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Voluntary Control and Assessment Physiotherapy Perspective.pptx

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Voluntary Control and Assessment Physiotherapy Perspective.pptx

  1. 1. VOLUNTARY CONTROL AND ASSESSMENT DR. SUSAN JOSE
  2. 2. VOLUNTARY CONTROL OF MOVEMENTS • Ability to volitionally produce and control movements. SYNERGY • NORMAL – functionally linked muscles that are constrained by the CNS to act cooperatively to produce an intended motor action, these are modifiable based on the task and environmental needs. • ABNORMAL - movements and muscle activation which is stereotypical and non adaptable to the task and environmental demands.
  3. 3. ASSESSMENT GRADING- Qualitative Assessment- 0- no movement 1-flicker at the proximal joint 2- half range of motion in synergy 3- full range of motion in synergy 4- starts in isolation goes into synergy pattern 5- full range in isolation, with resistance synergy pattern returns 6- isolation present even with resistance, (check MMT now)
  4. 4. QUANTITATIVE ASSESSMENT FUGL-MEYER ASSESSMENT SCALE- • Motor score- upper extremity and the lower extremity • Sensation- light touch and proprioception • Balance- sitting and standing balance • Joint range of motion • Joint pain
  5. 5. TRUNK CONTROL ASSESSMENT SCALES • Trunk Impairment Scale- • Static Sitting • Dynamic Sitting • Coordination Of Upper And Lower Trunk
  6. 6. SUMMARY • Voluntary control is the ability to move and adapt to changing environment and task demands. • Cerebral Cortex controls voluntary movements. • Assessment of VC can be qualitative and quantitative. • Good assessments give way to good treatment.
  7. 7. THANK YOU
  8. 8. REFERENCES 1. Fugl-Meyer AR, Jääskö L, Leyman I, Olsson S, Steglind S. The post-stroke hemiplegic patient. A method for evaluation of physical performance. Scandinavian journal of rehabilitation medicine. 1975;7(1):13-31. 2.Gladstone DJ, Danells CJ, Black SE. The Fugl-Meyer assessment of motor recovery after stroke: a critical review of its measurement properties. Neurorehabilitation and neural repair. 2002 Sep;16(3):232-40. • O’ Sullivan – physical rehabilitation 6th edition

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