CMSA + SOME OF TX CONSIDERATIONS EXAM
QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED GRADED A++
what does CMSA identify?
-identifies 7 stages of motor recovery
-outlines progressive from flaccid stage> reflexive synergistic movement > active controlled movement
What impairment domains does CMSA evaluate?
-shoulder pain
-postural control
-upper extremity impairment
-hand impairment
-lower extremity impairment
-hand impairment
-lower extremity impairment
-foot impairment
What activity domains does CMSA evaluate?
-gross motor function index
-walking index
,What stage does standardized testing begin at for CMSA for the arm and hand and foot?
STAGE 3
-ether goes up or down based on if client fails or passes
What stage does the testing of the CMSA begin for postural control and the leg?
stage 4
Voluntary movement is tested in which stages of the CMSA?
Stages 3 to 7
How many attempts does a client have at the test commands?
can attempt task twice only
what does the final stage of recovery mean
highest stage where at least 2 tasks were successfully completed
Where does the flexion synergy typically dominate
the arm
where does the extension synergy typically dominate
the leg
Stage 1
-flaccid paralysis is present, not active movement
-phasic stretch reflexes are absent or hypoactive
-active movement cannot be elicited reflexly with a faciliatory stimulus, volitionally
-limb feels heavy and does not respond to facilitation
, transition from stage 1 and 2
-tone increases
-increase in tone with the onset of hyperactive muscle stretch reflexes is obvious before active
movement can be facilitated
Stage 2
-spasticity is present (developing) and is felt as resistance to passive movement
-no voluntary movement is present but trace active movement, a facilitatory stimulus will elicit the limb
synergies reflexly (extensor and flexor movements). active movement can be facilitated or occurs
spontaneously as an associated reaction
Stage 3
-spasticity is present
-progressive voluntary movement
-the synergistic movements can be elicited voluntarily (active voluntary movement occurs w/o
facilitation) but are obligatory.
-strong and weak components within each synergy (flexion/extension)
Stage 4
-spasticity decreases/ normalizing muscle tone
-synergy patters and simple movements out of synergy are possible
-synergy movements can be reversed if movement takes place in the weaker synergy first.
-movements combining antagonistic synergies can be performed when the prime movers are the strong
components of the synergy
Stage 5
QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED GRADED A++
what does CMSA identify?
-identifies 7 stages of motor recovery
-outlines progressive from flaccid stage> reflexive synergistic movement > active controlled movement
What impairment domains does CMSA evaluate?
-shoulder pain
-postural control
-upper extremity impairment
-hand impairment
-lower extremity impairment
-hand impairment
-lower extremity impairment
-foot impairment
What activity domains does CMSA evaluate?
-gross motor function index
-walking index
,What stage does standardized testing begin at for CMSA for the arm and hand and foot?
STAGE 3
-ether goes up or down based on if client fails or passes
What stage does the testing of the CMSA begin for postural control and the leg?
stage 4
Voluntary movement is tested in which stages of the CMSA?
Stages 3 to 7
How many attempts does a client have at the test commands?
can attempt task twice only
what does the final stage of recovery mean
highest stage where at least 2 tasks were successfully completed
Where does the flexion synergy typically dominate
the arm
where does the extension synergy typically dominate
the leg
Stage 1
-flaccid paralysis is present, not active movement
-phasic stretch reflexes are absent or hypoactive
-active movement cannot be elicited reflexly with a faciliatory stimulus, volitionally
-limb feels heavy and does not respond to facilitation
, transition from stage 1 and 2
-tone increases
-increase in tone with the onset of hyperactive muscle stretch reflexes is obvious before active
movement can be facilitated
Stage 2
-spasticity is present (developing) and is felt as resistance to passive movement
-no voluntary movement is present but trace active movement, a facilitatory stimulus will elicit the limb
synergies reflexly (extensor and flexor movements). active movement can be facilitated or occurs
spontaneously as an associated reaction
Stage 3
-spasticity is present
-progressive voluntary movement
-the synergistic movements can be elicited voluntarily (active voluntary movement occurs w/o
facilitation) but are obligatory.
-strong and weak components within each synergy (flexion/extension)
Stage 4
-spasticity decreases/ normalizing muscle tone
-synergy patters and simple movements out of synergy are possible
-synergy movements can be reversed if movement takes place in the weaker synergy first.
-movements combining antagonistic synergies can be performed when the prime movers are the strong
components of the synergy
Stage 5
