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pt seminar.
midterm
| Question | Answer |
|---|---|
| These people used massage as a therapeutic agent (shiatsu) | chinese |
| These rivers were worshiped because of their healing powers | niles and ganges |
| exercise means... | ...freed movement |
| orthopedics means... | ...to straighten children (would straighten out children with scoliosis) |
| functional anatomy "inventor" | andreus vesalius |
| "the complete bonesetter" | friar moulton |
| ___________ coined the term orthopedics | nicholas andre |
| proposed practice of osteopathy | andrew taylor still |
| rule of the artery | osteopathy |
| blood flow leads to good health | rule of the artery |
| proposed practice of chiropractic | d.d. palmer |
| law of the nerve | chiropractic |
| the body has the substance within to grow and repair; disease occurs when nerve stimuli is changed | law of the nerve |
| the first physical therapists | reconstruction aids in wwi |
| founder of physical therapy (physiotherapy) | mary mcmillan |
| first apta president | mary mcmillan |
| required physical therapy departments in hospitals with over 100 beds | hill burton act |
| you can access a pt directly without the referral of a doctor | direct access |
| disease, disorder, condition | pathology/injury |
| chickenpox, ms, and scoliosis are all examples of... | pathology/injury |
| alterations in anat/phys, or psychological structures or function | impairements |
| broken bone, fractured humerus, and an acl tear are all examples of... | impairments |
| inability to perform physical task or activity | functional limitation |
| not being able to walk is an example of a... | functional limitation |
| inability or limitation in performing activities related to sociocultural context | disability |
| not being able to work is an example of a... | disability |
| five components of patient/client management | examination, evaluation, diagnosis, prognosis, intervention |
| three components of an examination | history, systems review, tests and measurements |
| what your patients tell you | subjective examination |
| the four parts of an examination | subjective, objective, assessment, plan |
| a list of possible ailments related to the symptoms | differential diagnosis |
| an examination is made up of two things... | open and closed ended questions |
| general demographics | sex, age, race, language |
| social history | cultural beliefs, social interactions |
| occupation/emploment | repetitive stresses? sedentary? |
| growth and development | hand/foot dominance, developmental history |
| living environment | stairs? |
| persistent pain at night, constant pain, unexplained weight loss, loss of appetite, unusual lumps or growths, unwarranted fatigue | cancer |
| SOB, dizziness, heaviness in chest, pulsating pain, constant and severe LE or UP pain, discolored or painful feet, swelling | cardiovascular |
| frequent or severe abdominal pain, frequent heartburn or indigestion, frequent nausea or vomiting, change in bladder function (UTI), unusual menstrual irregularity | gastrointestinal |
| change in hearing, frequent or severe HA without Hx of injury, problems with swallowing or speech, visual changes, problems with balance, coordination, falling, drop attacks, sudden weakness | neurological |
| why is the patient here? MOI | history of current condition |
| out of the blue, but lasts for awhile | insidious |
| inciting trauma, repetitive activity, predisposing factors? position, forces applied? medical attention, intervention? | mechanism of injury |
| onset, insidious, and progression is between 7-10 days | acute |
| onset, insidious, and progression is between 10 days - 7 weeks | subactue |
| onset, insidious, and progression is longer than 7 weeks | chronic |
| deep, boring, very localized | bone |
| diffuse, aching, poorly localized | vascular |
| sharp, shooting, bright, lightening like | nerve |
| dull, aching, cramping | muscle |
| not locking in the same position every time | pseudolocking |
| ringing in the ear | tinnitus |
| over mobile | hypermobile |
| popping or rubbing | crepitus |
| sitting for a long period of time and being stiff when standing | cinema sign |
| hyperextension of the knee | recurvatum |
| >< | valgus |
| <> | varus |
| patella is sitting medially commonly associated with femur-patella pain | squinting |
| patella is sitting laterally. commonly associated with bow legged | frog/grasshopper eyes |
| patella is sitting high. tight quads | alta |
| patella is sitting low | baja |
| hard end feel | bone |
| soft end feel | soft tissue |
| firm end feel | tissue stretch |
| patient is in too much pain and you don't reach an end feel | empty |
| to test if a muscle is damaged.. | flex, extend, supinate, pronate, rotate |
| strong and painful | grade 1 muscle strain |
| grade 1 muscle strain | muscle or tendon |
| weak and painful | grade 2 muscle strain |
| grade 2 muscle strain | severe lesion at joint or bony structure |
| weak and painless | grade 3 muscle strain |
| grade 3 muscle strain | neurological problem |
| TAOS | Therapeutic associates outcome system |
| FCE | functional capacity examination |
| most common movement analysis | gait |
| concave-convex | bakk and socket joint |
| convex-concave | roll and glide is in the same direction |
| two kinds of posture | static and dynamic |
| three dimensions of posture | side-to-side front-to-back roatation |
| c shaped spinal curvature concave anteriorly present at birth interact with environment thoracic spine and sacrum | primary curvature |
| concave posteriorly cervical: begins with lifting of child's head lumbar:starts with sitting and walking | secondary curvature |
| a saggital plan curvature with anterior concavity and posterior convexity | kyphosis |
| humpback | kyphosis |
| a saggital plane curvature with posterior concavity with posterior concavity and anterior convexity | lordosis |
| bending backwards | lordosis |
| lateral curvature of the spine always associated with a rotation | scoliosis |
| crooked | scoliosis |
| everyone has these spinal curvatures to some degree, only a problem when they are extreme | lordosis and kyphosis |
| natural limb alignment as a child | genu-varum |
| pes planus subtalar pronation lateral tibial torsion lateral patellar subluxation excessive hip adduction hip medial rotation | genu valgum |
| lateral patella subluxation | knees out |
| tibial varum medial tibial torsion hip lateral rotation hip abduction | genu varum |
| ankle plantar flexion anterior pelvic tilt | genurecurvatum |
| out toeing excessive subtalar supination | tibial torsion |
| twist in bone | torsion |
| poor muscle tone can be found in someone with... | down syndrome |
| one leg longer/foot bigger is an example of | bony architecture that would affect posture |
| hyperextension of the arm and the ability to touch your thumb to your wrist is an example of | ligamentous laxity that would affect posture |
| vision could affect posture because | someone with bifocals would cause someone to excessively move their head |
| hearing could affect posture because | if someone has a dominant ear, they are more likely to bend that way |
| thin body build small, flat joints limited muscle bulk relatively low body weight | ectomorphic |
| sturdy, muscular body build "...preponderance of muscle, bone, and connective tissue, usually of heavy hard physique of rectangular outline" | mesomorphic |
| a wrestler is usually of ______ body type | mesomorphic |
| heavy or fat build large concave/convex joints plenty of bulk | endomorphic |
| sidebending and rotation to opposite directions | congenital torticollis |
| an appreciable lateral convexity caused by specific congenitally anomalous vertabrae | congenital scoliosis |
| failure of the formation of part or all of vertebral segment | defects of formation |
| failure of segmentation | defects of segmentation |
| lateral curvature of the spine in an otherwise healthy child no evidence of underlying neurologic or muscular disorders no developmental anomalies | idiopathic scoliosis |
| most common idiopathic scoliosis because the second curve "fixes" you by keeping you straight | double major curve |
| traditional posture bringing the body parts in close to the line of gravity rigid posture minimizes the moments acting on the body | static posture |
| functional posture constant motion head and neck is upright trunk is upright | dynamic posture |
| diagonal pattern dominant foot behind balance weight with ability to shift chin tuck until uncomfortable, then bring forward to comfort arms at side without slouching | standing posture |