Therex final
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Components of TherEx | show 🗑
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show | pathology --> impairment --> dysfunction --> disability
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show | disruption in body's homeostasis. e.g. inflammatory process, change in LT curve of muscle, wound healing + scar formation
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impairments | show 🗑
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Functional limitations | show 🗑
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Disbaility | show 🗑
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show | biological, behavioral, physical environment, socioeconomic.
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show | the distance a muscle can shorten after its been elongated to its max
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show | false manual muscle test reading
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passive insufficiency | show 🗑
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show | assistance provided by outside force either manually or mechanically because the prime movers need help to complete the motion
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indications for PROM | show 🗑
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show | prevent muscle atrophy, increase strength or endurance, assist circulation as well as AROM/voluntary contraction
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types of contractures | show 🗑
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Determinants of Stretching | show 🗑
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show | 15-30 secs add 10 secs for every 10 yrs increase in age
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show | Advanced age, fracture, osteoporosis, acute local inflammation, hematoma, myositis ossificans, integrity of jt. hypermobility, functional contractures, sharp acute pain with movement, if shortened tissue provides jt. stability
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show | watch out for heterotrophic ossification, edema, weak muscles
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show | hold relax, contract relax, distraction, contraction of contralateral extremity
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functional strength | show 🗑
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show | enhance muscle performance, increased CT strength, greater bone density, reduced risk of soft tissue injury, enhanced physical performance, enhanced physical well being
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show | overload principle, SAID principle, Reversibility principle
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show | tremulousness, jerky movements, unable to complete ROM, substitute motions, decline in peak torque
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show | Alignment, stabilization, intensity, volume, exercise order, frequency, rest interval, duration, mode of exercise, velocity, periodization, integration with functional activities,
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show | inflammation, pain, cardiac/resp disease
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Training zone | show 🗑
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types of isometric contractions | show 🗑
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show | 6-10 secs
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show | 20 max contractions held 6 secs daily with 20 sec rest
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davies rule of 10 | show 🗑
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CI's for isometric exercise? | show 🗑
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What kind of exercise is theraband? | show 🗑
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isokinetic exercise | show 🗑
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show | % body weight, BOS, support surface, balance, exclusion of limb movement, plane/direction of movement, speed of movement
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What is PRE? | show 🗑
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What is delorme? | show 🗑
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what is oxford method? | show 🗑
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show | high intensity high velocity eccentric to concentric exercises to develop coordination and muscle power
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precautions of resistance training | show 🗑
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what are the signs of DOMS? | show 🗑
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H20 + temp | show 🗑
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temp for water exercise | show 🗑
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what about swimming strokes? | show 🗑
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% jt. loading and ambulation: | show 🗑
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what are the types of tendinopathies?> | show 🗑
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show | 4-6 days, PROM of affected tissue, AROM above and below, massage, muscle setting, control inflammation.
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what is controlled-motion phase? | show 🗑
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what is the chronic stage? | show 🗑
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show | chronic regional pains syndrome, trigger point release
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What to do for FM? | show 🗑
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show | battery of performance tests to determine ability to work, perform ADLs or leisure
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tests of function | show 🗑
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show | 1. acute signs and symptoms resolved, no pain or edema 2. demonstrated ROM, strength, endurance, proprioception, agility, coordination. 3. activity performed as pre-injury 4. confidence to perform the task
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show | acute stage
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show | QUADRIPED
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how should speed + accuracy be addressed | show 🗑
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show | WB exercise!! anything that stimulates those jt. mechanoreceptors
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show | abdominal fat --> more risk of disease
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gynoid obesity | show 🗑
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show | > ,95 + .86 is high risk
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Sub Q fat norms? | show 🗑
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show | kg/m^2 >25 overweight >30 obese
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pilates is important for... | show 🗑
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show | passive extension more limited than flexion, resisted elbow flexion causes pain, heterotopic bone formation, distal brachialis tender.
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show | dense adhesions and capsular restrictions in dependant fold of capsule. freezing stage (pain)--> frozen stage (atrophy) ---> thawing stage (loss of ROM)
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Complex Regional Pain syndrome stage I | show 🗑
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RSD stage II | show 🗑
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RSD stage III | show 🗑
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show | type II has a known nerve injury
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show | outrageous pain in shoulder or hand, decrease motion of shoulder w capsular pattern, dec. flex + ext of hand, edema of hand, trophic changes in skin, nail growth or brittleness, atrophy of intrinsic hand muscles, osteoporosis
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when is surgery indicated for RTC tear? | show 🗑
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show | arthroscopic, mini approach (split deltoid), traditional open approach ( deltopectoral)
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show | severe hip pain, marked limitations in movement, fracture, bone tumors, failure of conservative Tx
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show | 1. posterolateral approach - glut max split, highest jt. instability. 2. direct lateral - post op weakness + positive trendelenberg's 3. anterolateral - for ppl with muscle imbalances, hip flexion + IR
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goals of acute THA | show 🗑
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Whats the **** is a Q angle? | show 🗑
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Where does L3 refer to? | show 🗑
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show | valgus force to knee OR ER of tibia with forced hyperextension
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show | restore 90 deg of flexion, and full passive extension by first week. in acute phase, begin muscle setting of quads, hamstrings, hip ABD, ADD
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what are the prehension patterns? | show 🗑
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show | full dorsiflexion
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show | Balance deficit, muscle weakness, gait deficit, visual deficits, previous history of falls
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show | deconditioning, loss of muscle strength, functional decline, heightened risk of falls, hospitalization
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How to correct back pain? | show 🗑
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show | increase abdominal strength, stretch anterior hip flexors, strengthen pelvic floor and hip ADD, stretch + strengthen TFL/ITB
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show | circumduction, hip hiking, steppage, vaulting
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What can cause long leg during gait? | show 🗑
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show | 50-130 MM
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show | 12 degrees
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lateral sway? | show 🗑
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What is the ankle strategy? | show 🗑
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weight shift strategy | show 🗑
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show | utilized for large or rapid external perterbations. uses rapid hip flexion or extension to move the COM over the BOS. activation is proximal to distal.
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show | if large force displaces COM beyond the limits of stability --> enlarge BOS by stepping forward.
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Whats the best way to stretch? | show 🗑
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show | use of 3 sets of 10 of a 10 RM with progressive loading each set. builds warm up into exercise ... 50-75-100%
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show | strengthen hamstrings
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what to do about steppage?` | show 🗑
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what is vaulting? | show 🗑
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when should you emphasize exhalation? | show 🗑
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show | 1. history of paralytic polio 2. partial to complete muscle functional recovery 3. 15 years of stability 4. onset of greater than 2 new health problems 5. no other condition explains symptoms
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