Intro to neuromuscular conditions

- Stroke

- Brain injury

- Spinal cord injury

Examples of Non-progressive disorders of the CNS

- Parkinson's Disease

- Multiple Sclerosis

what are types of neuromuscular progressive disorders

- A brief review of HPI

- The major (3-5) impairments and how they link to the major (3-5) activity/participation restrictions

- PT Diagnosis (Movement System diagnosis) where applicable

- Justification for need for physical therapy (skilled care)

what should be included in the documentation of a neuromuscular assessment

- task

- individual

- environment

what are the 3 aspects that make up the nature of movement

activity

what does the task relate to within the ICF model

- Examination of functional level (Activities or tasks)

- Examination at the strategy level

- Examination at the impairment level (body functions & structures)

what are the key points of the Task-Oriented Approach to Examination and Intervention

- Motor, sensory, or cognitive strategies

- Visual observation

- Quantitative: Kinetic, Kinematic or EMG exam

- Description of movement

what is included in a Strategy Level Examination

- Sensory (multi-modal)

- Musculoskeletal (alignment, posture, ROM, muscle length)

- Motor performance

- Strength

- Coordination

- Reflexes and tone

- Cognitive

- Balance

- Gait

what is included in an Impairment Level Examination

primary impairments (disease specific)

Changes in muscle strength, tone, or sensation

secondary impairments

Changes in alignment, muscle strength, or soft tissue length; Pain or edema

- Movement deficits

- Atypical movements

- Undesirable compensation

What do Composite Impairments (Strategies of movement) entail

Composite Impairments (Strategies of movement)

unwanted compensations that are not beneficial for the patient