Voluntary Control and Assessment Physiotherapy Perspective.pptx

ability to move and control how you move is what we are learning today.

1. Voluntary Control and Assessment DR. SUSAN JOSE

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. 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. 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. TRUNK CONTROL ASSESSMENT SCALES Trunk Impairment Scale- Static Sitting Dynamic Sitting Coordination Of Upper And Lower Trunk

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. THANK YOU

8. references   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. 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 6 th edition