862: compensatory vs restorative movement and neuro movement diagnoses

Medical diagnosis

Based on the patients signs and symptoms and results of a standardized set of tests and measures

Movement diagnosis

Based on the patient primary movement system signs and symptoms, the results of a standardized set of tests and measures, and movement analysis

Movement pattern coordination deficit

Primary movement fault/impairment: poor timing and sequencing of either intersegmental movements or of postural responses relative to balance demands

Key finding for movement pattern coordination deficit

Performance typically improves with practice and instruction

Force production deficit

Primary movement fault/impairment: weakness

Key findings for force production deficit

Unable to generate sufficient force to overcome effect of gravity or fatigue with repetition

Sensory detection deficit

Primary movement fault/impairment: inability to execute intersegmental movement due to moderate-severe loss joint position sense or protective sensation, vision, and/or the vestibular system

Key findings for sensory detection deficit

Worse with eyes closed as they can no longer compensate

Limited improvement with practice

Sensory selection and weighting deficit

Primary movement fault/impairment: decreased ability to screen for and attend to appropriate sensory cues for postural orientation and postural stability

Issues with sensory processing which my impact steady state, anticipatory and reactive postural control as well as limb movement

Key findings for sensorry selection and weighting deficit

Difficulty making transitions from one sensory environment to another

Dizziness

Postural vertical deficit

Primary movement fault/impairment: inaccurate perception of vertical orientation with resistance of correction to COM alignment

Key findings of postural vertical deficit

Resists correction of COM alignment

Fearful/agitated when COM is corrected

May have disregard or neglect of involved extremity

Fractioned movement deficit

Primary movement fault/impairment: inability to fractionate movement

Key findings of fractioned movement deficit

Non fractioned movement

Moderate to severe hyperexcitability/hypertonicity

Unable to generate quick movements

Dysmetria

Primary movement fault/impairment: inability to grade forces appropriately for distance and speed of a task/movement

Key findings for dysmetria

Notable under or overshooting of targets

Abnormal rhythm and incoordination that does not improve with practice

Excessive postural sway

Hypokinesia

Primary movement fault/impairment: slowness in initiating and executing movement. Usually associated with small amplitude movement and may be associated with stopping of ongoing movement

Key findings of hypokinesia

Difficulty initiating movement

Delayed timing of postural adjustments

Lack of preparatory movements

Cognitive deficit

Primary movement fault/impairment: impaired motor control related to lack of arousal, attention, or ability to apply meaning to situation that is appropriate for age

Key findings for cognitive deficit

Difficulty initiating movement

Delayed timing of postural adjustments

Lack of preparatory movements

Compensatory

Neuro plasticity used to form new connections

Therapeutic interventions used to discover new ways of accomplishing a task

Restorative

Neuroplasticity used to relearn and restore damaged functions

Trying to regain normal movement

Force production deficit

Fractionated movement

Force production deficit

Force production deficit

Fractionated movement

Sensory detection

Force production deficit

Sensory selection and weighting

Force production deficit

Movement pattern coordination

Fractionated movement and dysmetria

Dysmetria

Dysmetria