNS is getting its act together in advance of movement. Involves: stimulus identification, response selection, response programming.

36
Q

Intro to Analysis

Initiation

A

Instant when displacement of body segments begins. Involves: timing, direction & smoothness of movement.

37
Q

Intro to Analysis

Execution

A

Period of actual segment moving. Involves: amplitude, direction, speed & smoothness of movement.

38
Q

Intro to Analysis

Termination

A

When motion stops. Involves: timing, stability & accuracy.

39
Q

Intro to Analysis

Outcome

A

Was goal of movement reached successfully?

40
Q

Intro to Analysis

Primary (neuro) Pathology

A

specific NS lesion or condition for which pt was referred.

41
Q

Intro to Analysis

Primary Impairment

A

Impairments caused by the Primary Pathology

42
Q

Intro to Analysis

Secondary Pathology

A

Pathological process occurs as a sequellae to primary pathology

43
Q

Intro to Analysis

Secondary Impairment

A

Occur in a system other than nervous system as a sequellae to the primary pathology.

44
Q

Intro to Analysis

CO-MORBID PATHOLOGY / CONDITION

A

Pre-existing pathologies or diseases.(i.e. arthritic conditions, underlying cardiac disease)

Neuro Disorders (Rita) (11 decks)

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