Motor Assessment-Sports

1. Motor Assessment
Presented by – Swarada Mhatre and Priyanka Rangudu
Elective – PG Sports
Subject : Physical and Functional Evaluation Practical
Presented for : PG Batch 2020
Department of Physiotherapy
SRM Institute of Science and Technology
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2. Contents
Muscle endurance
Muscle Agility
Range of Motion
Capsular Pattern
Non-Capsular Pattern
Accessory Joint Motion
Activity Based Analysis
References
Credits
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3. Muscle Endurance
• Muscle endurance is a broad term that refers to ability to perform low intensity,
repetitive or sustained activities for a longer period.
There are two types of endurance:
1. Muscular endurance - It is the ability of the muscle to contract repeatedly against
a load and generate tension and resist the fatigue for a longer period of time.
2. Cardiovascular endurance 1 - It is a total body endurance associated with
repetitive, dynamic motor activities which involves the use of larger muscles in
the body1.
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4. Muscle Endurance
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• Tests for muscular endurance 2
Flexor endurance test:
Rationale : To check if there are any muscular imbalances that may put the client at risk for
pain or injury

5. MUSCLE AGILITY
• Agility is one of the testing components of physical fitness. Agility may be
defined as the ability to alter direction to achieve a specific goal (e.g.
evade/deceive/react to an opponent, create space).
• Agility training is often associated with athletics as it is seen as an important
component in improving athletic performance.
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6. MUSCLE AGILITY
• ILLINOIS AGILITY TEST
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Rationale : To assess the capacity to change course, controlling the direction and
position of one’s body while maintaining momentum. It is important in all ball games
and combat sports.

7. Range of Motion
• Joints and their related structures are examined by performing active and passive joint
motions.
There are two types of ROM in assessment :
1. Active Range Of Motion - Active motion is the unassisted voluntary movement of
a joint.
Procedure : The patient is asked to move a body part through the osteokinematic
motions at the involved and other biomechanically related joints.
Osteokinematics refers to the gross angular motions of the shafts of bones.
2. Passive Range Of Motion - Passive motions are movements performed by the
therapist without the assistance of the patient.
Procedure : The term passive range of motion (PROM) typically refers to the
amount of osteokinematic motion available when the patient’s joint is moved
without the patient’s assistance.
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8. Range of Motion
• For E.g
Rationale :
AROM - Pain during AROM may be due to the contracting, stretching, or pinching of
contractile tissues such as muscles, tendons, and their attachments to bone, or due to the
stretching or pinching of non-contractile tissues such as ligaments, joint capsules, and bursa.
PROM - Limitations in PROM may be due to bone or joint abnormalities or tightness of
soft tissue structures. Pain during PROM is often due to moving, stretching, or pinching of non-
contractile structures. Pain occurring at the end of PROM may be due to stretching contractile
structures, as well as non-contractile structures.
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Ankle Passive RoM
Elbow Active RoM

9. End Feel
• Feeling which is experienced by the therapist as resistance, or a barrier to further
motion at the end of the passive ROM, is called the end-feel
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10. End Feel
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Rationale : The end of each motion at each joint is limited from further movement by particular
anatomical structures. The type of structure that limits a joint motion has a characteristic feel,
which may be detected by the therapist performing the passive ROM.

11. Capsular Patterns of Restricted Motion
• Cyriax initially described characteristic patterns of restricted joint ROM due to
diffuse, intra-articular inflammation involving the entire joint capsule.
• These patterns of restricted motion, which usually involve multiple motions at a
joint, are called capsular patterns.
• The restrictions do not involve the loss of a fixed number of degrees, but rather
the loss of a proportion of one motion relative to another.
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Rationale : Pain triggered by stretching the capsule, and muscle spasms that
protect the capsule from further stretch, inhibit movement and cause a capsular
pattern of restricted motion.

12. Capsular Patterns of Restricted Motion
• Capsular patterns vary from joint to joint.
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13. Non-Capsular Patterns of Restricted Motions
• Restricted passive ROM that is not proportioned Similar to a capsular pattern is
called a non capsular pattern or restricted motion.
• Noncapsular patterns usually involve only one or two motions of a joint, in
contrast to capsular patterns, which involve all or most motions of a joint.
• Noncapsular patterns are caused by conditions involving structures other than
the entire joint capsule.
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Rationale : Noncapsular patterns are caused by conditions involving structures
other than the entire joint capsule.

14. Accessory joint motions
• Arthrokinematics refers to the
motion of joint surfaces. These
motions, often called accessory or
joint play motions, are used to
determine joint mobility and
integrity.(Rationale)
• If passive ROM is found to be
limited or painful, an examination of
arthrokinematic motions in
indicated.
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15. Accessory joint motions Types
Glide Roll Spin
Parallel motions
Perpendicular motions
Distraction
Compression
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16. Activity-based Task Analysis
• Activity-based task analysis is the process of breaking a specific activity
down into its component parts to understand and evaluate the demands of
the task and the performance demonstrated.
• The therapist examines and evaluates the patient’s performance and
analyzes the differences compared to “typical” or expected performance.
• Performance-based instruments yield important information about function
and levels of independence or dependence (supervision, assistance,
assistive devices).
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17. Activity-based Task Analysis
• Numerous instruments are available
with quantitative scoring systems (e.g.,
the FIM).
• It is important to document these
qualitative findings as they provide
valuable information necessary for
developing an effective POC to
improve motor function.(Rationale)
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18. References
1. Physical Rehabilitation by Susan B. O'Sullivan 6th Edition
2. Test-Retest Reliability, Criterion-Related Validity, and Minimal Detectable Change of the Illinois Agility Test
in Male Team Sport AthletesFebruary 2013The Journal of Strength and Conditioning Research 27(10)
3. American College of sports medicine(2006) guidelines for testing and prescription
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19. Credits
Student Contribution
Sumesh ROM and end-feel, Images, Rationale
Nirmal Capsular and Non Capsular Patterns
Gowtham Activity Based Analysis , Scales
Siva Accessory Joint Motions, Images
Arvind Muscle Endurance and Agility, Test and Video
Priyanka Presenter, Images
Swarada Presenter, Images
Shubhankar Presentation Preparation, Images, Video, Rationale
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20. Thank You