Goni, mmt, posture, biomechanics, tissue heal, stretch
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| what is the purpose of goni & mmt? | communicate with other health professionals & document progress
🗑
|
||||
| goniometry is... | the measuring of angles of joints
🗑
|
||||
| most common source used in goni | norkin & white
🗑
|
||||
| what is more precise... goni or incliometer? | goni
🗑
|
||||
| stationary arm | proximal arm
🗑
|
||||
| moving arm | distal arm
🗑
|
||||
| fulcrum | joint
🗑
|
||||
| factors that determine ROM | age, gender, BMI, recreation, genetics
🗑
|
||||
| reliability- | to what extent is the measurement accurate when different examiners perform the measurement (intertester) or when the same examiner repeats the test (intratester)
🗑
|
||||
| factors that affect reliability and validity | same tester, same position, same device, same technique, repeated 3x
🗑
|
||||
| alternate methods to mmt | isokinetic equip & dynameters
🗑
|
||||
| mmt stabilization can be accomplished by: | mm tension of subject, gravity, external pressure of examiner, positioning
🗑
|
||||
| screening quick tests to conserve the examiners time and prevent pt fatigue | check both sides at the same time, give resistance in test position first, do all tests in on position 1st before changing- so be organized and plan test
🗑
|
||||
| mm performance | quality of how mm works-encompasses strength, power and endurance
🗑
|
||||
| neuromuscular control | ability to control mm
🗑
|
||||
| Wolfe's law states | that bone is laid down according to stress
🗑
|
||||
| muscular disuse leads to atrophy... | fewer mitochondria, decrease in myofibrils present in the cells
🗑
|
||||
| pt management model to provide ex management | examination, evaluation, diagnosis, prognosis, interventions
🗑
|
||||
| intervention by the PTA | review POC:coordination, communication & documentation, procedural intervention, patient-related instruction, monitoring, progression
🗑
|
||||
| functional outcomes must be: | meaningful, practical, sustainable (pt satisfaction important)
🗑
|
||||
| discharge: | anticipated goals and expected outcomes have been attained
🗑
|
||||
| discontinuation: | ending of services before goals met, due to pt decision to stop, change in medical stat, or need for further service not justified to payer
🗑
|
||||
| motor learning | cognitive (figure it out), associative (refining the mvmt), autonomous (mvmt automatic)
🗑
|
||||
| blocked | same task, same conditions, same order
🗑
|
||||
| random | slight variations in an unpredictable order, variations change with each rep
🗑
|
||||
| random-blocked | variations of the same task in random order, but each variation is performed more than once
🗑
|
||||
| function excursion | difference between max length & max shortening
🗑
|
||||
| active insufficiency | when mm is max shortened, it can't generate much power (1 or 2 jt mm)
🗑
|
||||
| passive insufficiency | when mm is fully elongated (only 2 jt mm)
🗑
|
||||
| ROM for acute state of healing | PROM & AAROM
🗑
|
||||
| ROM for subacute state of healing | AAROM & AROM (3-10 days)
🗑
|
||||
| ROM for chronic state of healing | stretching & RROM
🗑
|
||||
| precautions to ROM | when motion disrupts healing, other health issues are life threatening (after trauma or surgery)
🗑
|
||||
| longer mm generally have ____ force potential than short mm | less
🗑
|
||||
| very tight mm have ____ force potential | reduced
🗑
|
||||
| posture-lateral view: | ear, shd, slightly post to hip (thru greater trochanter), ant to knee jt, ant to lat malleolus, normal pelvic tilt
🗑
|
||||
| posture-posterior view: | look for lateral curve (scoliosis), shd height symmetry, scap inferior angle symmetry, trochanter height symmetry, crest height syymetry, PSIS asymmetry, genu valgum/varum, calcaneal valgum (line of Achilles)
🗑
|
||||
| posture-anterior view: | shd height & rotation, nipple line, ASIS, iliac crest height, patellas (height & rotation), hands (palms to back means pec tightness)
🗑
|
||||
| stability in standing posture is created by: | mm and ligaments
🗑
|
||||
| stability at the ankle is created by: | soleus mm
🗑
|
||||
| stability at the knee is created by: | knee ligaments, gastrocnemius & hamstrings
🗑
|
||||
| stability at the hip is created by: | no mm stability needed if hip is in alignment
🗑
|
||||
| stability in the spine is created by: | abdominal & erector spinae (superficial), deep mm (segmental) & posterior longitudinal ligament
🗑
|
||||
| normal COG is: | anterior to S2
🗑
|
||||
| superficial mm stabilizing spine | rectus abdominus, inter & external obliques, erector spinae, scales, levator-main function to respond to external loading (stressed w/bad posture)
🗑
|
||||
| deep mm stabilizing spine | transverse abdominus, multifidis, rotatores, rectus capitus, longus coli- main function is reflexive segmental control to maintain upright stability balance & posture (not much stress)
🗑
|
||||
| trapezius & semispinalis capitus keep head... | from falling fwd
🗑
|
||||
| scalene & levator: | stabilize vertebrae
🗑
|
||||
| become weak & stretched w/FHP | supra & infra hyoids- also balance during chewing
🗑
|
||||
| lordotic posture | increased LS angle more than 30 degrees, ant pelvic tilt w/tight hip flexors, compression of post facet jts, narrow IV foramen & post disc space (will pinch nerve), stretched & weak transvers abdominus & other abdominals, tight erector spinae & post lig
🗑
|
||||
| flat low back posture | decreased LS angle, ASIS almost level with PSIS, post pelvic tilt, reduced shock absorption due to loss of curve, stretched/weak erector spinae, stretched post lig, tight hamstrings, 90% of back pn pt, disc probs
🗑
|
||||
| increased thoracic kyphosis | stretched/weak thoracic ext, often occurs w/FHP, occurs w/fwd-internally rotated shd, stretched/weak rhomboid & middle/lower traps, stretched posterior ligaments of thoracic spine
🗑
|
||||
| fwd head | increased cervical lordosis, tight cervical ext & post lig, tight pecs & scalenes, increased stress on C-4 thru C-6 facet jts & discs, tight upper trap, stretched cervical flexors, post facet jt compression, narrow IV foramen
🗑
|
||||
| flat upper back & neck posture | stretched post cv ext & post cv lig, tight cv flexors, loss of curve so increased jt stress, more common in ectomorphs
🗑
|
||||
| genu recurvatum | back knee
🗑
|
||||
| genu varum | bow leg
🗑
|
||||
| genu valgum | knock knees
🗑
|
||||
| pes cavus | high arch in foot
🗑
|
||||
| pes planus | flat foot
🗑
|
||||
| CT such as ligaments & tendons: | made of elastin, can elongate 70% w/o disruption
🗑
|
||||
| collagen | more abundant than elastin & many different types (12-19), designed for stability and strength
🗑
|
||||
| ground substance | jello- gel like substance that provides support and is related to cellular exchanges of gasses & water
🗑
|
||||
| fibroblasts are: | the unique cells that form the collagen threads
🗑
|
||||
| cartilage important to PT: | hyaline & fibrocartilage
🗑
|
||||
| cell in matrix of cartilage... | chondrocyte
🗑
|
||||
| ligaments are considered: | hypovascular, do have microvascularity, take longer to heal
🗑
|
||||
| type I collagen: | very strong in mature scars
🗑
|
||||
| type II collagen: | more elastic in immature scars
🗑
|
||||
| strains | happen to mm
🗑
|
||||
| sprains | happen to ligament
🗑
|
||||
| grade I | microscopic tearing w/no joint laxity, heal spontaneously pretty well w/o PT
🗑
|
||||
| grade II | tearing of some fibers with moderate joint laxity, pt will say doesn't feel normal
🗑
|
||||
| grade III | complete rupture of the ligament w/profound instability and laxity-surgical treatment-almost always other damage as well
🗑
|
||||
| ACL treatment leans toward | surgery
🗑
|
||||
| MCL treatment leans toward | nonsurgical
🗑
|
||||
| articular cartilage is | avascular
🗑
|
||||
| fibrocartilage found in | synovial joints of shd, hip, knee
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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
Created by:
jessigirrl4
Popular Physical Therapy sets