Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
fundamental class 2
w/c,massage, // bars, tilt table, MFR and exercise
| Question | Answer |
|---|---|
| at what degree should the hip, knee and ankle be when taking measures | 90 |
| what is the standard seat width for the w/c | 18 |
| what is the extra wide seat width for the w/c | 22 |
| What is the narrow seat width for the w/c | 16 |
| If the seat width is extra wide for the pt what could happen | difficult to propel and fit through doorways |
| if the seat width is too narro for the pt what could happen | pressure or discomfort on lateral pelvis and thigh |
| how many inches are you suppose to add to the measurement of the seat width | 2 |
| The size of the depth of the seat should be what | 16 |
| what are we measuring for seat depth | post. buttock to popliteal fossa |
| what is the standard seat height for w/c | 20 |
| what is the degree that the elbow should be flexed when in the // bars | 20-30 |
| the width of the // bars should be what | to fit a w/c |
| prolonged recumbence, balance distubance, proprioception distubance, kinesthesia disturbance, LE circulation disturbances and weakness are indicated to use what | tilt table |
| decreased standing tolerance, impaired balance, unstable gait, and visual feedback necessary is indicated to use what | // bars |
| what often occurs in pt with a recent complete SCI above T6 Auto dysreflexia or orthostatic | autonomic dysreflexia/hyperreflexia |
| with autonomic dysreflexia in what order are the following in severe HTN, peripheral vasocontriction, medical emergency and noxious stimuli | noxious stimuli► peripheral vasoconstriction► severe HTN► medical emergency |
| Bladder distention, catheter kink, tight orthotic straps, increase pressure, open pressure ulcers, and exercise can cause what Auto dysreflexia or orthostatic | Autonomic dysreflexia/hyperreflexia |
| HTN, Bradycardia, piloerection, general discomfort, HA, red skin blotches or overall red face, may convulse, have dyspnea, or become unconscious, and profuse diaphoresis above level of lesion are signs of what Auto dysreflexia or orthostatic | Autonomic Dysreflexia/Hyperreflexia |
| What are you suppose to do with a pt that is having signs of Autonomic dysreflexia/ hyperreflexia | sit them up and then figure out what the problem is |
| elderly, hypotension, hypertensive meds-BP meds,immobilized in recumbent position are risks of what Auto dysreflexia or orthostatic | orthostatic/postural hypotension |
| pale, moist, cool skin, shallow and irregular breathing, dilated pupils, weak-rapid pulse, diaphoresis, dizziness or nausea, syncope are signs and symptoms of Auto dysreflexia or orthostatic | Orthostatic/postural hypotension |
| ↓ return of venous blood to ♥ ►↓O² blood filling L ventricle►↓CO►↓cerebral perfusion is what happens with either Auto dysreflexia or orthostatic | Orthostatic/Postural hypotension |
| wrap LE from feet to groin © elastic bandages, ABD binder/corset, Elastic hose,have pt perform ankle pumps or alternate knee to chest while supine, slowly elevate head of bed, intermittent compression are prevention of dysreflexia or orthostatic | Orthostatic/Postural Hypotension |
| at what degree do you feel that you are standing upright on a tilt table | 80 |
| at the initial elevation how many degrees do you go | 20-30 |
| before elevating tilt table what are you suppose to do and also every time the pt is at rest and at the end of the exercise | take vital signs |
| after the initial elevation how many degrees do you go up | 15 |
| how many minutes do you wait at each rest stop | 3-5 |
| how many degrees do you lower the tilt table at a single time | 20 - 30 |
| What will prevent you from continuing to elevate the tilt table | Vitals aren't steady, pt feels dizziness, pain, nausea, sweating, HA, or numbness of the legs |
| what is the progression of amb devices from most stable to least stable | // bars ►walker ►R/W ►crutches ►cane ►none |
| which 2 gait patterns must the pt be FWB | 4-point and 2 point |
| most stable gait pattern, similar to normal gait patter is | 4 point |
| difficult to learn and coordinate is what gait pattern | 4-point |
| Individuals © bilat weakness, poor balance and ↓ coordination are indication for what gait pattern | 4 points |
| Stable gait pattern, faster that 4 point, and relieves some wt on LE is what gait pattern | 2 point |
| individuals © bilat weakness and poor balance are indication for what gait pattern | 2-point |
| What gait pattern is use when pt is NWB | 3 point |
| requires good balance or coordination, sufficient UE strength needed, requires a good amount of energy, are disadvantages of what gait pattern | 3-point |
| individuals © LE fx, amputations, NWB on 1 LE, individuals who are PWB→FWB, pts ©↓ balance are indication for what gait pattern | 3-Point |
| Individuals who are paraplegia or have LE weakness are indication for what gait pattern | swing-to/swing-through |
| most stable type of walker is | standard walker |
| good for pt who are unable to lift a standard walker | R/W |
| which walker is used for pt © unilateral UE use (stroke pt) | hemi-walker |
| which walker is use for arthritic pt, any non WB of the wrist | Platform walker |
| the walker handles should be ≈ at the level of the | greater trochanter |
| what leg should advance first | affected leg |
| what type of crutch is use for orthopedic problems and use a short term | Axillary |
| what type of crutch is use for pt with neurological impairment and use a long term | Lofstrand/forearm |
| what type of crutch is use for pt © wirst & hand WB limitations | Platform crutch |
| how many inches should the crutch be placed in front of the pt and slightly ↑ base width | 6-10 |
| On what side should the cane be related to the involve side | opposite side |
| why is massage use for the following amputation | ↓ edema |
| why is massage use for the following arthritis | pain control |
| why is massage use for the following bursitis | ↓edema |
| why is massage use for the following myosits | ↑comfort |
| why is massage use for the following facial paralysis | stimulate circulation around the nerve site |
| why is massage use for the following Insomnia | relaxation |
| why is massage use for the following Postural dysfunction | stretch muscle |
| why is massage use for the following prolonged bedrest/decubitus ulcers | stimulate circulation to pressure areas |
| why is massage use for the following scar tissue/ contractures/ burns | soften collagen |
| flexibility, strength/edurance and stability are goals for exercising for what system | musculoskeletal |
| balance, proprioception and coordination are goals for exercising for what system | Neuromuscular |
| Aerobic and anaerobi fitness and endurance are goals for exercising for what system | Cardiovascular |
| what does SINSS stand for | Severiry, Irritability, Nature, Stage and Stability |
| Intensity of symptoms and effect on function is what SINSS | Severity |
| amnt of activity to produce and exacerbation of the symptoms, the severity of the symptoms and the time to subside is what SINSS | Irritability |
| primary structure or anatomy responsible for producing the pt complain, based on the primary hypothesis is what SINSS | nature |
| Assessment of the disorder on a time scale is what SINSS | Stage |
| Ease with which the condition can be disturbed is what SINSS | Stability |
| symptoms: pain at rest, swelling and loss of function is what stage of healing | Acute(post-injury) |
| Goals:contol pain and inflammation, tissue healing and controlled ROM is what stage of healing | Acute |
| Criteria for advancement: pain contol, adequate tissue healing, near-normal ROM, tolerance for strengthening is what stage of healing | acute |
| Functional stage: Immobilization/Protective | Acute (up to 72hr) |
| symptoms: pain with mvmt ↓ irritability, function improving is what stage of healing | Sub-acute (recovery) |
| goals: jt mobility, stability, &proprioception, biomechanics, walking, wean assistive device, protective activity, and light function is what stage of healing | Sub-acute |
| Criteria for advancement:no pain(© initial mvmt) complete tissue healing(6-8wks), essentially pain-free ROM, good flexibility 75-80% strength compared to uninvolved side is what stage of healing | Sub-Acute |
| functional stage: procetive/recovery is what stage of healing | Sub-Acute (3-20 days) |
| Symptoms: pain with extreme activiy (not at rest), function near normal is what stage of healing | Functional (rehabilitation) |
| Goals:return to sport/work/ADL's total body conditioning, return to funciton, continue rehab to maintain activity level is what stage of healing | Functional |
| Criteria for Advancement: no pain, full pain-free ROM/normal flexibility, normal strength,balance,proprioception, good fitnessis what stage of healing | functional |
| protective/rehabilitative is what stage of healing | Functional (21 days) |
| how often does the ACSM recommend stretching | minimum of 2-3 days/wk |
| time/duration according to ACSM is recommended for stretching | 20-30sec. each;3-4 reps fro each stretch |
| slow twitch, slower recruitment, greater oxygen and blood supply and fatigue resistance is what type of fiber | type I |
| Aerobic respiration, small motor unit size, red 2º myoglobin and oxygen and stability, postural contol, single jt muscles (endurance) is what type of fiber | Type I |
| Fast twitch, greatest tension © quickly recruitment, less available oxygen and blood supply and fatigue rapidly is what type of fiber | type II |
| Anaerobic respiration, large motor unit size, white 2ºlack of oxygenation, High intensity, powerful, contractions, mobility and two-jt muscles is what type of fiber | Type II |
Created by:
michele.mcgary
Popular Physical Therapy sets