motor control

Question 1

motor control eval

Answer 1

include observation of quality of movement through functional task

Question 2

intention tremor

Answer 2

worsening of action tremor as limb approahces target in space

Question 3

dysmetria

Answer 3

undershooting (hypotremia), or overshotting (hypertremia) of target

Question 4

dyssynergia

Answer 4

breakdown in movement, joints moved seperately to reach target

Question 5

dysdiadochokinesia

Answer 5

impairment wiht rapid. alternating movements

Question 6

ataxia

Answer 6

loss of motor control incluidng tremors, dysdiadochokinesia, dyssynergia, visual nystagmus

Question 7

resting tremor

Answer 7

involuntary tremor in resting posture

Question 8

bradykinesia

Answer 8

slowed movement pattern

Question 9

akinesia

Answer 9

inability to iniatie movement

Question 10

athetosis

Answer 10

dyskinetic conditiong including inadeuquate force, and accuracy of movement in trunk/limbs-writhing and worm like movement

Question 11

dystonia

Answer 11

involuntary sustained disorted movement or posture involving contraction of groups of muscles

Question 12

chorea

Answer 12

involuntary movement of face and extremities, spasmadoci adn short duration

Question 13

hemiballismus

Answer 13

unilateral chorea, forcefull movements of proximal muslces

Question 14

subluxation

Answer 14

allow arm to dangle wiht gravity
palpate space under acromion process with index finger
compare intact side and document width of space in terms of finger breadths

Question 15

tone normalizing splints

Answer 15

bobath finger spreader
rood cone
orthokinetic splints
spasticity reduction splint

Question 16

support splints

Answer 16

overhead suspension sling
balanced forearm orthoses
shoulder sling
supports on w/c

Question 17

bobath finger spreader

Answer 17

thumb and fingers in abd

Question 18

rood cone

Answer 18

sustained deep pressure to reduce spasticity in hand

Question 19

orthokinetic splints

Answer 19

uses tactile input to facilitate and inhibit muscle groups

Question 20

spasticity reduction splint

Answer 20

places spastic distal extremity on submaximal stretch to decrease spasticity

Question 21

overhead suspension sling

Answer 21

arm supported by sling with overhead rod

Question 22

balanced forearm orthoses

Answer 22

arm trough, proximal and distal arms, support bracket allowed pt with weak proximal musculature to use available control of trunk and shoulder

Question 23

shoulder sling

Answer 23

support flaccid arm, soft tissue contracture, edema and pain

Question 24

ORal motor dysfunction eval

Answer 24

ROm strengt and sensation of oral structure
teeth
oral control of bolus
swallow reflex
airway protection swallow
primitiatve reflexes (rooting, jaw jerk, bite and ATNR/STNR)
-cranial nerve testing

Question 25

Oral motor intervention direct therpay

Answer 25

direct therapy (bolus) - modifying consistency, pacing and amount - utilizing postural internveionts (chink tuck, forward head tilt, and head turn) - swallowing adaptations (supraglottic swallow technique, mendlesohns manuever)

Question 26

oral motor intervention indirect

Answer 26

``` doesnt include bolus cold stimulation to elicit swallow reflex reflex faciliation strengthening and coordinatin airway adduction procedures positive posture ```

Question 27

Constraint induced movement therapy

Answer 27

used for those with present with control of wrists/digits

Question 28

CIMT inclusion for motor control of UE

Answer 28

20 degrees extensino of wrirst and 10 degrees extension of each finger or 10 degress extension of wrist, 10 degrees abd of thumb, 10 extension of any other 2 digits able to wash rag off table top using any type of prehension and then release it

Question 29

CIMT intervention

Answer 29

focus is massed practice and shaping of affected limb during functional activity less affected UE is constrained ia splint, sling or glove to remind pt to use affected UE -environment/task modification, AT or reduce affects of gravity to enhance performance -use motor learning principles in training -with patients with poor control of movement --constrain degrees of freedom to enhance performance

Question 30

ayers sensory integration approach for sensory processing disorders eval

Answer 30

sensory integration practice test (SIPT)- 4-9 years old degangi berk test of sensory integration (TSI) 3-5 yeaars test of sensory funtions in infants (1-18 months) sensory processing measure (SPM) elementary aged children sensory profile

Question 31

interventions of sensory integration

Answer 31

- be aware of precautions for movements as they can last several hours - ask how child is feeling observe signs involving ANS - safe physical and emotional env - compensatory skill development (environmental adaptations) - educate those involved - use groups - reduce env barriers

Question 32

basic OT intervention sensory processing

Answer 32

OT control sensory input in play based enviornment to improve sensory processing, integration and elicit adaptive response control env meaningful sensory input gradually introduce activites that require more complex patterns of behavior

Question 33

tactile defensiveness intervention

Answer 33

self applied stimuli use firm pressure slow linear movements and deep touch first apply tactile stimuli of hair growth

Question 34

tactile discrimination intervention

Answer 34

deep touch also treating for deficits in motor planning grading activites using mixture of texture and items

Question 35

proprioceptive interventions deficits in modulation

Answer 35

firm touch, pressure, joint compresssion and traction resistance various body positions slow linear movment, resistance and deep pressure adaptive techniques (weighted vests)

Question 36

proprioceptive discrimination deficts intervention

Answer 36

activites to demonstrate ability to grade force/efforts

Question 37

vestibular deficits intervention

Answer 37

grade for type and rate of movement, and amount of resistance slowly introduce linear movement with touch pressure in prone and provide resistance to active movement (esp gravitation insecurity) linear vestibular stimuli to increase spatial orientation -rapid rotary angular movements with frequent stop and start and acceleration and deceleration to increase ability to distinguish pace of movement (semicicular canals)

Question 38

CN I

Answer 38

sensory olfactory- smell

Question 39

CN II

Answer 39

sensory optic- vision

Question 40

CN 3

Answer 40

motor and sensory, eye movements and proprioception of eye

Question 41

CN 4

Answer 41

trochlear- downward and inward eye movements

Question 42

CN 5

Answer 42

trigemential, motor and sensory, controls jaw movement and sensory impulses from mouth nose and eyes

Question 43

CN 6

Answer 43

abducens, lateral eye movements

Question 44

CN 7

Answer 44

facial, mixed,

Question 45

CN 8

Answer 45

vestibulocochlear- sensory hearing

Question 46

CN 9

Answer 46

glosssopharyngeal-motor and sensory, pharynz and slaivary glands and sensory fo rtaste

Question 47

CN 10

Answer 47

vagus-sensory and motor for larynx and pharynx,

Question 48

CN 11

Answer 48

spinal accessory- sensory motor fibers for sternocle, traps, muscle of soft plate, pharynx, larynx movment of nexk and shoulders

Question 49

CN 12

Answer 49

hypoglossal, motor sensory fibers to from tongue and movement of tongue