Movement Observation Lecture
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1
Clinical Examination in PT
Gather pertinent Info (Identify Health Condition)
Observe (Activities and Participation)
Develop Hypothesis
Complete a comprehensive examination (Body structure and Function)
Formulate and assessment (Environmental factors and personal factors)
establish plan/ goals/ intervention
reassess
Observe (Activities and Participation)
Develop Hypothesis
Complete a comprehensive examination (Body structure and Function)
Formulate and assessment (Environmental factors and personal factors)
establish plan/ goals/ intervention
reassess
2
steps for movement assessment
what is the task performed and under what conditions?
is the movement strategy used typical?
is the movement strategy used optimal or suboptimal?
What will you test?
is the movement strategy used typical?
is the movement strategy used optimal or suboptimal?
What will you test?
3
health condition
pathoanatomical or metabolic or psychological condition that requires medical attention
4
activity
movement or activity that an individual needs or wants to perform
5
body structure and function
tests and measures performed by the health care provider that identify disorders within the individual that may be impacting them
6
participation
ability of the individual to fulfill desired or necessary roles in life, both personal and social factors
7
environmental factors
does the environment where the activity is being completed impat the activity either +/-
can it be modified - physical or social
can it be modified - physical or social
8
personal factors
at the individual level, race, gender, age, personal trais, self efficacy, fear, knowledge, and beliefs
9
You are seeing an individual who wishes to return home after recent cardiac surgery with complications (Coronary Artery Bypass). They live alone in a 2nd floor apartment with no elevator. Organize info according to ICF
Health Condition - Cardiac disease post surgery
body structure and function - BP, Pulses, RR, RPE
activity - stairs
participation - access to community
Environmental factors - stairs to enter home
personal factors - lives alone
body structure and function - BP, Pulses, RR, RPE
activity - stairs
participation - access to community
Environmental factors - stairs to enter home
personal factors - lives alone
10
L hand dominant 57 yo individual who fell at work injuring his L shoulder and is now unable to work. Full time job tasks include cleaning classroom/offices heavy lifting. Medications - Advil/Tylenol per need
Single parent of 2 children, 17 and 20 both in college. Has had small house painting business as second job with oldest son and worries that they will lose projects due to injury.
Goal - pain resolution, return to work
Organize according to ICF
Single parent of 2 children, 17 and 20 both in college. Has had small house painting business as second job with oldest son and worries that they will lose projects due to injury.
Goal - pain resolution, return to work
Organize according to ICF
health condition - shoulder injury
activity - lifting, reaching overhead, carrying heavy objects, mopping, vacuuming
participation - unable to work
personal factors - single parent, needs income from 2nd job
activity - lifting, reaching overhead, carrying heavy objects, mopping, vacuuming
participation - unable to work
personal factors - single parent, needs income from 2nd job
11
Info needed for clinical reasoning in the presence of local disorderhealth ac
what joints are moving and what are the osteokinematic motions occuring?
what are the external moments at the area of interest during the movement?
what forces are acting upon the joint?
is the movement isolated or non-isolated (synergistic)?
what are the internal moments on the area of interest during the movement?
which muscles are generating the internal moments?
how are those muscles contracting? (concentric, eccentric, isometric)
what are the external moments at the area of interest during the movement?
what forces are acting upon the joint?
is the movement isolated or non-isolated (synergistic)?
what are the internal moments on the area of interest during the movement?
which muscles are generating the internal moments?
how are those muscles contracting? (concentric, eccentric, isometric)
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