Analyzing Mobility

Question 1

what are the key elements to analyze mobility?

Answer 1

how the pt initiates, executes, and terminates movement

Question 2

what are 6 core tasks of movement analysis?

Answer 2

Sitting

Sit to Stand

Standing

Walking

Step-up/down

Reach/grasp/manipulate

Question 3

what constructs do we analyze during movement analysis?

Answer 3

Symmetry

Speed

Amplitude

Alignment

Verticality

Stability

Smoothness

Sequencing

Timing

Accuracy

Symptom Provocation

Question 4

what is symmetry?

Answer 4

Agreement of external kinetics and kinematics (R vs. L)

Question 5

what is speed?

Answer 5

Rate of change or Velocity of segment/body from start to finish

Question 6

what is amplitude?

Answer 6

Extent or range of movement to complete a task

Question 7

what is alignment?

Answer 7

Relationship of Body segments to one another and BOS to achieve task

Question 8

what is vericality?

Answer 8

Ability to orient the body in relationship to gravity

Question 9

what is stability?

Answer 9

Sway, center of posture

Question 10

what is smoothness?

Answer 10

Continual movement fashion without interruptions in velo or trajectory

Question 11

what is sequencing?

Answer 11

Order of motor output to achieve a goal

Question 12

what is timing?

Answer 12

Percentage of time devoted to movement

Question 13

what is accuracy?

Answer 13

Freedom from error

Question 14

what is symptom provocation?

Answer 14

Observation or patient report of symptoms

Question 15

t/f: testing should be done with the least amount of assistance as able to complete the task safely

Answer 15

true

Question 16

t/f: testing should be done at least 2x, except sitting and standing

Answer 16

true

Question 17

what are some questions to ask yourself during a movement analysis?

Answer 17

1. What are the normal requirements of the functional task being observed?
2. How successful is the patient’s overall movement in terms of the intended outcome?
3. What environmental factors must be considered?

Question 18

if the expected outcome of the movement analysis is acheived, what should be done?

Answer 18

repeat the task at least once with progression as needed

Question 19

if the expected outcome of the movement analysis is not achieved, what should be done?

Answer 19

repeat with task regression

Question 20

what are the components of the initial conditions?

Answer 20

posture

integration with the environment

environmental context

Question 21

what are the components of preparation?

Answer 21

stimulus identification

response

Question 22

what are the components of initiation?

Answer 22

timing

direction

smoothness

Question 23

what are the components of execution?

Answer 23

amplitude

direction

speed

smoothness

Question 24

what are the components of termination?

Answer 24

timing

stability

accuracy

Question 25

what is transitional mobility?

Answer 25

control during transitions between positions

Question 26

what is stability?

Answer 26

static postural control

Question 27

what is controlled mobility?

Answer 27

dynamic postural control standing and reaching

Question 28

what is skill?

Answer 28

consistent performance of coordinated, complex movement sequences

Question 29

how can we regress a task to make it easier?

Answer 29

increased BOS slow down the task alter the surface height involve verbal or physical prompts provide physical assistance add an AD, orthotics, or UE support move to a quiet environment

Question 30

how can we progress a task to make it harder?

Answer 30

decrease the BOS decrease the time to complete it add internal perturbations (head turn, marching) add a dual task alter the surface height or type (foam) move to a loud, busy environment add external perturbations

Question 31

what kind of question is this: what is happening?

Answer 31

descriptive

Question 32

what kind of question is this: why is this happening?

Answer 32

diagnostic

Question 33

what kind of question is this: what is likely to happen?

Answer 33

predictive

Question 34

what kind of question is this: what do we do about this?

Answer 34

prescriptive

Question 35

our movement analysis diagnosis is based on what deficits?

Answer 35

Movement Pattern Coordination Deficit Force Production Deficit Sensory Detection Deficit Sensory selection and weighting Perceptual Deficit Fractionated Movement Deficit Hypermetria Hypokinesia Cognitive Deficit