Neuro: Lecture 12 Movement Analysis Flashcards
(36 cards)
What is a pathoanatomical diagnosis
The cause of the problem is structural
What is a pathokinesiologic diagnosis
The movement problem is caused by a pathoanatomic or pathophysiological problem
PATHOLOGY CAUSES MVMNT PROBLEM
altered scapulohumeral rhythm bc RCT
What is a kinesiopathic diagnosis
Abnormal movement is caused by a specific anatomical or physiological problem
MVMNT CAUSES PATHOLOGY
repeated overhead movements with poor posture caused impingement syndrome
how is the movement system diagnosis model different
clusters pts based on movement deficits instead of MOI or medical diagnosis (stroke pt)
- wade
what are the 5 stages of the task analysis model (what do we observe?)
initial conditions (posture, interactions, context)
preparation
initiation (timing, direction, smoothness)
execution (amplitude, direction, speed, smoothness)
termination (timing, stability, accuracy)
(and then was the outcome achieved?)
What are the CORE TASKS of movement analysis
Sitting
Sit to stand
Standing
Walk and turn
Step up and down
Reach/grasp and manipulate
What are the 9 kinds of movement system diagnosis?
Movement pattern coordination deficit
Force production deficit
Fractionated movement deficit
Postural vertical deficit
Sensory selection and weighting deficit
Sensory detection deficit
Hypokinesia
dysmetria
Cognitive deficit
What is it called when a patient has a problem with coordinating a task?
Movement pattern coordination deficit
think motor planning deficits
What kind of movement system diagnosis is this: pt quads are too weak to stand up
Force production deficit
weakness
What kind of movement system diagnosis is this: pt cant control movement in joints of their arm independently
Fractioned movement deficit
spastic pts, synergies, cant isolate movements
what kind of movement system diagnosis is this: pt with pusher syndrome
postural vertical deficit
alignment is off, resist neutral
What kind of movement system diagnosis is this: pt relies too heavily on vision for balance and not enough on vestibular system
Sensory selection and weighting deficit
vestibular pts usually
What kind of movement system diagnosis is this: patient is blind
Sensory detection deficit
also can be issues with proprioception and light touch! and sensory detection issues
What kind of movement system diagnosis is this: pt doesn’t move enough
Hypokinesia
parkinsons
What kind of movement system diagnosis is this: pt has trouble coordinating their limbs in straight line or going to a target
Dysmetria
ataxia, cerebellar issues
What kind of movement system diagnosis is this: pt can’t understand the task
Cognitive deficit
movement pattern coordination deficit vs dysmetria
movement patter - will improve with repetitions
dysmetria (cerebellar) - will not improve with repetition
What is the first thing assessed in the movement screen?
Whether the patient understands the task or not/ cognitive deficit
what are diagnosis modifiers?
can be cognitive (attn, understnading), joint limitations, sensation/neglect
not the primary diagnosis or issue but will affect pt treatment
What scale is used to measure tone?
Modified ashworth scale
Note: ONLY FOR HYPERTONICITY, doesn’t include hypo
Muscle tone problems are a hallmark of what kind of movement system diagnosis?
Fractionated movement deficit - they’re too hypertonic to be able to separate their joint movement
Force production deficit - they’re too flaccid
Motor planning coordination deficit - mild
clasp knife vs cogwheel
cogwheel is RIGIDITY
clasp knife is SPASTICITY
Non fractionated movement is likely to present with what kind of tone
Hypertonicity
Strength (MMT) and fatigue deficits are a hallmark of what kind of movement system diagnosis
Force production deficit
