From: Psychomotor semiology in depression: a standardized clinical psychomotor approach
Functions | Items | Observation | |
---|---|---|---|
Muscular tone | Passive muscle tone | Arm dropping test | Arm fall quality (fall, brake, or no fall) |
Wrists dangling | Angles and resistance between both wrists | ||
Extensibility of wrists | Angles and resistance between both wrists | ||
Extensibility of shoulders | Joint resistance and stretching of the shoulder | ||
Passivity | Search for muscle rigidity during arm manipulation | ||
Anklesdangling | Angles and resistance between both ankles | ||
Extensibility of the ankle, legs stretched or bent | Angles and resistance between both ankles | ||
Motor pathway disorder (mild sign) | Presence or lack of distal spasticity | ||
Intentional muscular relaxation | Search for muscle rigidity on passive mobilization of the upper and lower limbs, lying down | ||
Active muscle tone | Diadochokinesis | Movement quality and synkinetic movements during prono-supination | |
Expressive tone | Emotional control | Tonic-emotional reactions (e.g., jerky breathing, vasomotricity, sweating, tremors, etc.) | |
Gross motor skills | Dynamic balance | Walk a line forward/backward | Posture: upper limbs and lower limbs |
Walk on tiptoe | Tiptoe position | ||
Walk on heels | Heel position | ||
Jumping | Coordination and landing | ||
Static balance | Feet together, eyes closed, outstretched arms | Feet position, arm deviation | |
On one foot | Arm deviation and duration | ||
On tiptoe | Arm deviation and duration | ||
Manual dexterity | Â | Grab tokens quickly | Gesture quality and duration |
Manual praxis | Â | Symmetrical and asymmetrical bimanual praxis | Gesture quality and duration during prono-supination |
Thumb/index opposition: right/left | Gesture quality, duration and synkinesis | ||
Ideomotor gnosopraxis (manual) | Realization of gesture imitation with hands | ||
Ideomotor gnosopraxis (digital) | Realization of gesture imitation with fingers | ||
Body spatial integration |  | Bodily spatial integration to self | Knowledge of right and left by pointing and/or verbal command for an axial crossing gesture |
Bodily spatial integration to other | |||
Bodily spatial integration to object | Knowledge of right and left from objects | ||
Rhythm | Â | Tapping | Spontaneous speed of regular hand taps on the table |
Auditory-perceptual-motor task (APM tasks) | Clap hands at the same time as a metronome Walk at the same time as a metronome | Hand clapping adaptation to match the rate set by a metronome Walking adaptation to match the rate set by a metronome | |
Finger perception | Â | Finger tactile gnosis | Localization of fingers to tactile stimuli on the concealed hand |