HM Module 2 Session 2 Notes: Occupational Based Functional Motion Assessment

Occupational Based Functional Motion Assessment

  • Occupational based assessment differs from gross motor assessment.
  • Enhanced learning activity focusing on functional aspects is beneficial for understanding occupational based assessment.

Mentimeter Questions & Answers

  • Question 1: Assessment considering environment, performance, skills, and client factors in functional movement. Answer: Occupational based functional movement assessment.
  • Question 2: Three primary areas of motor function observed during occupational based functional motion assessment: range of motion, strength, and motor control.
    • Motor control includes tone and coordination.
    • Pain is not a motor function.
    • Coordination is implied in manipulative tasks.
  • Question 3: Occupational based functional motion assessment can be used as a screen to identify muscles and joints needing formal assessment. Answer: True.
  • Question 4: Client-specific client factors that may NOT be observed with the OBFMA: Swallowing.
    • Swallowing assessment requires specific procedures to evaluate the swallowing process.
  • Question 5: Advantages of occupational based movement versus gross motor screening:
    • Functional skills assessment.
    • Natural environment observation.
    • Client-centered approach.
    • Contextual understanding.
  • Question 6: What the client can achieve within the limits of their own range of motion, muscle strength, and motor control is:
    • Within functional limits.
    • Active range of motion is a method of measuring range of motion.
  • Question 7: Measurements established norms for a population joint movement:
    • Within normal limits.
    • Passive range of motion is a way of measuring range of motion.
  • Question 8: In the 180 system of joint measurement, what is the starting point:
    • Zero degrees.
    • Natural resting position is different from the zero starting point.
  • Question 9: Measuring a joint is contraindicated in:
    • Unhealed fracture.
    • Avoid movement to allow bone knitting.
  • Question 10: The therapist never forces the joint through range of motion in which one of these:
    • Passive range of motion.
    • In active range of motion the client uses the muscle.
    • Self-range of motion is performed by the client.
    • In passive range of motion, the patient cannot move their arm

Functional Motion Assessment

  • Occupational based range of motion or motion assessment is versatile across settings.
  • It's easier as one can use any object in the person’s environment to perform the test.
  • Three primary areas of function:
    • Range of motion: guiding the joint through an arc of movement.
    • Strength: muscle's ability to resist resistance.
    • Motor control: muscle's ability to move the limb through a joint at the range of motion.
  • Specific factors to observe during functional assessment:
    • Vision.
    • Cognition.
    • Perception.
    • Influence and impact of the environment.
    • Balance.
    • Endurance.
  • Advantages of functional assessment:
    • Holistic: examines a variety of factors.
    • Meaningful: client-centered and in context.
    • Comfortable setting for the client.
    • Emphasizes what is normal for the client.
  • Determines the need for formal testing (detective roles).
  • Within functional limits refers to what a client can do within their available range of motion, strength, and coordination.
  • Within normal limits refers to established norms from research.

Breakout Room Instructions: Role Playing

  • Partnerships: Student and Linda (case study with lymphedema).

  • Assess Linda in an environment to see the big picture and her deficits.

  • Therapist to assess Linda via functional activities (e.g., comb hair, brush teeth, put on makeup, eat/drink, put on a shirt/sweatshirt).

  • Linda to introduce a curveball: incoordination, arm weakness, limited range of motion.

  • Switch roles.

  • Considerations for Linda’s Case:

    • Lymphedema.
    • Upper extremity evaluation.
    • Core and trunk evaluation.
    • Lower extremity evaluation.

  • During the assessment, it's better not to provide education unless it's about safety, since the goal is to understand the client’s limitations for formal assessment.

  • Evaluating the person as a whole helps to decide on which parameters to assess

  • Evaluating the person as a whole helps to decide on which parameters to assess.