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26 Cards in this Set
- Front
- Back
what are 3 biomechanical limitations?
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ROM
Strength endurance |
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what can cause an immobilized joint?
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- loss of muscle fiber
-changes in number and length of sarcomeres -changes in connective tissue -disruption of articular cartilage - tendons and ligaments lose strength in absense of motion and stress |
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how can someone prevent ROM limitations?
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compression
positioning movement through full ROM |
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this technique is used to prevent ROM limitations due to edema
- most effective when combined with positioning and PROM or AROM - use of compression wraps - use of spriral wrapping in a distal to proximal direction -tubigrip provides graduated constant pressure support |
compression
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this technique is important if limb is too weak to resist gravity
- functional or resting position - minimizes edema, prevents deformities and maintains ROM - position in the opposite of noral patterns of tightness -splinting is used to facilitate functional position |
positioning
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contractures of soft tissue that can be changed include:
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- skin
- muscles - tendons - ligaments |
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contractures that can't be changed include..
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bony changes
- longstanding contractures - severe joint destruction |
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what are the goals of passive movement?
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1 maintain/ regain normal ROM
2. prevent deformity/ contractures 3. improve joint lubrication 4. provide proprioceptive input |
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the following are goals of what?
- maintain/ regain normal ROM - prevent deformity/ contractures -improve joint lubrication -provide proprioceptive input -maintain/ improve strength - provide stimulus for bone integrity -increase circulation/ prevent thrombosis |
AAROM
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the following are goals for what?
- maintain/ regain normal ROM/ prevent contractures - improve joint lubrication - maintain or improve strength - provide stimulus for bone integrity - increase circulation and prevent thrombosis -improve or maintain ADL -increase and maintain endurance -decrease pain -improve and maintain respiratory function |
AROM
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the following are goals of what?
- maintain and improve strength - increase muscle endurance - increase power -improve and maintain AD -improve and maintain respiratory function -improve body mechanics and prevent injurt |
resistive exercise
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motion of the part may interfere with healing
ex. unhealed fracture, unstable joint, unhealed suture, blood clot, unstable medical condition, medical lines |
contraindications
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tissue is lengthened by outside force
-eliminates tightness that could cuase a contracture -should be completed to the point of maximal stretch - force, speed, direction and extent of stretch must be controlled |
stretching
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while stretching, this must be high enough to put tension on the tissue but not so high to rupture the muscle
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force
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while stretching this should be slow to allow joint to adjust gradually
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speed
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while stretching this should be exact opposite to the tightness
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direction
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while stretching this should be a few degrees beyond the point of discomfort and held for 15-30 seconds
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maximal stretch
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type of stretching
- involvment in an interest/ purposeful activity - clinet is more relaxed - client is not anticipating pain - client is motivated to complete task -PNF patterns -contract/ relax |
active stretching
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type of stretching
- manual stretching -relaxing environment -stabilize bone proximal and distal to the joint to be moved -encourage the client to assist with movement - hold position for 15-30 sec - complete movement slowly -overstretching can cause heterotopic ossification |
passive stretching
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10 RM (repetition maximum) = maximum weight a person can lift with coordination through full ROM 10 times
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DeLorme's Progressive resistive exercises
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what kind of muscle strengthening is used for trace muscle grades?
- instruct client to contract or "hold" weak muscle - contraindicated for clients with cardiac disease |
isometric
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- stregthening usd for poor minus/ fair minus muscles (2-/ 3-)
- weak muscle in concentrically or eccentrically contracted hrough as much ROM as they can achieve. therapist provides assistance to complete the rest of the range |
isontonic (active assisted)
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strengthening used for poor or fair muscle (gravity eliminated for poor, against gravity for fait)
- client contracts muscle to move part through full ROM - repeats motion for up to 3 sets of ten with rest break between sets |
active ROM
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strength training for client with poor plus, fair plus, and above
- client moves body part through full available ROM against resistance -therapist chooses appropriate amount of resistance |
active resistive
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how to assess cardiorespiratory function?
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pulse
bp respiration vital capacity oxygen level cardiac output rate of perceived exertion target heart rate |
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what is the SAID principle?
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specific adaptation to imposed demands
- specific neuromuscular adaptations observed are the result of unique demands imposed on the neuromuscular unit |