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ProgressionFunctionalAssessmentStep 1choose taskselect a taskappropriate tocomplaint.Task Needed forActivityDone DuringExaminationIndividual(Cognitive Factors)Environmental(Regulatory Factors)Step 2observeMMotionDifficulty withmotion?MMuscleAre the correctmusclescoordinating?PPatternAt what phase is thedysfunction?Step 3The WHY!?Assess Poor MotorControl/PlanningTwo MethodsDx ofexclusionif adequate StrengthROM, however pt.cannot performmovementautomaticallypoor motor controlmotor controlbreakoutFunctional TrainingOrthopedicDifferentialDoes A = Pif yesROM issueif noMotor IssueCUE PATTERNMeaningful ChangePoor Motor Controlmotor controlbreakoutImpairment LevelNon-FunctionalMotor ControlComponentsRESPONSEMOTOR PLANCUESNon-AssociativeLearningSensitizationHabituation*FEARAssociative LearningOperationalConditioning(Reward)Classical Conditioning(Verbal Cue)ProceduralConditioning(Trial & Error)DeclarativeConditioning(Encoding)*UnderstandingINPUTFunctional TaskSequence1. CNSPerceive MotionSelect Motor Program2. TrunkFeed Forward3. Deep MusclesLocal Stabilizers4. IntermediateMoversGlobal Stabilizers5. Prime Movers(not always)6. Antagonist Relax7. ProprioceptionFeed BackLittle to NO ChangeSTEP 1Light Hug & LiftProvideVerbal CueMotor ControlBREAKOUTLocal MuscleBREAKOUTSTEP 2External StabilizationModerate PressureSTABILIZATIONBREAKOUTSTEP 3BMCDirectionalStability & MobilityStabilityArticular BREAKOUTStress TestMobilityArticular BREAKOUTStrength BREAKOUTNothing HELPS!Perform STRENGTHBREAKOUT

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