neuro Movement analysis

What observation would you note for MOTION in the 4 element model?

amplitude, smoothness, symmetry and direction

What body structure and function issues would be seen with MOTION

Muscle Tone, spasticity, movement isolation, joint mobility, muscle length (think is there available range of motion to do this task)

What observation would you note for FORCE in the 4 element model?

amplitude smoothness direction

What body structure and function issues would be seen with FORCE

Recruitment, fiber type, Fiber amount, fiber thickness, movement isolation

What body structure and function issues would be seen with ENERGY

Vent function, O2 exchange, CV function, metabolic function, nutrition

What observation would you note for ENERGY in the 4 element model?

Vital signs, shortness of breath, decreased speed, deterioration pattern

Cognition and Psychology Observations

response time, does movement mask the task objectives?, attentive to changes in environment?

communication objectives 

appropriate response to commands 

BSF with Communication

Auditory, Dysarthria, Aphasia, Vision

BSF of Cognition

Arousal, attention, orientation, memory, exec function

Sensation and perception Observations

does movement match environment, task parameters, timing

Sensation and perception BSF issues 

Somatosensation, proprioception, kinesthesia, vestibular vision

muscle tone observations

amplitude smoothness, direction

BSF of muscle tone

Hypertonicity, flaccidity

Spasticity observations

amplitude, smoothness, direction, pattern deteriorates with speed increase

Spasticity BSF

Spasticity 

Movement isolation observation

normal amplitude? smoothness? segmental movement? pattern deteriorates with loading

Movement isolation BSF

abnormal coactivation with movement. SYNERGIES

posture Observations

COG over base? Initiate move in proper direction?

Posture BFS

Cognition / Psychology, Muscle Tone, Force, Motion, Sensation / Perception, Muscle Tone, Posture

Balance BSF

Sensation / Perception, Muscle Tone, Posture, Force, Motion, Motion Isolation

Balance Observations 

COG over base? Wide BOS, Stable at initiation, termination? LOB?

Coordination observation

Initiation and termination timing? Segments moving in sequence? Counter-rotation? Endpoint accuracy? Single smooth movement or series of movements?

Coordination BSF

Cog / Psych, Sensation /

Perception, Posture,

Force, Motion, Motion

Isolations, Ataxia

Adaptive Ability Observation

Modifies movement in response to changing task parameters or changing sensory conditions fluently? 

Adaptive Ability BSF issues

Sensation / Perception, Cog / Psych, Coordination, Coordination, Posture, Force, Motion

Speed observations

Is the speed consistent with

function?

Was velocity appropriate

Was velocity appropriate

with normal acceleration,

momentum and decceleration

during the task?

Speed impairments 

Force, Motion,

Energy, Movement

Isolation, Muscle

Isolation, Muscle

Tone, Spasticity,

Coordination

Amount impairments

Force, Motion,

Movement Isolation,

Muscle Tone,

Spasticity

Amount observation

refers to

the amplitude of movement

at each joint during the task

symmetry Observation

Both sides symmetrical during bilateral tasks? Each side

performs unilateral tasks in a

similar fashion? Equal counter-

rotation?

Symmetry Impairments 

Motion, Force,

Posture, Muscle

Tone, Spasticity,

Movement Iso

symptom observations

Complaints of pain

Grimacing

Antalgic movements / decreased

weight shift

Reluctance to move

Symptom impairments

Sensation, muscle

tone, spasticity

what part of the temporal sequence happens before a reason to move occurs?

initial conditions

What stage of the temporal sequence happens from  the time a

reason to move

presents itself

until initiation

Planning 

What stage of the temporal sequence happens at the first few milliseconds

Initiation

What stage of the temporal sequence happens during the majority of the movement

execution

What stage of the temporal sequence happens in the last few milliseconds

Termination

What happens in the termination stage of the temporal sequence? what can we observe? 

Accuracy, sway, timing, fluent change to next movement 

What happens in the execution stage of the temporal sequence? what can we observe? 

symmetry, amount, speed, symptoms

What happens in the initiation stage of the temporal sequence? what can we observe? 

Direction, smoothness, timing

What happens in the planning stage of the temporal sequence? what can we observe? 

lag between reason to move and imitation. What’s happening here?? stimulus identification, response selection, motor planning

What happens in the initial condition stage of the temporal sequence? what can we observe? 

describe the environment and the state of the pt (cognition, psychology, posture