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Exercise, MMT & FMT
223 2nd exam
| Question | Answer |
|---|---|
| contraindications to exercise | inflamed joints;open wounds, recent surgery; UMN lesions; complete sensory loss; bone cancer |
| types of exercise | PROM, AAROM, AROM, PRE, Coordination, Pendulum |
| What kind of exercise is most appropriate for breast cancer its? | Pendulum exercise |
| What is PRE? | Progressive Resistive Exercise |
| PRE guidelines | Do 3 sets of 10 reps: 1st set at 50% of max; 2nd set @ 75/max; 3rd set @ 100% of max |
| For what populations is fatigue in exercise NOT desireble? | MS, Postpolio, MD, GB |
| why is substitution NOT desirable in exercise? | b/c it prevents strengthening of the targeted muscles |
| Isokinetic machines for exercise - - - - | As you exercise, the machine recalibrates where muscle has oct power |
| What is necessary for eccentric contraction? | resistance either through gravity, theraband, or weight |
| isometric exercises . . . | have no joint movement, muscle contracts, e.g. wall sit, stresses CV system, are good for arthritis, sprains |
| which is more effective to build muscle - concentric or eccentric muscle contractions? | eccentric contractions |
| to increase strength, a muscle must contract to it's ____ capacity | maximum |
| what is the difference between Manual Muscle Testing & Functional Muscle Testing? | FMT - usually tests a group of muscles & is used more by OTs |
| procedure for FMT | 1) move pt thru full ROM; 2) Have pt perform motion I against gravity; 3) set pt in mid range; 4) stabilize proximally; 5) apply resistance distally, tell pt to "hold"; 5) grade performance, adjust for age |
| Unilateral & Bilateral | MMDT (Minnesota Manual Dexterity Test); Purdue Peg Board; Jebsen Test of Hand function |
| unilateral only tests | 9 hole peg test; box & blocks; pick up |
| 9 hole peg test - evaluates ______ | dexterity & fine motor |
| box and block test evaluates -________ | gross manual dexterity |
| Pick up Test evaluates _______ | fine motor |
| T/F - an OTA can use PAMs unsupervised if they are trained | FALSE - they must be under supervision by PA laws |
| T/F: PAMS can be used as a tx | false - can only be precursor to TX |
| After PAMS, follow up with a ______ | functional OT activity |
| most common malpractice lawsuits in therapy are from ________ | hot pack burn |
| Heat is appropriate for local pain relief if ________ | the diagnosis is known and it is not from inflammation |
| heat is contraindicated when: | impaired sensation; large scars; impaired cognition; cancer/tumors, acute infection, DVT or peripheral vascular disease; cardiac disease, seizures; primary tendon or ligament repair |
| Cold packs are good for: | edema, post exercise, arthritis flares, spasticity/muscle spasms, strains to ligaments, tendons - acute, acute tendinitis (dixie cup) |
| Contraindications for cold therapy | Raynaud's syndrome; decreased circulation, healing nerves b/c slows process; impaired circulation, healing wounds, cardiac dysfunction |