EM384: Human functional movement: analysis of “core tasks” for functional diagnosis

Introduction:

The goal of neuromotor rehabilitation is to optimize the functional competence of the patient with central injury, and outcome scales are the tools that are used to measure the outcome and effectiveness of the intervention. Unfortunately, most of these scales are quantitative, not qualitative, and fail to differentiate compensatory from typical movement. Therefore, from many authors today comes the call to consider not only the ability to perform the task, but also how it is accomplished and to include more qualitative aspects in the task analysis. Knowing functional movement is a basic skill of the physical therapist who is the expert for the functional assessment of the patient: to this end, it is necessary to know how to recognize their atypical patterns in order to better define the impairment, produce working hypotheses, and carry out a “tailored” treatment... This workshop aims to delve into the recent literature on the subject in order to learn more about the “core tasks” or basic functional tasks (such as standing, sitting, standing up, walking, stepping, picking up an object, and manipulating, as well as their functional combinations) in order to formulate a correct functional diagnosis on which to base clinical reasoning and treatment planning.

Specific objectives:

- Promote the evidence-based approach

- To deepen knowledge of typical functional movement and refine clinical observation skills

- To know the biomechanical prerequisites and neurophysiological skills underlying functional gesture with reference to six “core tasks” (sitting, standing, getting up, walking, stepping/stairing, reaching and manipulating) described in recent literature

- Recognize atypical movement and compensatory strategies used in the different neurological conditions addressed

- Stimulate clinical reasoning geared toward planning/implementing coping strategies for the issues raised

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