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What is movement?
- Simple reflex to a complex network of neural patterns that communicate through the CNS and PNS
- Involuntary reflexes to voluntary motor control
- Involving the brain and is influenced by the deviations and or diseases affecting typical human development
volitional
voluntary
motion
abilityof a joint or tissue to be moved passively
force
ability of the contractile and noncontractile structures to produce movement and provide dynamic stability around the joints during static and dynamic tasks
energy
the ability to perform sustained or repeated movements and is dependent on the integrated functioning of the systems
motor control
the ability to plan, execute, and adapt goal-directed movements such that they are accurate, coordinated, and efficient
CASSS
control, amount, symmetry, speed and symptoms
speed
rate of change or velocity of segment or body
amplitude
the extent or range of movement either whole body or body segments
alignment
biomechanical relationship of body segments to one another as well as to the base of support in order to achieve task
verticality
the ability to orient the body in relationship to the line of gravity
stability
the ability to control the body's center of mass in relation to the base of support
smoothness
the ability to complete a task in a continual fashion without interruptions in velocity or trajectory
sequencing and timing
The spatial organization and temporal structure of different body segments to complete a task
symptom provocation
an observation or patient report of symptoms; movement evokes a particular response
What are the parts of movement analysis?
1) subjective
2) analysis of task
3) progression/ regression
4) tests and measures
5) plan of care
CST
voluntary motor function of limbs
modifies muscle tone and reflexes
what is a reflex?
involuntary, predictable, and specific responses to a stimulus, dependent on an intact reflex arc
2 cutaneous reflexes
plantar and abdominal
mechanoreceptors
cutaneous sensory receptors
deep sensory receptors
muscle and joint
thermoreceptors
cold and warm
nociceptors
pain
DCML
conscious perception of fine touch, 2-point discrimination, proprioception, and vibration
Spinothalamic tract
conscious perception of pain, temperature, and crude touch and pressure
pupillary reflex
CN II, III
corneal reflex
V, VII
gag reflex
IX, X
Jaw jerk
V
Vestibulo-occular
VIII, IV, VI
Oculocardiac
V, X
Lacrimal
V, VII
brain stem
reflexive control of HR, BP, pupillary light, respiration, gag, cough
flexor withdrawl
noxious pinpirck to sole of foot
toe extends
1-2 months
Crosses extension
noxious to ball of foot while LE is in fixed extension
contralateral LE flexes
1-2 months
traction
grasp forearms and pull up from supine > sitting
2-5 months
Grasp and total UE flexion
moro
sudden change in head position in relation to the trunk
UE extended
5-6 months
palmar grasp
pressure into the palm
fingers flex
4-6 months
plantar grasp
pressure into ball of foot
toes flex
9 months
Asymmetrical tonic neck
head rotation to one side
UE/LE extend on side of rotation
4-6
symmetrical tonic neck
develops at 4-6 months head flexion or extension
8-12 months
tonic labyrinthine
prone or supine position
6 months
Positive supporting
contact with the ball of the foot in the upright standing position
rigid extension
6 months
Correlation with CNS delay and lack of maturation
motor control deficits
neurocognitive impairments
learning differences
emotional dyregulation
tone
increased hypertonia
velocity dependent
muscle bulk
disuse atrophy
voluntary movement
impaired or absent; dyssynergic