Movement system diagnosis

Movement system diagnosis - allows PTs to be?

Encourages us to shift our focus from diagnosis to?

Functional activities used for assessment

-            Sitting

-            Sit to stand

-            Standing

-            Walking

-            Step-ups

-            Reach and grasp

Movement pattern coordination deficit

• Inability to coordinate an intersegmental task because of a deficit in ?

timing & sequencing

Movement pattern coordination deficit

• Population or cause

wide spectrum of neuro dx

Movement pattern coordination deficit

• Does it improve with practice?

Yes

Movement pattern coordination deficit

• LE dysfunction observed with?

• UE dysfunction observed with?

Mobility & postural control tasks

Hand manipulation, grasp & release of different objects coupled with reach

Movement pattern coordination deficit - examples

How to treat - Movement pattern coordination deficit

• Practice the task repeatedly

• Increase speed and movement size

• Improve balance reactions

• Practice in different environments

Force production deficit

• Primary movement fault is?

weakness

Force production deficit

• Weakness due to?

• Presentation?

• Prognosis depends on?

How to identify Force Production deficit

• Difficulty moving a limb through the full ROM against gravity.

• Weakness at a specific joint or body region.

• With repeated movement - ROM or speed decreases

Examples of Force production deficit

How to treat - Force Production Deficit

Strengthening

• More effecting when combined with functional tasks

• Capacity dependent on extent of neuro damage

Fractionated movement deficit

• Inability to fractionate movement associated with?

moderate or greater hyperexcitability

Fractionated movement deficit - what diagnoses

Central neurological deficit

UE, LE, or both

Identifying Fractionated movement deficit

How to treat Fractionated movement deficit

Work on compensatory/adaptive strategies

Practice endurance & speed of mvmt &timing & amplitude of postural responses

Postural vertical deficit

• Tendency to resist?

IMPAIRED POSTURAL CONTROL

Postural vertical deficit

• seen with what diagnoses

stroke or brain injury

Identifying postural vertical deficit

How to treat Postural vertical deficit

Sensory selection & weighing deficit

• Impaired?

• From?

Impaired postural orientation or motor performance

From decreased ability to screen for and attend appropriate sensory inputs

Difficulty using the right sensory information (vision, vestibular, or proprioception) to maintain balance and movement.

Sensory selection & weighing deficit

• Patients demonstrate?

• From?

Identifying Sensory selection & weighing deficit

Treating Sensory selection & weighing deficit

Sensory detection deficit

• Lack of?

• Inability to execute intersegmental movement due to?

• Can also be due to loss of?
  
  

Sensory detection deficit

• From what lesions?

Sensory detection deficit - is there improvement with practice?

Limited

Identifying Sensory detection deficit

Treating Sensory detection deficit

Dysmetria

• Issues with what aspects of tasks?

Dysmetria

• Rapid movements are?

• Slow movements are?

Dysmetria

• What lesions

Cerebellar dysfunction

Identifying dysmetria

Does practice help dysmetria

No

Treating dysmetria

Hypokinesia

• Movement dysfunction is related to?

• What parts of movement

Hypokinesia

• what lesions

Identifying hypokinesia

Treating hypokinesia

Cognitive deficits

• Primary deficit in movement is?

Cognitive deficits

• demonstrate loss of what movement?

Cognitive deficits - may be able to move against gravity but not in relationship to?

does not move appropriately in response to situational demands.

Cognitive deficits - intervention