Movement Systems Lecture 1.1 PDF

[00:00:00] >> [MUSIC] [00:00:01] All right everyone, welcome to Movement Science. This is lecture 1.1, today we're going to be talking about movement systems. Okay, here are some objectives for today. After this presentation, you will be able to explain movement systems theory, relate movement syst...

[00:00:00] >> [MUSIC] [00:00:01] All right everyone, welcome to Movement Science. This is lecture 1.1, today we're going to be talking about movement systems. Okay, here are some objectives for today. After this presentation, you will be able to explain movement systems theory, relate movement systems theory to the ICF model, and explain why any of this matters. [00:00:37] All right, who's excited to see the ICF model again? I know I am. Let's review it even though I'm sure everyone's a little bit sick of hearing it. So you have body structure and function, activity level and participation level, right? So an impairment in the body structure and function would be like, strength impairment, sensory impairment, something more at the body structure and function level. [00:00:59] And activity limitation would be difficulty walking or standing or doing some kind of activity or activity of daily living. And participation restriction would be an inability to participate in something the individual could do before like working, going to church hanging out with their grandkids, something like that, right? [00:01:16] And we think about those three levels and what issues there are in relation to the person's health condition. And then in relation to environmental factors and personal factors as well. And it's kind of a general model for classifying someone's function. All right, so what is a movement system? [00:01:36] Well, the definition is right there, this is from the APTA in 2013. The movement system is a term used to represent the collection of systems that interact to move the body or its component parts. You can see in the bottom there, the different systems are endocrine, nervous system, cardiovascular, pulmonary, integumentary, and musculoskeletal. [00:01:56] What's the point of this? Well, the idea is to have a unified system that we are the experts of, we are the experts in movement, right? And so we kind of look at the movement system as a whole, not just as its component parts. Each of the systems below contributes to movement and that is what we know about. [00:02:16] Now you might be asking, why is the AI on the slide? Well this is a friendly reminder, that you can use AI, and in this case I use Microsoft Copilot, as a way to bolster and enhance your learning a little bit. It's very important that you use it responsibly. [00:02:29] And remember that any information it gives could very well be wrong and you cannot use it as a primary source. That said in this case, I did ask Copilot, what is the moving system theory? And it spit out a reasonably good definition and explanation. So it might be a nice way to kind of add to your learning or reinforce concepts once you've already learned them. [00:02:52] So from a movement systems theory, you get movement systems diagnoses. And this is what the APTA wants us to use to diagnose individuals or patients or clients, however you want to refer to them. Why is this helpful? Well, this is what we're specialists in, right? So if I'm diagnosing someone, it's kind of hard to say, so let's say they have adhesive capsulitis, right? [00:03:12] It's kind of hard to diagnose them with that, they've already been diagnosed with that. What is it that I can do? Well, movement systems diagnosis, gives me as a physical therapist. And you as a physical therapist, a way to diagnose a movement systems issue. These diagnoses are specific to physical therapy, they use more consistent terminology between physical therapists. [00:03:32] They're meant to span health conditions and populations, so not just one particular health condition but one particular movement issue that can span multiple health conditions. And they're supposed to encourage a consistent approach to movement analysis. Okay, you're going to be seeing the slide in all of my PowerPoints. I want you to pause the recording here and reflect. [00:03:56] What can you remember and write down from the rest of the presentation? And what question(s) do you have? Please bring at least one to class. Now this is of course, an oversimplification and we all do multiple different versions of this. So I don't want you to think this is the only way to think about it. [00:04:21] But it is good to compare the traditional approach to the movement systems theory approach, right? So the more traditional approach would be you get an individual, a client or patient. You're given a medical diagnosis, let's say, well, we'll talk about examples in the next slide. You're given a medical diagnosis, you think about that, you look into the pathophysiology of that diagnosis. [00:04:41] Then from there you think, okay, what impairments do they have? And you examine them. And you figure out what activity or participation restriction they have and then you make a plan of care based on that. Okay, let's look at an example. Let's look at adhesive capsulitis or frozen shoulder. [00:04:59] Now admittedly, I have not touched a shoulder from an orthopedic standpoint in quite a long time. I'm definitely much more of a neuro guy. But I think we've all heard of frozen shoulder and can identify with it, right? So let's take the medical diagnosis, adhesive capsulitis, and then we go to the pathophysiology, which is joint inflammation. [00:05:15] And actually when I looked it up, there's not super great consensus from what I know in terms of the exact pathophysiology, but let's say joint inflammation. From there, you look at the impairments and say, okay, there's decreased range of motion, probably quite a bit of pain. And from there you go, okay, they can't reach that coffee mug on the high shelf that they really want to reach. [00:05:37] This is a more movement systems theory approach. And by no means is one approach necessarily better than the other. This is just a different framework to use, right? So from here you start with, okay, what is the movement problem? The movement problem is, that person can't reach a coffee mug on a high shelf. [00:05:52] Okay, so why do they have that movement problem? So what's the movement diagnosis? Well, they tend to have movement problem because they can't move their shoulder right, their shoulder's limiting. Now it could have been that it's the wrist that's the issue or the fingers or something else, right?. [00:06:06] So in this case, we're comparing it to adhesive capsulitis, so we know it's really the shoulder that's the main issue. And so the movement diagnosis here is shoulder hypermobility, shoulder isn't moving the way it should. That diagnosis could be wrist type of mobility or something else if it was something else that was limiting that movement, right? [00:06:21] It's not limited to adhesive capsulitis. However, you do need to know the medical diagnosis, adhesive capsulitis, because that'll give you quite a good idea of how to educate your patient or your client. And it'll give you a good idea of prognosis. And you also need to know that pain and inflammation are a big part of adhesive capsulitis in order to develop a good plan of care. [00:06:41] So really here you start with a movement problem, find a movement diagnosis, and then use the medical diagnosis and the pathophysiology to inform your plan of care in your approach. So here, I want you to pause the lecture and fill this out for yourself. Think of a movement problem that either you or a loved one or someone else's had, right? [00:07:01] We've all known someone and/or have been that person that has had an issue moving. So think about what the movement problem was. Think about what a movement diagnosis might be, it doesn't have to be exact or specific, just think about what that might look lik. And then add in the medical condition and other kind of pathophysiological factors. [00:07:20] And that's kind of how you're going to approach a lot of different movement problems. All right, almost done with lecture 1, let's put it together. So what do we want? Movement systems diagnoses. How do we get them? Movement analysis. How do we do that? That's why you have this course, welcome to movement science. [00:07:38] This course will provide you frameworks and the biomechanical neurological and behavioral levels of analysis that you will need for all movement. You all are going to be experts in movement and so you need to know how to analyze movement. And in this course we're really going to learn how to analyze different aspects of movements and different types of movements, in all different ways, so you're prepared for the rest of the curriculum.