Podcast
Questions and Answers
During a bicep curl, which action BEST describes the role of the triceps brachii?
During a bicep curl, which action BEST describes the role of the triceps brachii?
- Contracts concentrically to assist in the upward movement.
- Is inhibited via feedback mechanisms, allowing unopposed bicep contraction. (correct)
- Functions as a synergist to refine the bicep's movement pattern.
- Acts as an agonist, facilitating the bicep's contraction.
Which scenario BEST exemplifies a force couple?
Which scenario BEST exemplifies a force couple?
- Two or more muscles on opposite sides of a joint acting together to stabilize or produce movement. (correct)
- Muscles working sequentially, where one muscle initiates movement and another completes it.
- Two muscles on the same side of a joint working together to cause rotation.
- A single muscle contracting to produce isolated joint movement.
When the deltoid muscle produces an upward and outward force on the humerus, what is the PRIMARY role of the rotator cuff muscles (Infraspinatus, Teres minor, and Subscapularis) in this force couple?
When the deltoid muscle produces an upward and outward force on the humerus, what is the PRIMARY role of the rotator cuff muscles (Infraspinatus, Teres minor, and Subscapularis) in this force couple?
- To initiate the abduction movement before the deltoid engages.
- To counteract the deltoid by pulling the humerus upward.
- To enhance the upward force of the deltoid.
- To create a compressive force, maintaining the position of head of humerus. (correct)
What is the BEST description of a movement synergy?
What is the BEST description of a movement synergy?
Why are normal synergies essential for functional human movement?
Why are normal synergies essential for functional human movement?
According to the APTA's Patient and Client Management Model, which of the following is the MOST direct component of the Examination phase?
According to the APTA's Patient and Client Management Model, which of the following is the MOST direct component of the Examination phase?
A physical therapist observes a patient having difficulty reaching for a glass on a high shelf. According to the Patient and Client Management Model, which of the following should be the therapist's FIRST step?
A physical therapist observes a patient having difficulty reaching for a glass on a high shelf. According to the Patient and Client Management Model, which of the following should be the therapist's FIRST step?
A physical therapist is evaluating a patient with limited shoulder movement. Which action aligns with the 'Evaluation/Diagnosis' element of the Patient and Client Management Model?
A physical therapist is evaluating a patient with limited shoulder movement. Which action aligns with the 'Evaluation/Diagnosis' element of the Patient and Client Management Model?
A patient has completed a course of physical therapy for a knee injury. Which activity falls under the 'Outcomes' element of the Patient and Client Management Model?
A patient has completed a course of physical therapy for a knee injury. Which activity falls under the 'Outcomes' element of the Patient and Client Management Model?
Following an initial examination, a physical therapist determines that a patient's limited ankle dorsiflexion is contributing to their gait abnormalities. According to the Patient and Client Management Model, what is the MOST appropriate NEXT step?
Following an initial examination, a physical therapist determines that a patient's limited ankle dorsiflexion is contributing to their gait abnormalities. According to the Patient and Client Management Model, what is the MOST appropriate NEXT step?
A physical therapist is working with a patient who has undergone a total hip arthroplasty. The therapist is focused on improving the patient's ability to walk independently. Under which element of the Patient and Client Management Model does this fall?
A physical therapist is working with a patient who has undergone a total hip arthroplasty. The therapist is focused on improving the patient's ability to walk independently. Under which element of the Patient and Client Management Model does this fall?
Which component of the APTA's Patient and Client Management Model involves establishing the expected level of improvement a patient can achieve through physical therapy?
Which component of the APTA's Patient and Client Management Model involves establishing the expected level of improvement a patient can achieve through physical therapy?
What is the central focus of physical therapy practice, according to the provided materials?
What is the central focus of physical therapy practice, according to the provided materials?
Which of the following best describes the relationship between task, individual capacities, and environment in the context of movement production?
Which of the following best describes the relationship between task, individual capacities, and environment in the context of movement production?
During the analysis of a patient's sit-to-stand movement, a therapist observes significant asymmetry. Which aspect of movement production is MOST directly implicated?
During the analysis of a patient's sit-to-stand movement, a therapist observes significant asymmetry. Which aspect of movement production is MOST directly implicated?
A patient is having difficulty reaching for and grasping a cup. How do the cognitive and sensory/perceptual systems interact to impact the motor system?
A patient is having difficulty reaching for and grasping a cup. How do the cognitive and sensory/perceptual systems interact to impact the motor system?
Which set of movement parameters has the MOST influence on the execution of a task like 'stepping up onto a curb'?
Which set of movement parameters has the MOST influence on the execution of a task like 'stepping up onto a curb'?
A physical therapist is analyzing a patient's forward reach and grasp. The patient exhibits an inability to adjust their grip strength based on the perceived weight of the object. Which component of the individual capacities is MOST likely impaired?
A physical therapist is analyzing a patient's forward reach and grasp. The patient exhibits an inability to adjust their grip strength based on the perceived weight of the object. Which component of the individual capacities is MOST likely impaired?
A researcher is studying the impact of different environments (e.g., carpet vs. hardwood floor) on an individual's balance during walking. What aspect of movement analysis is being emphasized?
A researcher is studying the impact of different environments (e.g., carpet vs. hardwood floor) on an individual's balance during walking. What aspect of movement analysis is being emphasized?
During a squat assessment, a patient displays good symmetry and alignment but struggles to control their descent, resulting in a rapid, uncontrolled movement. Which movement parameter is MOST affected?
During a squat assessment, a patient displays good symmetry and alignment but struggles to control their descent, resulting in a rapid, uncontrolled movement. Which movement parameter is MOST affected?
An occupational therapist is working with a patient who has difficulty manipulating small objects. The therapist observes that the patient can initiate the movement but struggles with fine motor adjustments. Which of the following BEST describes the underlying issue?
An occupational therapist is working with a patient who has difficulty manipulating small objects. The therapist observes that the patient can initiate the movement but struggles with fine motor adjustments. Which of the following BEST describes the underlying issue?
Why is establishing a 'baseline' movement pattern essential in physical therapy?
Why is establishing a 'baseline' movement pattern essential in physical therapy?
According to the presented approach, what is the next step after identifying key movement impairments?
According to the presented approach, what is the next step after identifying key movement impairments?
In the patient management process, what should a therapist do after creating a therapeutic exercise to improve a specific movement or task?
In the patient management process, what should a therapist do after creating a therapeutic exercise to improve a specific movement or task?
What is the ultimate goal of creating therapeutic exercises based on movement analysis?
What is the ultimate goal of creating therapeutic exercises based on movement analysis?
Why are measurements like joint mobility, ROM, muscle length and strength considered insufficient on their own for comprehensive patient management?
Why are measurements like joint mobility, ROM, muscle length and strength considered insufficient on their own for comprehensive patient management?
What is the purpose of 'looking back at the movement' after applying a therapeutic exercise?
What is the purpose of 'looking back at the movement' after applying a therapeutic exercise?
Which of the following represents a key aspect of movement analysis in patient management?
Which of the following represents a key aspect of movement analysis in patient management?
What are some methods to measure and assess movement?
What are some methods to measure and assess movement?
Which of the following best describes the function of extrapyramidal tracts?
Which of the following best describes the function of extrapyramidal tracts?
How does the brain organize motor output?
How does the brain organize motor output?
What role do visual and vestibular inputs play in motor control?
What role do visual and vestibular inputs play in motor control?
Which of the following systems is responsible for relaying proprioceptive information to the brain?
Which of the following systems is responsible for relaying proprioceptive information to the brain?
Where does the initial cognitive processing for voluntary movement primarily occur?
Where does the initial cognitive processing for voluntary movement primarily occur?
How do attention and emotional state influence motor control?
How do attention and emotional state influence motor control?
Which of the following best describes the role of the spinocerebellar tract?
Which of the following best describes the role of the spinocerebellar tract?
How do sensory and motor nerves combine as they exit the spinal cord?
How do sensory and motor nerves combine as they exit the spinal cord?
What is the significance of perception in the context of motor control?
What is the significance of perception in the context of motor control?
Which descending motor pathway primarily governs conscious movements?
Which descending motor pathway primarily governs conscious movements?
What is the main function of the sensory/perceptual systems with respect to movement?
What is the main function of the sensory/perceptual systems with respect to movement?
How do physical therapists utilize movement analysis in patient management?
How do physical therapists utilize movement analysis in patient management?
Why is understanding individual capacities important in analyzing movement?
Why is understanding individual capacities important in analyzing movement?
Which of the following provides information about joint position?
Which of the following provides information about joint position?
Why is observation and description of 'whole movement' emphasized?
Why is observation and description of 'whole movement' emphasized?
Which of the following best describes 'symmetry' in the context of movement analysis?
Which of the following best describes 'symmetry' in the context of movement analysis?
A physical therapist observes a patient walking and notes the time it takes to complete the walk. Which movement analysis term is the therapist likely assessing?
A physical therapist observes a patient walking and notes the time it takes to complete the walk. Which movement analysis term is the therapist likely assessing?
A dancer increases the size of their arm movements. Which term best describes this change?
A dancer increases the size of their arm movements. Which term best describes this change?
Which of the following is the primary focus of 'alignment' in movement analysis?
Which of the following is the primary focus of 'alignment' in movement analysis?
What is the primary focus of verticality in postural control?
What is the primary focus of verticality in postural control?
Which of the following is the most direct indicator of stability within postural control?
Which of the following is the most direct indicator of stability within postural control?
In movement analysis, what aspect of coordination does 'smoothness' primarily address?
In movement analysis, what aspect of coordination does 'smoothness' primarily address?
Which aspect of coordination is most closely related to the order in which different body segments are activated during a task?
Which aspect of coordination is most closely related to the order in which different body segments are activated during a task?
Which aspect of coordination does 'timing' specifically evaluate?
Which aspect of coordination does 'timing' specifically evaluate?
A dart player consistently hits the dartboard close to the bullseye, but not always precisely on it. Which aspect of movement analysis is most relevant to describing their performance?
A dart player consistently hits the dartboard close to the bullseye, but not always precisely on it. Which aspect of movement analysis is most relevant to describing their performance?
A patient is recovering from a stroke and exhibits asymmetry in their arm movements. Which observable construct best describes this impairment?
A patient is recovering from a stroke and exhibits asymmetry in their arm movements. Which observable construct best describes this impairment?
A physical therapist is analyzing a patient's gait and observes that the patient takes a longer time to complete each step compared to a normal gait pattern. Which term best describes this aspect of their movement?
A physical therapist is analyzing a patient's gait and observes that the patient takes a longer time to complete each step compared to a normal gait pattern. Which term best describes this aspect of their movement?
A gymnast struggles to maintain their balance on the beam during a routine. Which aspect of postural control is most challenged?
A gymnast struggles to maintain their balance on the beam during a routine. Which aspect of postural control is most challenged?
During a golf swing, an amateur golfer does not complete their backswing. Which observable construct is most directly affected?
During a golf swing, an amateur golfer does not complete their backswing. Which observable construct is most directly affected?
A surgeon needs to make precise movements during a delicate operation. Which aspect of coordination is most critical for a successful outcome?
A surgeon needs to make precise movements during a delicate operation. Which aspect of coordination is most critical for a successful outcome?
Flashcards
Movement Production
Movement Production
Movement arises from the dynamic interaction between the task, the individual's capabilities, and environmental constraints.
Cognitive Contribution to Movement
Cognitive Contribution to Movement
Cognitive processes related to the purpose/intent of movement.
Sensory-Perceptual Input
Sensory-Perceptual Input
Sensory/perceptual processes provide input necessary for accurate motor output.
Motor Output/Action
Motor Output/Action
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Movement Pattern Analysis
Movement Pattern Analysis
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Postural Control
Postural Control
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Coordination
Coordination
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Importance of Movement Analysis
Importance of Movement Analysis
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Reciprocal Inhibition
Reciprocal Inhibition
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Force Couple
Force Couple
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Force Couples Action
Force Couples Action
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Deltoid Function
Deltoid Function
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Movement Synergy
Movement Synergy
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APTA's Vision Statement
APTA's Vision Statement
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Movement Experts
Movement Experts
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Patient and Client Management Model
Patient and Client Management Model
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Examination: History
Examination: History
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Examination: Review of Systems
Examination: Review of Systems
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Examination: Movement Analysis
Examination: Movement Analysis
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Examination Measures
Examination Measures
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Evaluation
Evaluation
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Physical Therapy Goal
Physical Therapy Goal
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Movement & Function
Movement & Function
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Baseline Movement
Baseline Movement
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Movement Assessment
Movement Assessment
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Movement Analysis
Movement Analysis
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Movement Impairments
Movement Impairments
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Therapeutic Exercise
Therapeutic Exercise
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Resistance Training
Resistance Training
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Symmetry
Symmetry
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Speed
Speed
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Amplitude
Amplitude
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Alignment
Alignment
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Verticality
Verticality
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Stability
Stability
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Smoothness
Smoothness
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Sequencing
Sequencing
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Timing
Timing
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Accuracy
Accuracy
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Cognitive Input
Cognitive Input
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Brain's Movement Control
Brain's Movement Control
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Pyramidal Tracts
Pyramidal Tracts
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Extrapyramidal Tracts
Extrapyramidal Tracts
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Perception Role
Perception Role
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Somatic Sensation
Somatic Sensation
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Ascending Sensory Pathways
Ascending Sensory Pathways
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Spinal Nerve Roots
Spinal Nerve Roots
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Peripheral Nerve Example
Peripheral Nerve Example
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Corticospinal Tract
Corticospinal Tract
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Corticobulbar Tract
Corticobulbar Tract
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Reticulospinal Tract
Reticulospinal Tract
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Rubrospinal Tract
Rubrospinal Tract
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Vestibulospinal Tract
Vestibulospinal Tract
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Study Notes
- Analyzing typical movement patterns and basic functional activities in various environments throughout life is key.
Movement Production and Analysis Objectives
- To describe the quality of typical movement patterns at selected body regions such as shoulder, upper extremity, head and neck, trunk, pelvis, and lower extremity.
- Characteristics to analyze include symmetry, speed, amplitude, alignment, postural control, and coordination.
- To analyze selected whole-body movements like sitting, forward reach, grasp, manipulate, sit-to-stand, squat, and step up/down, and to apply parameters of movement.
- To compare variations in selected movement parameters that result from normal aging and body structures.
Movement
- Movement results from the interaction between the task to be performed, an individual's capacities, and environmental constraints.
Individual Capacities
- Encompass cognitive ideation of movement purpose, sensory/perceptual input, and motor output.
Importance of Movement
- Movement is central to physical therapy
- It is highlighted by APTA's vision to transform society by optimizing movement to improve the human experience.
- Physical therapists are considered movement experts.
- Analyzing movement is essential in APTA's Patient and Client Management Model.
Patient and Client Management
- Examination includes a review of systems and history, focusing on movement analysis.
- Patient and client management involves examination, evaluation/diagnosis, prognosis, interventions, and outcomes.
- Examination measures joint ROM and mobility, muscle length, and strength affecting movement.
- Evaluation/diagnosis applies skilled judgment to identify impairments that alter movement.
- Prognosis involves developing function improvement goals.
- Interventions create a plan of care to improve movement.
- Outcomes assess whether interventions resulted in improved movement.
Movement Production
- Movement is impacted by the Central and Peripheral Nervous System
- Reciprocal Innervation and Inhibition play a role
- So do force couples and agonist-antagonist relationships
Movement Production Objectives
- To describe the anatomical structures, pathways, and selected end-organs of the Nervous System responsible for producing normal movement
- To identify and describe the function of the sensory and motor components of the Nervous System involved in movement production.
Review: Movement Production
- Movement is the interaction of the task, individual, and environment
Individual Capacities
- Nervous System functions:
- Cognitive ideation of the purpose and movement or task
- Sensory/Perceptual INPUT
- Motor OUTPUT
A Broader View of Movement
- Earlier anatomy study covers individual muscles structures
- This will focus on observing and describing whole movements
- Cognitive input into movement involves attention, planning, problem-solving, motivation and emotional aspects of motor control
- Movement begins in the precentral gyrus of cerebrum.
- The brain influences the movement of a joint in two ways: corticospinal and cortiocobulbar tracts.
- Unconscious or reflexive movement is regulated through extrapyramidal tracts through reticulospinal, vestibulospinal, rubrospinal and tectospinal.
- Sensory and perception is key and includes visual, vestibular, somatic sensation.
Formation of Spinal Nerve Roots
- Motor neurons exit the anterior horn, and sensory neurons enter the posterior horn
- Combined sensory and motor nerves form a single spinal nerve root.
Perioheral Nerves
- Combinations of portions of multiple spinal nerves form peripheral nerves like the femoral and axillary.
- They are comprised of both sensory and motor nerves
Muscle Activation 'Activation'
- Motor components connect and innervate the neuro-muscular function at multiple sites
What Activates a Muscle
- Types of muscle activation include concentric (shortening), eccentric (lengthening), and isometric (equal length/unchanging).
- Reciprocal Innervation: sensory feedback to the spinal cord happens when a motor neuron is stimulating the agonist to contract,
- This feedback results in the inhibition of the opposing muscle and allows the agonist to work unopposed.
- Force Couple: actions of 2 or more muscles on opposite sides of a joint
- The muscles work together to stabilize joint and allow movement
- Coordinated movement occurs through is movement synergy which engages multiple muscle group at multiple planes of action
Synergies
- Movement requires the cognitive system which initiates the idea of movement via the descending motor pathway.
Continuous Process
- Sensory end organs detect movement within muscles for local feedback
Summary of Movement
- Individuals capacities produce movement for tasks in specific context
- The individual Capacities include the Cognitive, Motor/Action (Output) and Sensory/Perceptual (Input) Systems
- Descending motor pathways contract agonist muscle and inhibit the antagonist through reciprocal activity
Movement is result of multiple muscle groups working together:
- At a single joint (force couples)
- At multiple joints (movement synergies)
- Motor output is refined at both spinal cord and the brain
- Movement is a continuous cycle of output-sensory input and cognitive planning
Movement Analysis Introduction
- This unit defines terms to describe movement proposed by APTA's academy of Nurologic Phyiscla Therapy(2021)
Objectives of Movement Analysis
- To analyze selected whole-body movements applying selected terms of movement
- Measure helps assessment of improvements
- Restoring and maxiing function helps restore physical therapy
- Measures provide joint mobility , Active and Passive Rom-Muscle length and strength
- Task force proposed and developed 2 important tools for movement analysis
Two Important Assessment Tools
- A glossary of terms to describe movement
- A chronological work to describe movement
- Symmetry -Agreement external - kinetics, kinematic movement
- Speed-velocity of segment of body displacement from to start to finish task
- Amplitude-Extent-Used to complete a task
- Algnment -Segment of body-base and environment
Other measures
- Ability to upright body movement (VERTICALITY)
- Ability to control body mass-static movement (STABILITY)
COORINDATION
- Smoothness: A movement that is continual
- Sequencing: Order of a motor action
- Timing- Percent devoted to movement segments
- Accuracy - Of a target and how well it reached
Summary
- There is no standard terminology to describe movement
- That the new Terminology will be incoporated into tasks and new terminology for physical movement
- Movement descriptors are symmetry, speed and amplitude and alignment
- The new terminology is not limited to a diagnose and applies to all ages
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