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fundamental class 2

w/c,massage, // bars, tilt table, MFR and exercise

QuestionAnswer
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