SlideShare a Scribd company logo
Vicarious movements
Dr. Arunima Biswas
CONTENTS
 What are trick movements?
 Types of trick movements
 Examples of each type of trick movement
 References
Definition
 Unnatural movements seen when muscle is
paralyzed or inhibited
 It is taking over of the action of a paralyzed prime
mover by another group of muscles
 It is also known as substitution movement
Types of trick movements
1. Direct/ indirect substitution
2. Accessory insertion
3. Tendon action
4. Rebound
5. Gravity
6. Anomalous nerve supply
1. Direct/ indirect substitution
A. Another prime mover will substitute for paralyzed
prime mover muscle
 E.g. weakness/ paralysis of supinator muscle
Muscle substituted Trick movement
Biceps brachii Supination along with elbow flexion
B. Fixator muscle will produce movement for prime
mover/ agonist muscle
 E.g. weak/ paralyzed hip abductors
Muscle substituted Trick movement
Lateral abdominals Pelvis elevation
C. Other favourable muscles placed in the region will
contract to position the joint in a new position so
that the other muscle performs the test motion in
the new modified position
 E.g. Deltoid paralysis
Favourable muscle New position Other muscle
External rotators Externally rotate Biceps will contract to produce
shoulder abduction
D. Other muscle may contract to assist the weak
muscle
 E.g. Weakness/ paralysis of Biceps
Muscle substituted Trick movement
Shoulder flexors Shoulder flexes during elbow flexion
2. Accessory insertion
 The insertion of muscle is such that when the
muscle contracts, it helps to perform movements
of the weak/ paralyzed muscles
 E.g. weakness/ paralysis of EPL
Substituted muscle Insertion Trick movement
APB & FPB Base of proximal phalanx
& extensor expansion
Extension of thumb
3. Tendon action
 Occurs in two joint or multi joint muscles
 Shortening of a tendon when antagonist muscle
contracts strongly
 E.g. weakness/ paralysis of long finger flexors
Trick movement Passive insufficiency Tendon action
Wrist extension Wrist flexors Finger flexion
4. Rebound
 Phenomenon of seeming contraction in the
agonist when the antagonist contracts strongly &
the relaxes quickly
 E.g. weakness/ paralysis of long finger flexors
Antagonist contraction Trick movement
EPL & ED Finger flexion
5. Gravity
 Patient will shift the body part so that gravity
assists the weak muscles to do the movement
 E.g. weak/ paralyzed triceps
Shifting of body part Trick movement
Shoulder abducted to 90° Shoulder depression & external
rotation
6. Anomalous nerve supply
 20% of all normal people have anomalous nerve supply in
the hand
 These motor anomalies may/not be associated with an
anomaly of sensory supply and may not be bilateral or
symmetrical
 E.g. Median nerve palsy
Muscle action Anomalous innervation
Opponens pollicis, 2nd & 3rd
lumbricals, & FPB
Ulnar nerve
References
 Parry CBW. Trick Movements. Proceedings of the Royal
Society of Medicine. 1970;63(7):674-676
 Kendall, F. (2005). Muscle Testing & Function with Posture
& Pain (5th edition). Lippincott Williams & Wilkins.
 Avers, D. (2019). Daniels & Worthingham’s Muscle Testing,
Techniques of Manual Examination & performance Testing
(10th edition). Elsevier.
THANK YOU

More Related Content

What's hot

Joint biomechanics
Joint biomechanics Joint biomechanics
Joint biomechanics
Lennard Funk
 
Biomechanics of throwing
Biomechanics of throwingBiomechanics of throwing
Biomechanics of throwing
AragyaKhadka
 
Biomechanics concepts
Biomechanics conceptsBiomechanics concepts
Biomechanics concepts
Ratan Khuman
 
knee biomechanics
knee biomechanicsknee biomechanics
knee biomechanics
Sudheer Kumar
 
Physiotherapy Management for Hip Joint Conditions SRS
Physiotherapy Management for Hip Joint Conditions SRSPhysiotherapy Management for Hip Joint Conditions SRS
Physiotherapy Management for Hip Joint Conditions SRS
Sreeraj S R
 
Biomechanics of ADL-I
Biomechanics of ADL-IBiomechanics of ADL-I
Biomechanics of ADL-I
Radhika Chintamani
 
Kin191 A. Osteokinematics. Fall 2007
Kin191 A. Osteokinematics. Fall 2007Kin191 A. Osteokinematics. Fall 2007
Kin191 A. Osteokinematics. Fall 2007
JLS10
 
Classification of movements
Classification of movementsClassification of movements
Classification of movements
DR.RAMANDEEP KAUR SAINI
 
Pelvic tilt
Pelvic tiltPelvic tilt
Pelvic tilt
Umeammara
 
Hip muscles (1)
Hip muscles (1)Hip muscles (1)
Hip muscles (1)
Leesah Mapa
 
Biomechanics of hip complex 3
Biomechanics of hip complex 3Biomechanics of hip complex 3
Biomechanics of hip complex 3
Dibyendunarayan Bid
 
Active movement - Assisted exercises
Active movement  -  Assisted exercisesActive movement  -  Assisted exercises
Active movement - Assisted exercises
RAJESH MANI
 
Kinetics of knee joint
Kinetics of knee jointKinetics of knee joint
Kinetics of knee joint
AkhilaNatesan
 
Pathomechanics of Glenohumeral joint
Pathomechanics of Glenohumeral jointPathomechanics of Glenohumeral joint
Pathomechanics of Glenohumeral joint
Syed Adil
 
biomechanic of knee joint
biomechanic of knee jointbiomechanic of knee joint
biomechanic of knee joint
Akshay Chavan
 
Stretching
StretchingStretching
Stretching
Ronald Prabhakar
 
Kinematic gait analysis 1
Kinematic gait analysis 1Kinematic gait analysis 1
Kinematic gait analysis 1
rraja durai
 
Shoulder Complex(1).pptx
Shoulder Complex(1).pptxShoulder Complex(1).pptx
Shoulder Complex(1).pptx
ShivBJhala
 
biomechanics of hip joint
biomechanics of hip jointbiomechanics of hip joint
biomechanics of hip joint
MD FURQUAN
 
Kinetic chain {kinematic chain}
Kinetic chain {kinematic chain}Kinetic chain {kinematic chain}
Kinetic chain {kinematic chain}
NavneetKaur715
 

What's hot (20)

Joint biomechanics
Joint biomechanics Joint biomechanics
Joint biomechanics
 
Biomechanics of throwing
Biomechanics of throwingBiomechanics of throwing
Biomechanics of throwing
 
Biomechanics concepts
Biomechanics conceptsBiomechanics concepts
Biomechanics concepts
 
knee biomechanics
knee biomechanicsknee biomechanics
knee biomechanics
 
Physiotherapy Management for Hip Joint Conditions SRS
Physiotherapy Management for Hip Joint Conditions SRSPhysiotherapy Management for Hip Joint Conditions SRS
Physiotherapy Management for Hip Joint Conditions SRS
 
Biomechanics of ADL-I
Biomechanics of ADL-IBiomechanics of ADL-I
Biomechanics of ADL-I
 
Kin191 A. Osteokinematics. Fall 2007
Kin191 A. Osteokinematics. Fall 2007Kin191 A. Osteokinematics. Fall 2007
Kin191 A. Osteokinematics. Fall 2007
 
Classification of movements
Classification of movementsClassification of movements
Classification of movements
 
Pelvic tilt
Pelvic tiltPelvic tilt
Pelvic tilt
 
Hip muscles (1)
Hip muscles (1)Hip muscles (1)
Hip muscles (1)
 
Biomechanics of hip complex 3
Biomechanics of hip complex 3Biomechanics of hip complex 3
Biomechanics of hip complex 3
 
Active movement - Assisted exercises
Active movement  -  Assisted exercisesActive movement  -  Assisted exercises
Active movement - Assisted exercises
 
Kinetics of knee joint
Kinetics of knee jointKinetics of knee joint
Kinetics of knee joint
 
Pathomechanics of Glenohumeral joint
Pathomechanics of Glenohumeral jointPathomechanics of Glenohumeral joint
Pathomechanics of Glenohumeral joint
 
biomechanic of knee joint
biomechanic of knee jointbiomechanic of knee joint
biomechanic of knee joint
 
Stretching
StretchingStretching
Stretching
 
Kinematic gait analysis 1
Kinematic gait analysis 1Kinematic gait analysis 1
Kinematic gait analysis 1
 
Shoulder Complex(1).pptx
Shoulder Complex(1).pptxShoulder Complex(1).pptx
Shoulder Complex(1).pptx
 
biomechanics of hip joint
biomechanics of hip jointbiomechanics of hip joint
biomechanics of hip joint
 
Kinetic chain {kinematic chain}
Kinetic chain {kinematic chain}Kinetic chain {kinematic chain}
Kinetic chain {kinematic chain}
 

Similar to Vicarious movements or trick movements_AB.pdf

Post polio residual paralysis
Post polio residual paralysisPost polio residual paralysis
Post polio residual paralysis
Suvarna JaipurkarGanvir
 
posture kk.pptx
posture kk.pptxposture kk.pptx
posture kk.pptx
Kaushik Patel
 
Dance Anatomy Continued
Dance Anatomy ContinuedDance Anatomy Continued
Dance Anatomy Continued
wbdance
 
STROKE ASSESSEMENT & TREATMENT.pptx
STROKE ASSESSEMENT & TREATMENT.pptxSTROKE ASSESSEMENT & TREATMENT.pptx
STROKE ASSESSEMENT & TREATMENT.pptx
NaomiKingau1
 
Classification of human movement
Classification of human movementClassification of human movement
Classification of human movement
Rijwan Bhuiyan
 
Trick movements.pptx
Trick movements.pptxTrick movements.pptx
Trick movements.pptx
manalidesai23
 
Physical xamination
Physical xaminationPhysical xamination
Physical xamination
Riaz Ahmed
 
Class 1 Ap1 Muscles
Class 1 Ap1 MusclesClass 1 Ap1 Muscles
Class 1 Ap1 Muscles
CCMT
 
Brunstrom By Usman Yakubu YolaDoka.pptx
Brunstrom By Usman Yakubu YolaDoka.pptxBrunstrom By Usman Yakubu YolaDoka.pptx
Brunstrom By Usman Yakubu YolaDoka.pptx
DrUsmanYakubuYolaDok
 
12.postural reflexes kjg
12.postural reflexes kjg12.postural reflexes kjg
12.postural reflexes kjg
physiology mgmcri
 
Class One Ap1 Muscles
Class One Ap1 MusclesClass One Ap1 Muscles
Class One Ap1 Muscles
CCMT
 
motor system examination physiology ppt.pptx
motor system  examination  physiology ppt.pptxmotor system  examination  physiology ppt.pptx
motor system examination physiology ppt.pptx
islamkhan34
 
Kinematic analysis of gait and joint
Kinematic analysis of gait and jointKinematic analysis of gait and joint
Kinematic analysis of gait and joint
SuruchiRao1
 
BRUNNSTORM APPROACH.pptx
BRUNNSTORM APPROACH.pptxBRUNNSTORM APPROACH.pptx
BRUNNSTORM APPROACH.pptx
Nerusu sai priyanka
 
Session 10&11
Session 10&11Session 10&11
Session 10&11
Hopwood Hall College
 
Kinesiology Postures and its types
Kinesiology Postures and its typesKinesiology Postures and its types
Kinesiology Postures and its types
MaheenDilawar
 
Brunnstrom Approach…..................pptx
Brunnstrom Approach…..................pptxBrunnstrom Approach…..................pptx
Brunnstrom Approach…..................pptx
HarishankarSharma27
 
Self correction techniques for biomechanical problems related to spine
Self correction techniques for biomechanical problems related to spineSelf correction techniques for biomechanical problems related to spine
Self correction techniques for biomechanical problems related to spine
Mehvish Sheikh
 
4. Muscles.docx
4. Muscles.docx4. Muscles.docx
4. Muscles.docx
AshutoshPandey966553
 
ACTIVITY AND EXERCISE NURSING FOUNDATION OF NURSING
ACTIVITY AND EXERCISE NURSING FOUNDATION OF NURSINGACTIVITY AND EXERCISE NURSING FOUNDATION OF NURSING
ACTIVITY AND EXERCISE NURSING FOUNDATION OF NURSING
Krishna Gandhi
 

Similar to Vicarious movements or trick movements_AB.pdf (20)

Post polio residual paralysis
Post polio residual paralysisPost polio residual paralysis
Post polio residual paralysis
 
posture kk.pptx
posture kk.pptxposture kk.pptx
posture kk.pptx
 
Dance Anatomy Continued
Dance Anatomy ContinuedDance Anatomy Continued
Dance Anatomy Continued
 
STROKE ASSESSEMENT & TREATMENT.pptx
STROKE ASSESSEMENT & TREATMENT.pptxSTROKE ASSESSEMENT & TREATMENT.pptx
STROKE ASSESSEMENT & TREATMENT.pptx
 
Classification of human movement
Classification of human movementClassification of human movement
Classification of human movement
 
Trick movements.pptx
Trick movements.pptxTrick movements.pptx
Trick movements.pptx
 
Physical xamination
Physical xaminationPhysical xamination
Physical xamination
 
Class 1 Ap1 Muscles
Class 1 Ap1 MusclesClass 1 Ap1 Muscles
Class 1 Ap1 Muscles
 
Brunstrom By Usman Yakubu YolaDoka.pptx
Brunstrom By Usman Yakubu YolaDoka.pptxBrunstrom By Usman Yakubu YolaDoka.pptx
Brunstrom By Usman Yakubu YolaDoka.pptx
 
12.postural reflexes kjg
12.postural reflexes kjg12.postural reflexes kjg
12.postural reflexes kjg
 
Class One Ap1 Muscles
Class One Ap1 MusclesClass One Ap1 Muscles
Class One Ap1 Muscles
 
motor system examination physiology ppt.pptx
motor system  examination  physiology ppt.pptxmotor system  examination  physiology ppt.pptx
motor system examination physiology ppt.pptx
 
Kinematic analysis of gait and joint
Kinematic analysis of gait and jointKinematic analysis of gait and joint
Kinematic analysis of gait and joint
 
BRUNNSTORM APPROACH.pptx
BRUNNSTORM APPROACH.pptxBRUNNSTORM APPROACH.pptx
BRUNNSTORM APPROACH.pptx
 
Session 10&11
Session 10&11Session 10&11
Session 10&11
 
Kinesiology Postures and its types
Kinesiology Postures and its typesKinesiology Postures and its types
Kinesiology Postures and its types
 
Brunnstrom Approach…..................pptx
Brunnstrom Approach…..................pptxBrunnstrom Approach…..................pptx
Brunnstrom Approach…..................pptx
 
Self correction techniques for biomechanical problems related to spine
Self correction techniques for biomechanical problems related to spineSelf correction techniques for biomechanical problems related to spine
Self correction techniques for biomechanical problems related to spine
 
4. Muscles.docx
4. Muscles.docx4. Muscles.docx
4. Muscles.docx
 
ACTIVITY AND EXERCISE NURSING FOUNDATION OF NURSING
ACTIVITY AND EXERCISE NURSING FOUNDATION OF NURSINGACTIVITY AND EXERCISE NURSING FOUNDATION OF NURSING
ACTIVITY AND EXERCISE NURSING FOUNDATION OF NURSING
 

More from Arunima620542

DETERMENENT OF GAIT-2 FOR NORMAL GAIT.PPT
DETERMENENT OF GAIT-2 FOR NORMAL GAIT.PPTDETERMENENT OF GAIT-2 FOR NORMAL GAIT.PPT
DETERMENENT OF GAIT-2 FOR NORMAL GAIT.PPT
Arunima620542
 
ABNORMAL GAITS IN NEUROLOGICAL CONDITIONS.pptx
ABNORMAL GAITS IN NEUROLOGICAL CONDITIONS.pptxABNORMAL GAITS IN NEUROLOGICAL CONDITIONS.pptx
ABNORMAL GAITS IN NEUROLOGICAL CONDITIONS.pptx
Arunima620542
 
postural assessment presentation_2010.pptx
postural assessment presentation_2010.pptxpostural assessment presentation_2010.pptx
postural assessment presentation_2010.pptx
Arunima620542
 
POSTURAL CONTROL AND MOVEMENT SYSTEMS.pptx
POSTURAL CONTROL AND MOVEMENT SYSTEMS.pptxPOSTURAL CONTROL AND MOVEMENT SYSTEMS.pptx
POSTURAL CONTROL AND MOVEMENT SYSTEMS.pptx
Arunima620542
 
Objective Assessment of Postural Control.pptx
Objective Assessment of Postural Control.pptxObjective Assessment of Postural Control.pptx
Objective Assessment of Postural Control.pptx
Arunima620542
 
neurophysiology of posture-bishal_2014.pptx
neurophysiology of posture-bishal_2014.pptxneurophysiology of posture-bishal_2014.pptx
neurophysiology of posture-bishal_2014.pptx
Arunima620542
 
Assignment on posture_29-03-2024_AB.docx
Assignment on posture_29-03-2024_AB.docxAssignment on posture_29-03-2024_AB.docx
Assignment on posture_29-03-2024_AB.docx
Arunima620542
 

More from Arunima620542 (7)

DETERMENENT OF GAIT-2 FOR NORMAL GAIT.PPT
DETERMENENT OF GAIT-2 FOR NORMAL GAIT.PPTDETERMENENT OF GAIT-2 FOR NORMAL GAIT.PPT
DETERMENENT OF GAIT-2 FOR NORMAL GAIT.PPT
 
ABNORMAL GAITS IN NEUROLOGICAL CONDITIONS.pptx
ABNORMAL GAITS IN NEUROLOGICAL CONDITIONS.pptxABNORMAL GAITS IN NEUROLOGICAL CONDITIONS.pptx
ABNORMAL GAITS IN NEUROLOGICAL CONDITIONS.pptx
 
postural assessment presentation_2010.pptx
postural assessment presentation_2010.pptxpostural assessment presentation_2010.pptx
postural assessment presentation_2010.pptx
 
POSTURAL CONTROL AND MOVEMENT SYSTEMS.pptx
POSTURAL CONTROL AND MOVEMENT SYSTEMS.pptxPOSTURAL CONTROL AND MOVEMENT SYSTEMS.pptx
POSTURAL CONTROL AND MOVEMENT SYSTEMS.pptx
 
Objective Assessment of Postural Control.pptx
Objective Assessment of Postural Control.pptxObjective Assessment of Postural Control.pptx
Objective Assessment of Postural Control.pptx
 
neurophysiology of posture-bishal_2014.pptx
neurophysiology of posture-bishal_2014.pptxneurophysiology of posture-bishal_2014.pptx
neurophysiology of posture-bishal_2014.pptx
 
Assignment on posture_29-03-2024_AB.docx
Assignment on posture_29-03-2024_AB.docxAssignment on posture_29-03-2024_AB.docx
Assignment on posture_29-03-2024_AB.docx
 

Recently uploaded

Assessment and Management of Disruptive Behaviors in Persons with Dementia We...
Assessment and Management of Disruptive Behaviors in Persons with Dementia We...Assessment and Management of Disruptive Behaviors in Persons with Dementia We...
Assessment and Management of Disruptive Behaviors in Persons with Dementia We...
VITASAuthor
 
Yoga Philosophy Lifestyle , ethics Teacher Training Certificate Course
Yoga Philosophy Lifestyle , ethics Teacher Training Certificate CourseYoga Philosophy Lifestyle , ethics Teacher Training Certificate Course
Yoga Philosophy Lifestyle , ethics Teacher Training Certificate Course
Karuna Yoga Vidya Peetham
 
How dental support group work...........
How dental support group work...........How dental support group work...........
How dental support group work...........
AvilasDentalGroup
 
AI in Patient Engagement and Follow-Up Care.pptx
AI in Patient Engagement and Follow-Up Care.pptxAI in Patient Engagement and Follow-Up Care.pptx
AI in Patient Engagement and Follow-Up Care.pptx
Gaurav Gupta
 
Yoga for Beginner’s Course- yoga foundation course
Yoga for Beginner’s Course- yoga foundation courseYoga for Beginner’s Course- yoga foundation course
Yoga for Beginner’s Course- yoga foundation course
Karuna Yoga Vidya Peetham
 
Immediate dentures tt new prosthodontics.pdf
Immediate dentures tt new prosthodontics.pdfImmediate dentures tt new prosthodontics.pdf
Immediate dentures tt new prosthodontics.pdf
ssuser2865ca
 
The Connection Between Physical and Mental Well-Being.pptx
The Connection Between Physical and Mental Well-Being.pptxThe Connection Between Physical and Mental Well-Being.pptx
The Connection Between Physical and Mental Well-Being.pptx
MartaLoveguard
 
SMET (Self-Management of Excessive Tension) Cyclic Meditation.pptxv.pptx
SMET (Self-Management of Excessive Tension)  Cyclic Meditation.pptxv.pptxSMET (Self-Management of Excessive Tension)  Cyclic Meditation.pptxv.pptx
SMET (Self-Management of Excessive Tension) Cyclic Meditation.pptxv.pptx
Karuna Yoga Vidya Peetham
 
CA stomach.ppt presentation following gastring outlet obstruction
CA stomach.ppt presentation following gastring outlet obstructionCA stomach.ppt presentation following gastring outlet obstruction
CA stomach.ppt presentation following gastring outlet obstruction
Tanveer Khalid
 
ISSUES AND CONCERNS HRH malitbog ph.pptx
ISSUES AND CONCERNS HRH malitbog ph.pptxISSUES AND CONCERNS HRH malitbog ph.pptx
ISSUES AND CONCERNS HRH malitbog ph.pptx
shae1212
 
How Virtual Medical Assistants Improve Patient Engagement.pdf
How Virtual Medical Assistants Improve Patient Engagement.pdfHow Virtual Medical Assistants Improve Patient Engagement.pdf
How Virtual Medical Assistants Improve Patient Engagement.pdf
johnmark49490
 
فورمة مكافحة عدوي القمة1 د حاتم البيطار.pdf
فورمة مكافحة عدوي القمة1 د حاتم البيطار.pdfفورمة مكافحة عدوي القمة1 د حاتم البيطار.pdf
فورمة مكافحة عدوي القمة1 د حاتم البيطار.pdf
د حاتم البيطار
 
M2ComSys - BPO - RCM Services Profile - 2022.pptx
M2ComSys - BPO - RCM Services Profile - 2022.pptxM2ComSys - BPO - RCM Services Profile - 2022.pptx
M2ComSys - BPO - RCM Services Profile - 2022.pptx
josemonk
 
Our Founder - Dr. Jaspal Arneja Arneja Hospital
Our Founder - Dr. Jaspal Arneja Arneja HospitalOur Founder - Dr. Jaspal Arneja Arneja Hospital
Our Founder - Dr. Jaspal Arneja Arneja Hospital
itarnejaheartinstitu
 
Teaching Methodology of Hatha Yoga Teacher Training Course.pptx
Teaching Methodology of Hatha Yoga Teacher Training Course.pptxTeaching Methodology of Hatha Yoga Teacher Training Course.pptx
Teaching Methodology of Hatha Yoga Teacher Training Course.pptx
Karuna Yoga Vidya Peetham
 
Abdominal trauma, management, liver trauma, splenic trauma,
Abdominal trauma, management, liver trauma, splenic trauma,Abdominal trauma, management, liver trauma, splenic trauma,
Abdominal trauma, management, liver trauma, splenic trauma,
AditiSachdeva12
 
Top 9 Challenges faced by Sterile Processing Technicians.pptx
Top 9 Challenges faced by Sterile Processing Technicians.pptxTop 9 Challenges faced by Sterile Processing Technicians.pptx
Top 9 Challenges faced by Sterile Processing Technicians.pptx
orionallied123
 
disease condition seen in adolescent girl " ANEMIA"
disease condition seen in adolescent girl " ANEMIA"disease condition seen in adolescent girl " ANEMIA"
disease condition seen in adolescent girl " ANEMIA"
purvipatel517209
 
Vasundhara Fertility (IVF) Centre Jodhpur
Vasundhara Fertility (IVF) Centre JodhpurVasundhara Fertility (IVF) Centre Jodhpur
Vasundhara Fertility (IVF) Centre Jodhpur
VasundharaIVF
 
OT Dude's Salary Survey Report July 2024.pdf
OT Dude's Salary Survey Report July 2024.pdfOT Dude's Salary Survey Report July 2024.pdf
OT Dude's Salary Survey Report July 2024.pdf
OTDUDE
 

Recently uploaded (20)

Assessment and Management of Disruptive Behaviors in Persons with Dementia We...
Assessment and Management of Disruptive Behaviors in Persons with Dementia We...Assessment and Management of Disruptive Behaviors in Persons with Dementia We...
Assessment and Management of Disruptive Behaviors in Persons with Dementia We...
 
Yoga Philosophy Lifestyle , ethics Teacher Training Certificate Course
Yoga Philosophy Lifestyle , ethics Teacher Training Certificate CourseYoga Philosophy Lifestyle , ethics Teacher Training Certificate Course
Yoga Philosophy Lifestyle , ethics Teacher Training Certificate Course
 
How dental support group work...........
How dental support group work...........How dental support group work...........
How dental support group work...........
 
AI in Patient Engagement and Follow-Up Care.pptx
AI in Patient Engagement and Follow-Up Care.pptxAI in Patient Engagement and Follow-Up Care.pptx
AI in Patient Engagement and Follow-Up Care.pptx
 
Yoga for Beginner’s Course- yoga foundation course
Yoga for Beginner’s Course- yoga foundation courseYoga for Beginner’s Course- yoga foundation course
Yoga for Beginner’s Course- yoga foundation course
 
Immediate dentures tt new prosthodontics.pdf
Immediate dentures tt new prosthodontics.pdfImmediate dentures tt new prosthodontics.pdf
Immediate dentures tt new prosthodontics.pdf
 
The Connection Between Physical and Mental Well-Being.pptx
The Connection Between Physical and Mental Well-Being.pptxThe Connection Between Physical and Mental Well-Being.pptx
The Connection Between Physical and Mental Well-Being.pptx
 
SMET (Self-Management of Excessive Tension) Cyclic Meditation.pptxv.pptx
SMET (Self-Management of Excessive Tension)  Cyclic Meditation.pptxv.pptxSMET (Self-Management of Excessive Tension)  Cyclic Meditation.pptxv.pptx
SMET (Self-Management of Excessive Tension) Cyclic Meditation.pptxv.pptx
 
CA stomach.ppt presentation following gastring outlet obstruction
CA stomach.ppt presentation following gastring outlet obstructionCA stomach.ppt presentation following gastring outlet obstruction
CA stomach.ppt presentation following gastring outlet obstruction
 
ISSUES AND CONCERNS HRH malitbog ph.pptx
ISSUES AND CONCERNS HRH malitbog ph.pptxISSUES AND CONCERNS HRH malitbog ph.pptx
ISSUES AND CONCERNS HRH malitbog ph.pptx
 
How Virtual Medical Assistants Improve Patient Engagement.pdf
How Virtual Medical Assistants Improve Patient Engagement.pdfHow Virtual Medical Assistants Improve Patient Engagement.pdf
How Virtual Medical Assistants Improve Patient Engagement.pdf
 
فورمة مكافحة عدوي القمة1 د حاتم البيطار.pdf
فورمة مكافحة عدوي القمة1 د حاتم البيطار.pdfفورمة مكافحة عدوي القمة1 د حاتم البيطار.pdf
فورمة مكافحة عدوي القمة1 د حاتم البيطار.pdf
 
M2ComSys - BPO - RCM Services Profile - 2022.pptx
M2ComSys - BPO - RCM Services Profile - 2022.pptxM2ComSys - BPO - RCM Services Profile - 2022.pptx
M2ComSys - BPO - RCM Services Profile - 2022.pptx
 
Our Founder - Dr. Jaspal Arneja Arneja Hospital
Our Founder - Dr. Jaspal Arneja Arneja HospitalOur Founder - Dr. Jaspal Arneja Arneja Hospital
Our Founder - Dr. Jaspal Arneja Arneja Hospital
 
Teaching Methodology of Hatha Yoga Teacher Training Course.pptx
Teaching Methodology of Hatha Yoga Teacher Training Course.pptxTeaching Methodology of Hatha Yoga Teacher Training Course.pptx
Teaching Methodology of Hatha Yoga Teacher Training Course.pptx
 
Abdominal trauma, management, liver trauma, splenic trauma,
Abdominal trauma, management, liver trauma, splenic trauma,Abdominal trauma, management, liver trauma, splenic trauma,
Abdominal trauma, management, liver trauma, splenic trauma,
 
Top 9 Challenges faced by Sterile Processing Technicians.pptx
Top 9 Challenges faced by Sterile Processing Technicians.pptxTop 9 Challenges faced by Sterile Processing Technicians.pptx
Top 9 Challenges faced by Sterile Processing Technicians.pptx
 
disease condition seen in adolescent girl " ANEMIA"
disease condition seen in adolescent girl " ANEMIA"disease condition seen in adolescent girl " ANEMIA"
disease condition seen in adolescent girl " ANEMIA"
 
Vasundhara Fertility (IVF) Centre Jodhpur
Vasundhara Fertility (IVF) Centre JodhpurVasundhara Fertility (IVF) Centre Jodhpur
Vasundhara Fertility (IVF) Centre Jodhpur
 
OT Dude's Salary Survey Report July 2024.pdf
OT Dude's Salary Survey Report July 2024.pdfOT Dude's Salary Survey Report July 2024.pdf
OT Dude's Salary Survey Report July 2024.pdf
 

Vicarious movements or trick movements_AB.pdf

  • 2. CONTENTS  What are trick movements?  Types of trick movements  Examples of each type of trick movement  References
  • 3. Definition  Unnatural movements seen when muscle is paralyzed or inhibited  It is taking over of the action of a paralyzed prime mover by another group of muscles  It is also known as substitution movement
  • 4. Types of trick movements 1. Direct/ indirect substitution 2. Accessory insertion 3. Tendon action 4. Rebound 5. Gravity 6. Anomalous nerve supply
  • 5. 1. Direct/ indirect substitution A. Another prime mover will substitute for paralyzed prime mover muscle  E.g. weakness/ paralysis of supinator muscle Muscle substituted Trick movement Biceps brachii Supination along with elbow flexion
  • 6. B. Fixator muscle will produce movement for prime mover/ agonist muscle  E.g. weak/ paralyzed hip abductors Muscle substituted Trick movement Lateral abdominals Pelvis elevation
  • 7. C. Other favourable muscles placed in the region will contract to position the joint in a new position so that the other muscle performs the test motion in the new modified position  E.g. Deltoid paralysis Favourable muscle New position Other muscle External rotators Externally rotate Biceps will contract to produce shoulder abduction
  • 8. D. Other muscle may contract to assist the weak muscle  E.g. Weakness/ paralysis of Biceps Muscle substituted Trick movement Shoulder flexors Shoulder flexes during elbow flexion
  • 9. 2. Accessory insertion  The insertion of muscle is such that when the muscle contracts, it helps to perform movements of the weak/ paralyzed muscles  E.g. weakness/ paralysis of EPL Substituted muscle Insertion Trick movement APB & FPB Base of proximal phalanx & extensor expansion Extension of thumb
  • 10. 3. Tendon action  Occurs in two joint or multi joint muscles  Shortening of a tendon when antagonist muscle contracts strongly  E.g. weakness/ paralysis of long finger flexors Trick movement Passive insufficiency Tendon action Wrist extension Wrist flexors Finger flexion
  • 11. 4. Rebound  Phenomenon of seeming contraction in the agonist when the antagonist contracts strongly & the relaxes quickly  E.g. weakness/ paralysis of long finger flexors Antagonist contraction Trick movement EPL & ED Finger flexion
  • 12. 5. Gravity  Patient will shift the body part so that gravity assists the weak muscles to do the movement  E.g. weak/ paralyzed triceps Shifting of body part Trick movement Shoulder abducted to 90° Shoulder depression & external rotation
  • 13. 6. Anomalous nerve supply  20% of all normal people have anomalous nerve supply in the hand  These motor anomalies may/not be associated with an anomaly of sensory supply and may not be bilateral or symmetrical  E.g. Median nerve palsy Muscle action Anomalous innervation Opponens pollicis, 2nd & 3rd lumbricals, & FPB Ulnar nerve
  • 14. References  Parry CBW. Trick Movements. Proceedings of the Royal Society of Medicine. 1970;63(7):674-676  Kendall, F. (2005). Muscle Testing & Function with Posture & Pain (5th edition). Lippincott Williams & Wilkins.  Avers, D. (2019). Daniels & Worthingham’s Muscle Testing, Techniques of Manual Examination & performance Testing (10th edition). Elsevier.