Use of Movement System Diagnoses in the Management of Patients With Neuromuscular Conditions: A Multiple-Patient Case Report

Abstract

Use of movement system diagnoses may have multiple benefits for patient care. The possible benefits include decreasing the variability in management of patients with neuromuscular conditions, minimizing the trial-and-error approach to treatment selection, improving communication among health care professionals, and advancing research by enabling creation of homogenous patient groupings.

Development of Physiotherapy Guidance and treatment-based Classifications for People With Huntington’s Disease

“…The methodology provided by treatment-based classification systems was an obvious choice for structuring such guidance. The group agreed that current research in the area of treatment-based classification [10][11][12]15] had potential for application to the HD population. We therefore proposed a range of treatment-based classifications to address the heterogeneity of patient conditions, to provide structure for standardized data collection of interventions and outcomes, and consequently inform evaluation of complex interventions and advance research into care and evidencebased service delivery for people with HD.…”

“…Researchers have advocated that by creating sub-classifications of patients' impairments and problems, and matching those with more specific interventions, therapists may improve outcomes in their patients [10][11][12]15]. These researchers have argued that in order for therapists to develop consistent approaches to common patient problems, so that the efficacy of any one approach can be tested, better categorization as described above is required.…”

“…This makes structuring of consistent therapeutic approaches problematic. This problem is not unique to HD and has been documented in other physiotherapy patient groups, most notably low back and neck dysfunction, and for general neurorehabilitation patient groups [10][11][12][13][14][15]. sUMMarY Background: Physiotherapy may provide a means of delaying onset or progression of Huntington's disease (HD), resulting in improved daily functioning and quality of life.…”

A Combination of Manual Therapy, Movement Systems, and Biopsychosocial Approaches for the Treatment of Upper Limb Adverse Neural Tissue Tension: A Case Report

“…Addressing the movement dysfunction may increase the person's level of function [51]. The classification of a movement dysfunction arose from common patterns that emerged from muscle weakness, muscle tightness or joint position that are divided into categories predicting movement [51] [52]. The movement systems approach is not just applicable to patients with musculoskeletal disorders.…”

“…The movement systems approach is not just applicable to patients with musculoskeletal disorders. Neurological disorders present with predictable movement patterns that can be useful in designing the patient's plan of care [52]. Using the movement systems approach allows physical therapists to truly become the movement specialist and provide interventions that restore or prevent dysfunction [52].…”