movement analysis

purpose of analysis function

• establish ______

• setting ____ oriented goals

• gather info for _____ planning

• assess individuals ____

• provide _____ to support payer requirements

baseline, function, discharge, safety, documentation

6 core tasks of ANPT model

sitting, sit to stand, standing, walking, step up, reach/grasp/manipulate

flow of ANPT framework

initial conditions, preparation, initiation, execution, termination, expected outcome achieved? yes=progression, no=regression

observable aspects of motor control

symmetry, speed, amplitude, alignment, postural control, coordination, symptom provocation

observable aspects of motor control - two elements postural control

verticality and stability

observable aspects of motor control - 4 elements of coordination

smoothness, sequencing, timing, accuracy

agreements of the external kinetics and kinematics of movement

symmetry

rate of change or velocity of segment or body displacement from start to finish of a task

speed

the extent or range of movement use to complete a task

amplitude

biomechanical relationship of the body segments to one another as well as the base of support and environment in order to achieve task

alignment

ability to orient the body in relation to the line of gravity

verticality

ability to control the bodys center of mass in relation to the base of support under quasistatic and dynamic conditions

stability

movement is perceived to be smooth when it happens in a continual fashion without any interruptions in velocity to trajectory

smoothness

specfiic order of motor output required to achieve the intended goal of the action

sequencing

overall temporal structure of movement that includes the relative percentage of time devoted to movement segments, including initiation, execution and termination

timing

closeness of measured value to a standard or known value, freedom from error

accuracy

an observation or patient report of symptoms, movement that evokes a particular response

symptom provocation

with movement analysis, start under _____

basic conditions

begin with evaluation of _____ and then systematically alter _____

initial conditions, environmental conditions

a way to systematically progress movement

gentiles taxonomy

gentiles taxonomy two main categories

action function and environmental context

gentiles taxonomy - action function

• two main groups = ____

  • further subdivided into _____ and _____

body stability, body transport, no object manipulation, object manipulation

gentiles taxonomy - environmental context

• two main groups = ____

  • further subdivided into _____ and _____

stationary regulatory conditions, inmotion regulatory conditions, no intertrial variability, intertrial variability

observable stages of the movement continuum

initiation, execution, termination

instant when displacement of the segments begin

initiation

period of actual segment movement

execution

instant when motion stops

termination

task instructions for sitting

please sit upright with your feet flat on the floor for 30 seconds

task instructions for sit to stand

please stand up. try not to use your hands

task instructions for standing

please stand comfortably for 30 seconds

task instructions for walking

please walk at your comfortable speed to indicated mark on ground, turn around, and come back

task instructions for step up/down

please step up onto this step with both feet leading with your right leg. try not to use your hands. now step down backwards, leading with the right leg

observable aspects of motor control to analyze in sitting

symmetry, alignment, postural control, symptom provocation

observable aspects of motor control to analyze in standing

symmetry, alignment, postural control, symptom provocation

observable aspects of motor control to analyze in sit to stand

symmetry, speed, amplitude, alignment, postural control, coordination, symptom provocation

observable aspects of motor control to analyze in step up

symmetry, speed, amplitude, alignment, postural control, coordination, symptom provocation