EXAM 1 Flashcards
(44 cards)
What is the current APTA vison statement
Transforming society by optimizing movement to improve
the human experience
What are the relevant principals that will be used to accomplish the APTA vision statement
Identity quality collaboration value innovation consumer-centricity access/equality advocacy
Briefly describe the movement system
The movement system comprises the anatomic structures and physiologic functions that
interact to move the body or its component parts
Briefly describe how physical therapists use the movement system
Physical therapists integrate knowledge to examine and evaluate the movement system,
identify impairments, and provide a customized, integrated plan of care to address individual
goals
List the 6 elements of the APTA’s patient and client management model
Examination Evaluation Diagnosis Prognosis Intervention Outcomes
Describe evidence based practice
Evidence based practice involves conscientious use of current evidence in making decisions
about patient care
List the domains of the ICF model and provide some examples
Health Conditions - pathology
Body function and structure - ROM, strength assessment
- Activity limitations - ADL, exercise
- Participation limitations - quality of life, work
- Environmental factors - home setting, support group
- personal factors - Age, attitude, socioeconomic status
Briefly describe hypothesis oriented practice
Hypothesis-oriented practice involves hypothesizing impairments based on movement analysis
HOAC II
Integrated Framework
Clinical Prediction
Rules, and Paris’ 18 steps of the extremity examination
?
Briefly describe the field of motor control
The study of the nature of movement and how it is
controlled
Define motor control
The ability to regulate or direct mechanisms essential to movement.
How does movement “emerge”
Movement emerges from the interaction of the individual, task, and environment
List the 4 motor control theories
Reflex
Hierarchical
Motor programming
Systems theories
Describe the Reflex motor control theory and provide it’s limitations and clinical implications
Theory:
Sensation is important in regulating movement and reflexes are used to build complex movement
Limitations:
Does not explain movements spontaneous/stimulus absent/ fast/ variety responses / novel movements
Implications:
Reflex testing should predict function
Movement can be described by reflexes
Motor training can focus on managing reflexes
Describe the Hierarchical motor control theory and provide it’s limitations and clinical implications
Theory:
Limitations:
Clinical implications:
Describe the Hierarchical motor control theory and provide it’s limitations and clinical implications
Theory:
Organizational control is top down, the brain is at the top and directs control down through other regulatory structure in the chain of command. Never retroverts.
Limitations:
Does not explain spinal reflexes
Clinical implications:
May explain abnormal reflexive activity after cortical damage
Describe the Motor Programming theory and provide it’s limitations and clinical implications
Theory:
Motor program is activated by sensory stimulus or central process
Limitations:
Central motor programs cannot be the only determining factor as 2 identical commands can produce different responses
Clinical implications:
Interventions should focus on retraining movements important to a task
Describe the systems motor control theory and provide it’s limitations and clinical implications
Theory:
Various brain and spinal centers
work cooperatively to accommodate
demands of intended movement, control is distributed
Limitations:
(none listed)
Clinical implications:
Focus on individual systems and how they interact with others
What is the current theory we operate under
Systems Theory
What is the task oriented approach based on
Systems Theory
Describe task analysis
Task analysis is a detailed observational analysis of the patient’s total body movement during
task performance.
It helps identify the nature of movement dysfunction, shape the POC, and
generate ideas for interventions
List the temporal sequence of movement used it task analysis and describe what should be observed in each phase
Initial Condition - posture, environment
Preparation - stimulus identification, response selection, response programming
Initiation - timing, direction, smoothness, (5 body segments)
Execution - timing, initiation, direction, smoothness
Termination - timing, stability, accuracy
Describe postural Control
Controlling the body’s position in space for the purposes of stability and orientation
List and describe the three types of balance required by every day activities
Steady state - ability to control COM relative to BOS in predictable manner
Reactive balance - ability to recover a stable position, relies on feedback control
Anticipatory balance - ability to activate muscles in advance of destabilizing stimulus, relies on feed foreword control
