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Assessment of movement coordination strategies to inform health of movement and guide retraining interventions

Assessment of movement coordination strategies to inform health of movement and guide retraining interventions
Assessment of movement coordination strategies to inform health of movement and guide retraining interventions
Introduction
Exploring characteristics of human movement has long been the focus of clinicians and researchers. Changes in movement coordination strategies have been identified in the presence of pain highlighting the need for assessment in clinical practice. A major development in the understanding of movement related disorders is recognition of individual differences in presentation and consequently the need to tailor interventions based on assessment.

Purpose
The purpose of this masterclass is to build a rationale for the clinical assessment of movement coordination strategies, exploring loss of movement choices, coordination variability, and to present a clinical framework for individualised management, including the use of cognitive movement control tests and retraining interventions. An approach for the qualitative rating of movement coordination strategies is presented. A compromised movement system may be one characterised by a lack of ability to access motor abundance and display choice in the use of movement coordination strategies. The identification of lost movement choices revealed during the assessment of movement coordination strategies is proposed as a marker of movement health.

Implications for practice
The health of the movement system may be informed by the ability to display choice in movement coordination strategies. There is evidence that restoring these choices has clinical utility and an influence on pain and improved function. This approach seeks to provide individuals with more flexible problem solving, enabled through a movement system that is robust to each unique challenge of function. This assessment framework sits within a bigger clinical reasoning picture for sustained quality of life.
2468-7812
Mottram, Sarah
1d5657d1-cb55-4fc8-9d11-986f551d4ef6
Blandford, Lincoln
05035e91-3fc5-4550-99c4-2414a2b57d64
Mottram, Sarah
1d5657d1-cb55-4fc8-9d11-986f551d4ef6
Blandford, Lincoln
05035e91-3fc5-4550-99c4-2414a2b57d64

Mottram, Sarah and Blandford, Lincoln (2019) Assessment of movement coordination strategies to inform health of movement and guide retraining interventions. Musculoskeletal Science and Practice, [102100]. (doi:10.1016/j.msksp.2019.102100).

Record type: Article

Abstract

Introduction
Exploring characteristics of human movement has long been the focus of clinicians and researchers. Changes in movement coordination strategies have been identified in the presence of pain highlighting the need for assessment in clinical practice. A major development in the understanding of movement related disorders is recognition of individual differences in presentation and consequently the need to tailor interventions based on assessment.

Purpose
The purpose of this masterclass is to build a rationale for the clinical assessment of movement coordination strategies, exploring loss of movement choices, coordination variability, and to present a clinical framework for individualised management, including the use of cognitive movement control tests and retraining interventions. An approach for the qualitative rating of movement coordination strategies is presented. A compromised movement system may be one characterised by a lack of ability to access motor abundance and display choice in the use of movement coordination strategies. The identification of lost movement choices revealed during the assessment of movement coordination strategies is proposed as a marker of movement health.

Implications for practice
The health of the movement system may be informed by the ability to display choice in movement coordination strategies. There is evidence that restoring these choices has clinical utility and an influence on pain and improved function. This approach seeks to provide individuals with more flexible problem solving, enabled through a movement system that is robust to each unique challenge of function. This assessment framework sits within a bigger clinical reasoning picture for sustained quality of life.

Text
Assessment of movement coordination strategies to inform health of movement and guide retraining interventions - Accepted Manuscript
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More information

Accepted/In Press date: 6 December 2019
e-pub ahead of print date: 9 December 2019

Identifiers

Local EPrints ID: 436905
URI: http://eprints.soton.ac.uk/id/eprint/436905
ISSN: 2468-7812
PURE UUID: deb5c2d9-9b9a-41b9-a7e0-5bc9a3026dd6

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Date deposited: 13 Jan 2020 17:34
Last modified: 17 Mar 2024 05:12

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Contributors

Author: Sarah Mottram
Author: Lincoln Blandford

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