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RemexFinalReview1of3
CanColl May 2012 Remex Final Review 1 of 3 Dec 2011
| Question | Answer |
|---|---|
| 1. How do you ensure a client is performing homecare techniques properly? | explain, demo, observe |
| 2. What is important to ensure when giving a client a homecare program? | techs are performed correctly & safely |
| 3. What is the 1st step in developing a remedial exercise program? | assess client's needs - use A.P.R.O.N. |
| 4. How are the goals of a remedial exercise program developed? | goals are related to how treatment will affect limitation or disability at end of the program |
| 5. Who is in charge of the developing of a remedial exercise program? | therapist and client |
| 6. What are the 4 properties of MM? | irritability, contractility, distensibility, elasticity |
| 7. What is contractility? | most distinguishing feature of mm's - ability to produce tension between its' ends and exert a pull |
| 7. What is Elasticity? | ability to recoil from a distended length (unless it's been overstretched) |
| 8. What is the diff between the functional groups of MM's | prime mover (agonist), antagonist, synergist, fixator |
| 9. How do you perform ROM in a MM's range of elongation? | from shortest to longest position or vice versa |
| 10. What is the definition of functional excursion? | ROM aka excursion ratio |
| 11. How do you perform passive ROM? | within the unrestricted ROM, produced entirely by an external force |
| 12. Pendulum exercises are good for what stage of injury? | Acute or whenever PROM is appropriate |
| 13. What are the goals of AROM? | maintain elasticity & contractility, sensory feedback from contracting mm's, inc circ, begin strengthening weakened mm's, dev coordination and motor skills |
| 14. What are the goals of mechanical resistance exercises? | inc mm strength, power and endurance, |
| 15. What is the diff between types of MM fibers? | Type 1 = slow twitch = red fibers Type 2 = fast twitch = white fibers |
| 16. Which type of contraction develops the greatest amount of tension? | eccentric |
| 17. Why are eccentric exercises more likely to cause DOMS? | eccentric most likely to stress mm's - DOMS caused by microtearing |
| 18. What is important about form during resistance exercises? | improper form can cause injury - substitue movements can indicate that resistance is too great |
| 19. What is the overload principle? | in order to gain strength, power or endurance, there must be an overload on the mm, a progressive inc of resistance or repetitions - usually to fatigue |
| 20. At what stage of injury/healing can a client start resistance exercise? | When full, pain-free ROM is achieved |
| 21. What are the precautions to resistance exercise? | cardiovascular (breathing), fatigue (local or general), recovery (every other day), overtraining, substitute motions, osteoporosis, DOMS |
| 22. How often can a client do resistance exercises? | every other day |
| 23. What factors influence the strength of a muscle? | cross-sectional size, recruitment, type of contraction, fibre-type distribution, energy stores, blood supply, speed of contraction, motivation of client (see Strength handout - with lec 8) |
| 24. What is hypertrophy? | when exercise designed to inc strength is applied to a mm, the size of the individual mm fibres can be increased. Type II mm's ( fast twitch) are primary source for hypertrophy |
| 25. What is the definition of endurance? | The measure of fitness and its ability to perform work for a long period of time and to resist fatigue |
| 26. What is deconditioning? | occurs with prolonged bed rest - mm mass, strength, CV function, blood volume, plasma volume, heart volume - all decrease. Occurs much faster than conditioning |
| 27. Why do we recommend breathing exercises? | to retrain the mm's of inspiration, improve ventilation, improve gas exchange, lessen work of breathing |
| 28. What is hook-lying position? | supine, upper body elevated 45', hips and knees flexed (like sitting in a La-Z-Boy chair) |
| 29. What precautions must be taken when doing breathing exercises? | Don't force exhale - avoid extended exhale. |
| 30. Why is pursed lip breathing beneficial? | slows and controls the rate of breathing |
| 31. How do you mobilize the lateral rib cage? | sitting, lean away on inspiration, fist in side & straighten during exhale |
| 32. What is necessary to avoid when doing lymphatic drainage exercises? | do not exercise to the point where the edematous limb aches |
| 33. Why is flexibility important? | to perform our normal daily functions of the body |
| 34. What is selective stretching? | stretch applied to some movements of Jt or MM while limitation or restriction remains in other movements or Jts. |
| 35. How far should a client stretch? | Feel the pull, no pain |
| 36. What is the def of ballistic stretch? | high intensity, short duration, bouncing stretch |
| 36. How is a ballistic stretch diff from an active stretch? | considered unsafe - poor control, potential of rupturing weakened structures |
| 37. When is stretching indicated? | ROM limited, reversible contractures, hypomobility, MM weakness with opposing tightness |
| 38. What are the goals of stretching? | regain normal ROM, prevent irreversible contractures, inc gen flexibility, prevent musculotendinous injury, dec mm tension, inc relax, inc coordination, develp awareness |
| 39. Which PNF tech can be used in the chronic stage? | Any / all |
| 40. When are extra precautions necessary during stretching? | osteoporosis, hypermobile Jts, pregnancy |
| 41. What are CI's to stretching? | bony block, recent frac, acute pain in movement, evidence of tissue damage - hematoma or bleeding, contractures providing joint stability |
| 42. What are CI's to joint play? | hypermobility (capsule stretched), jts with necrosis, joint effusion (swelling), ligs already stretched, inflammation in jt. |
| 43. What can self massage be used for? | Really?? You're kidding.... OK OK proceed. |
| 43. What can self massage be used for? | dec anxiety, depression, panic attacks, inc relax and control - used for scars, swelling, edema |
| 44. Why is it important to demonstrate when teaching a client self massage? | familiarize with sensation and structure. Also to ensure that they understand |
| 45. What triggers the stress response? | real or imagined threats |
| 46. How is the stress response beneficial? | sets up our defences, prepares us for challenge - protects us |
| 47. What occurs during the relaxation response? | heart rate, breathing, BP, metabolism, MM tension - all decrease |
| 48. What are the 2 types of reactors to stress? | mental / physical |
| 49. Why is deep diaphragmatic breathing beneficial? | inc oxygen, dec tension, dec stress, inc relaxation |
| 50. How does sweating have an effect on body heat? | Heat is removed from the body by sweating thru evaporation |
Created by:
Hanz Onn
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