P11011: Modular Motion Tracking Knee Flexion Unit V1/public/
This page documents any observations made at Dr. Barbano's and Dr. Mowder's clinics.
- Dr Barbano Clinic Observations
- Some patients have learned tricks to keep them from having episodes. Placing the hand on the sides of the cheek or the back of the head, or resting the head on a wall will help the patient from having any tremors for a bit. Straps on the back of the head could affect this, but only for a short amount of time as the tricks do not last very long. These are short-term solutions.
- The center of rotation for the head is the center of the spine.
- There is acceleration in all directions when the head goes to the position it wants to naturally.
- Dr. Barbano would like to show the peak position with the tremor data, while showing the tremor movement.
- One patient had a tremor fairly fast from side to side with her head not deviating from the center position a lot. Dr. Barbano would like to be able to capture even this slight movement.
- Dr. Barbano would like to have some way of leveling the device so that the factor of his error and not setting the device on the head level is minimized.
- The sternal notch will stay fairly straight even when the patient has tremors unless the tremor is very severe and moves the entire torso.
- Dr. Barbano believes that T4 between the shoulder blades would move the least while walking.
- Dr. Barbano would like us to be able to seperate the angle from the tremor, and give him both of those measurements.
- Some patients have a very small amount of tremor, and he would like us to be able to pick up on that also.
- Some patients have rapid jerks of the head once every 15-20 minutes or so, and Dr. Barbano would like to be able to capture the peak position of the head and the direction of that jerk.
- Dr. Mowder Clinic Observations
- Many patients use ankle form orthotics, or ankle braces that reach to the knee, mid-calf, or higher. They reduce the amount of flexion, but keep the foot from dragging. These will not be used when patient is using motion tracking system
- Goniometer measurement is done without the brace.
- Physical therapists also measure wrist flexion, shoulder movement, leg and thigh movement with goniometers.