Movement System Diagnoses
Give an example of a critical task
Sitting
Standing
Sit to stand
Walking
Step up
Reach and grasp
Manipulation
S&S that are directly from an individuals disease
Primary impairment
A patient is given an AFO, what intervention training category would this be under?
What is Compensation
When examining a patient with hypotonia, what are the expected results for ROM and joint laxity?
Increased ROM
Increased Joint laxity
Hypertonia is the result of damage to what specific structure?
What is Substantia Nigra
What is the primary problem for a patient who has a force production deficit?
Weakness
FOGS stands for
Family
Orientation
General
Spelling
A patient you have been seeing for a while comes in for a reevaluation, they have limited motions along with a decline in spasticity. According to Brunnstrom, what Stage of recovery are they in?
Stage 4
When positioning a patient with hypotonia in UE and LE in supine, what should you take into consideration in terms of ankle and limb position?
Elevate limbs (Decrease edema)
Ankle support (prevent drop foot)
UE in abduction, slight elbow flexion, elevated
If there is a lesion in the subcortical white matter, what is the expected effect?
Spasticity
A patient is unable to hold themselves up in a seated position or vertically orient themselves, what is the movement sxs diagnosis?
Perceptual deficit
A person is unable to laterally gaze in bilateral eyes
What is a CN 6 lesion
Tapping of a tendon will stimulate what specific receptor are you targeting? What about tapping of the Muscle belly?
Golgi tendon organ
Muscle spindle
A patient has mild hypotonia, what is the common intervention approach used?
Compensation approach to protect joints and aid function in distal segments
A patient is given their baclofen at 6 am everyday, when should the therapist schedule their PT?
Anytime after until about 9 am
half life is 2.5 to 4 hours
Which movement sxs diagnosis is associated ALWAYS with a CNS deficit?
Fractionated movement
A patient has no response to both a quadriceps and brachialradialis reflex test, what are the spinal roots and nerves involved
Femoral (L3/4)
Radial (C6)
You are administering a vibration technique on a patient to facilitate contractions of the biceps, you have the frequency set at 75 Hz, what is the expected results?
Inhibitory, you need at least 100 Hz
The weight bearing intervention for a patient with hypotonia can be progressed from…
hint- (5 progressive positions, starting with sitting)
Sitting
Prone on elbows
Quadruped
Standing with forward inclination
Standing at high support surface
Name 3 inhibition techniques which aim to decrease Hypertonicity?
Joint distraction
Deep tendon pressure
Cold
Sustained Stretch
Warmth
PROM
What are the primary problems associated with hypokinesia and hypermetria?
Hypermetria- Movements are too large for intended purpose
Hypokinesia-Slow initiation and execution of movement
In a movement screen, what are the 5 categories you should be observing in terms of the quality of movement
Speed
Amount
Symmetry
Control
Symptom alteration
You are trying to get a patient to stand up and fire their extensor muscles throughout their body, which augmented feedback technique would best fit this scenario?
Jamming or Joint approximation
A patient has the following test results…
manual muscle testing- significant weakness
DTR- absent
Postural response- Absent
is this a central or peripheral lesion?
Peripheral
What are two common side effects associated with taking dantrium (calcium channel blocker)?
Drowsiness and weakness