Movement Analysis

baseline, goals, progression, functional, discharge, safety, injury, effectiveness, intervention, documentation, payer

purpose of analyzing function is establish _____ information for setting function oriented _____, identify indicators of patient _____ toward more complex _____ levels, gather information for _____ planning, assess level of _____ in performing task and continued risk of _____, show _____ of specific _____, provide _____ to support _____ requirements

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

core tasks (6)

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

key constructs (7)

verticality, stability

postural control includes (2)

smoothness, sequencing, timing, accuracy

coordination includes (4)

initial conditions, environment, starting posture, environmental conditions, changes

movement analysis begins with evaluation of _____ (_____ and _____) and then systematically alters _____ and observe _____ in movement strategies

body stability, body transport, no object manipulation, object manipulation, action function, stationary regulatory conditions, in motion regulatory conditions, no intertrial variability, intertrial variability, environmental context

gentile’s taxonomy categories include _____ vs _____ and _____ vs _____, (both _____) _____ vs _____ and _____ vs _____ (both _____)

initiation, execution, termination

observable stages of movement continuum (3)

initial contact, loading response, midstance, terminal stance, preswing, initial swing, midswing, terminal swing

gait cycle stages (8)

initial contact, loading response, preswing

periods of double limb stance (3)

neutral, dorsiflexion, plantarflexion, plantarflexion, plantarflexion, dorsiflexion, neutral, neutral

ankle/foot position during gait: initial contact _____, loading response _____, midstance _____, terminal stance _____, preswing _____, initial swing _____, midswing _____, terminal swing _____

loading response, terminal stance

peak dorsiflexion occurs at _____, peak plantarflexion occurs at _____

extension, flexion, extension, extension, flexion, flexion, flexion, extension

knee position during gait: initial contact _____, loading response _____, midstance _____, terminal stance _____, preswing _____, initial swing _____, midswing _____, terminal swing _____

initial swing, midstance

peak knee flexion in _____, peak knee extension in _____

flexion, flexion, neutral, extension, extension, flexion, flexion, flexion

hip position in gait cycle: initial contact _____, loading response _____, midstance _____, terminal stance _____, preswing _____, initial swing _____, midswing _____, terminal swing _____

midswing, terminal stance

peak hip flexion in _____, peak hip extension in _____

foot slap, foot flat/forefoot initial contact

pretibial muscle weakness during initial contact/loading response causes _____ (borderline) or _____ (profound) A/F

excess dorsiflexion, uncontrolled tibial advancement, delayed/absent heel off

plantarflexor weakness during stance causes _____, _____, _____ A/F

low/no heel off, lack of rapid plantarflexion

calf muscle weakness in preswing causes _____ and _____ A/F

excess plantarflexion, foot drag, poor posture

pretibial muscle weakness during swing causes _____ and _____, _____ for initial contact following A/F

posterior capsule reliance, joint stabilization, preventing hyperextension

hamstring weakness during initial contact causes _____ for _____ and _____ K

limb collapse, inability to stabilize

quadricep weakness during loading response causes _____ due to _____ K

limited knee flexion, foot clearance

knee flexor weakness during initial swing causes _____ for _____ K

inadequate knee extension

profound quadricep weakness during terminal swing causes _____ K

unstable pelvis/hip joint, anterior tilt, increased hip flexion, contralateral pelvic drop

hip extensor and abductor weakness during initial contact cause _____ leading to _____ and _____, _____ possible H

contralateral pelvic drop

hip abductor weakness during stance cause _____ H

limited hip flexion, thigh advancement, foot clearance

profound hip flexor weakness during initial swing causes _____, _____, and _____ H

poor limb position

hamstring and hip extensor/abductor weakness in terminal swing cause _____ for initial contact H

leg length discrepancy, plantarflexion contracture, plantarflexion spasticity, dorsiflexor weakness, painful heel, excessive knee flexion

forefoot contact causes (6)

plantarflexion contracture, dorsiflexor weakness, knee flexion contracture

foot flat contact causes (3)

dorsiflexor weakness, dorsiflexor reciprocal inhibition

foot slap causes (2)

plantarflexion contracture, plantarflexor spasticity/overactivity, plantarflexor or vastii weakness

excess plantarflexion causes (3)

plantarflexor inability to control, knee flexion contracture, hip flexion contracture

excess dorsiflexion causes (3)

plantarflexor contracture, plantarflexor spasticity

early heel rise causes (2)

plantarflexor weakness, invertor weakness, inadequate toe extension ROM, painful forefoot

no heel off causes (4)

toe flexor spasticity, excessive toe flexion activity for calf weakness, plantar grasp reflex, positive supporting weakness

toe clawing causes (4)

invertor contracture/overactivity, evertor hypoactivity, primitive extensor pattern

excess inversion causes (3)

evertor contracture/overactivity, invertor hypoactivity, primitive flexor pattern

excess eversion causes (3)

pretibial weakness, plantarflexor spasticity, plantarflexor contracture, inadequate hip or knee flexion

foot drag causes (4)

knee flexor spasticity, knee flexor contracture, painful knee, proprioceptive loss, shorter contralateral LE (calf weakness, hip flexion contracture)

excess knee flexion causes (5) + 2 if single limb

quadricep weakness, plantarflexor or quadricep tone/spasticity/contracture, proprioceptive loss

limited knee flexion during loading response causes (3)

plantarflexor or quadricep tone/spasticity/contracture, proprioceptive loss, knee pain, calf weakness, hip flexion contracture, knee flexor weakness

limited knee flexion during preswing/initial swing causes (6)

quadricep weakness, quadricep spasticity, plantarflexor contracture, structural abnormality, proprioceptive loss

knee hyperextension causes (5)

proprioceptive loss, knee flexor/extensor alternating spasticity

knee wobble causes (2)

hip extensor weakness, hip or knee flexion contracture, hip or knee flexor hypertonicity

excess hip flexion during initial contact/loading response causes (3)

hip or knee flexion contracture, hip or knee flexor spasticity, plantarflexor weakness, hip pain, flexion synergy

excess hip flexion from midstance to swing causes (5)

hip extensor weakness, hip flexor weakness, hamstring spasticity, hamstring contracture

limited hip flexion causes (4)

hip flexor weakness, inability to shorten leg for limb clearance

circumduction causes (2)

internal rotator spasticity/contracture, external rotator weakness, forward contralateral pelvic rotation

hip internal rotation causes (3)

external rotator spasticity/contracture, internal rotator weakness

hip external rotation causes (2)

gluteus medius or IT band contracture, assist foot clearance

hip abduction causes (2)

hip adductor spasticity/contracture, excess contralateral pelvic drop

hip adduction causes (2)

gluteus maximus weakness, limb advancement with limited hip flexion

backward trunk lean causes (2)

quadricep weakness, hip or knee flexion contracture

forward trunk lean causes (2)

ipsilateral hip abductor weakness, hip pain, IT band tightness, scoliosis

ipsilateral trunk lean causes (4)

assist foot clearance if limb is too long, contralateral hip abductor weakness, hip pain, IT band tightness, scoliosis

contralateral trunk lean causes (5)

ipsilateral hip abductor weakness, hip adductor spasticity/contracture

contralateral pelvic drop causes (2)

contralateral hip abductor weakness, hip adductor spasticity/contracture

ipsilateral pelvic drop causes (2)

assist limb clearance with inadequate hip flexion/knee flexion/ankle dorsiflexion

pelvic hike cause