Movement System Diagnoses
Name 3 of the 9 movement system diagnoses
Movement pattern coordination deficit
Force production
sensory detection
sensory selection and weighting
perceptual deficit
fractionated movement
hypermetria
hypokinesia
cognitive deficit
If the tibial nerve is damaged, what reflex could be affected?
Achilles
Walking to the kitchen as quickly and safely as possible is an example of what intervention strategy?
Functional training
A patient is unable to move through gravity, has absent co-contraction at proximal joints, and has weakness. What grade would you give them based on the Passive and Active movement scale?
-3 to +3
-3
True/False
Spasticity is caused by the loss of ascending inhibition
False
A patient is unable to intersegment movement due to impaired somatosensory function, what movement system diagnosis would you give them?
Sensory detection deficit-
Inability to execute intersegmental movement because of an absent or impaired sensory modality or multisensory failure
Finger flexors reflex tests what spinal nerve and root?
Median/Ulnar, C8
A physical therapist puts a patient in full extension of their elbow and slowly applies overpressure. What technique is being used?
Sustained stretch
How should a patient's shoulder and elbow be positioned while side-lying?
damage to the cerebellum would cause what effect on muscle tone?
hypotonia
True/False
Movement system diagnoses have not been validated by research
True
If a patient is unable to frown or smile, what cranial nerve is affected?
CN 7
During the stretch pressure technique, how long should the therapist hold the firm pressure to inhibit the activity of the target muscle?
5-10 seconds
How do weight-bearing exercises affect muscle tone?
increases muscle tone
A patient has a considerable increase in tone and passive movement is difficult, what would you rate them on the modified Ashworth scale?
0-4
3
You are examining a patient who is struggling to coordinate intersegmental tasks because of their timing and sequencing abilities, what would be the proper movement system diagnosis?
Movement Pattern Coordination Deficit
What type of test would you use for a patient who you suspected had a sensory detection deficit?
Monofilament tests
What type of cutaneous receptor are you trying to target when using the vibration method?
Pacinian corpuscle
A patient with severe hypotonia should have what type of intervention?
FES (functional electric stim)
Damage to the UMN cell bodies would lead to what?
Spasticity
You are adminstering the motorneuron response assessment to a patient and they achieve the following results...
PROM: resistance
PROM with drop: falls slower than uninvolved UE * AROM with drop: falls slower than uninvolved UE IPSIL LE: no activity in UE
CONTRA LE: no activity in UE
what category would they fall under?
Flaccid, Mild, Moderate, Marked, Severe, Normal
Moderate
A patient has hypotonicity from a recent TBI, this is an example of what type of impairment?
Primary impairment
What can occur do if you apply the slow stroking technique for more than 3-5 minutes?
rebound response
A patient has a complete absence of muscle tone to palpation and no resistance to passive movement. This is better known as...
Flaccidity
How can PROM affect muscle tone?
Decreases hypertonicity