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Movement Principles
Principles of movement and movement disorders
Question | Answer |
---|---|
Motor Learning Principle (stage 1) | Skill Acquisition stage or Cognitive stage. Intentional instruction or practice of a skill |
Motor Learning Principle (stage 2) | Skill Retention stage or Associated stage. "carry over" of skill occurs. |
Motor Learning Principle (stage 3) | Skill transfer stage or Autonomous stage. Demonstration of skill in a new context. |
Dysmetria | under/over shooting of a target |
Dyssynergia | joints moving seperately |
Athetosis | inadequate timing, force, accuracy (worm-like writhing) |
Chorea | short duration of involuntary movement of face and upper extremities. |
Hemiballismus | unilateral chorea |
Ashworth Scale: Level 0 | No Increase |
Ashworth Scale: Level 1 | Normal Tone - slight increase at end range |
Ashworth Scale: Level 2 | Slight increase - at less then half range |
Ashworth Scale: Level 3 | More Marked increase - greater than half range (1/4 range) |
Ashworth Scale: Level 4 | Considerable increase - movement difficult |
Ashworth Scale: Level 5 | Rigid in flex/ext patterns |
Increasing Strength | High resistance - low repetitions. Isometric can create more forceful contractions, but is contraindicated for those with cardio problems. |
Increasing Endurance | Work at 50% of maximal resistance or less, increase repetitions and duration - NOT resistance. |
Reducing Edema | Elevation (contraindicated for cardio problems), Retrograde Massage - CENTRIPETAL motion (with extremity elevated), Compression Garments (wrap distal to proximal) - Coban best for ADL/Role activities, Cold Packs, & Contrast Bath (Heat contraindicated). |
Scar Management | Early ROM program, Massage (circle and friction), Compression (coban-digits, isotoner glove-hand and tubigrip-UE), Scar pad, Splinting & Edema control (acute phase). |
Sensory Training (Desensitization post Scar) | Periphery as tolerated then over scar, massage, textures, vibration, fluidotherapy. Compensation (cannot feel): Avoid use of Hands where vision is occluded & Observe Safety Precautions. |
Energy Conservation / Work Simplification | Short REST periods throughout day (5-10 min), alternate/balance heavy and light tasks, organize/simplify, eliminate, delegate and combine tasks as needed. Sit (high stool for counter-top work, adaptive equipment, slide rather than lift, & light tools. |
Body Mechanics - Joint Protection | Maintain max ROM and Strength, use strongest and largest joints/muscles for job completion, keep general ergonomics in mind to simplify or make a task easier (hold close at center, palms up...) |
Benefits of Physical Agent Modalities (PAMs) | Heat: -pain, extensibility, wound healing. Cryotherapy(Cold): -pain, -edema, muscle tone. Whirlpool: clean/debride. EStim: -pain, -swelling, stim. mus/ner. Ultrasound (NEVER used over growth plate): -pain, -inflammation, ^ROM(extensibility), -adhesions. |
Improving Coordination | GM working up to FM, ROM of activity should be challenging yet attainable, & FOCUS on accuracy and speed (slow-fast/precise). |