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22 Cards in this Set
- Front
- Back
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What areas did the ADA affect?
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Employment
Public Services and Transportation Public Accommodation Telecommunications Other Provision |
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______ provides standardized space requirements for accessibility
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ADA
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What is the purpose of the ADA?
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Elimination of discrimination against individuals with disabilities
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What are standard ADA compliance for measurements?
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Handrail: 12 inches before a decline
Desks: 9 inches for foot height, and 27 inches for thigh height Single Space: 36 inches wide and 60 inches long Room Occupancies: >300 people have to have 2 ADA spaces |
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What does HIPAA stand for and when was it implemented?
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Health Insurance Portability and Accountability Act
1996, implemented April, 2002 |
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What is the purpose of HIPAA?
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Protect personal health info
Confidentiality Conveyance Storage Discussion Dissemination |
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What are key points to HIPAA?
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Patient must sign form that he/she has been informed of P & P
Discussion only in appropriate areas Must inform patient how medical info will be shared (give as brochure, or handout) Patient signs authorization form (informed concent). Give copy to patient. |
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What are medicare guidlines?
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CMS
For reimbursement Adopted by other insurance companies PT must be required 30 day certification/recert by physician Complexity of treatment must be to level of PT skill Must be rendered by PT/PTA |
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What is the minimum spray needed for a drinking fountain to be ADA compliant?
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4 inches
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What are medicare guidelines for PTs?
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Consistent with eval results
Must have diagnosis Long—term goals Type, amount, duration, frequency |
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What are requirements to ambulate?
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Support the body mass
Have locomotor rhythm Dynamic balance Propulsion Adaptability |
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What are general rules for locomotor training?
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Start with large base of support (BOS)
Start with low center of mass (COM) (Center of gravity) Progressively decrease size of BOS to small Progressively raise COM to high Start with proximal and move to distal Do in conjunction with strengthening, transfer training, ROM, etc. |
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What is the progression within posture?
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Mobility
Stability Dynamic stability Skill—discrete motor control, superimposed on proximal stability |
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What are preparatory exercises for locomotor training?
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Bridging
Quadruped Sitting Sit-to-stand Kneeling and half kneeling Modified plantigrade standing |
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What are classifications of connective tissue?
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Dense Regular
Dense Irregular Loose Irregular |
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What are examples of dense regular tissue?
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ligaments and tendons—parallel and dense arrangement
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What are examples of dense irregular tissue?
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joint capsules, aponeuroses, periosteum, dermis, fascial sheaths. Dense, multidirectional fiber arrangement. Resists high mechanical stress in a 3-directional manner
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What are examples of loose irregular tissue?
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superficial fascial, nerve and muscle sheaths, internal organ support sheaths. Thin, sparse, multi-directional meshwork. Most ground substance per unit area.
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When would you use connective tissue immobilization?
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Loss of GAG’s and water
Collagen breakdown if longer than 9 weeks Loss of “critical inter-fiber distance”—loss of GAG’s Collagen inter-fiber cross-links Irregular laying down of collagen Macroscopic fibro-fatty infiltrates serve as cross-links Ligaments weaken Insertion sites of ligaments/tendons/jt. Capsules to bone demonstrate junctional strength |
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What is the optimal stimulation for regeneration for bone, muscle, and cartilage?
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Bone- weight bearing
Muscle- overload, tearing Cartilage- compression/decompression cycles along with gliding |
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What are effects of soft tissue mobilization?
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Release of fascial restrictions and adhesions
Separates and breaks down collagen cross-links Splays and stretches connective tissue and muscle fibers Increases skin temperature Facilitates reflex changes in chronic muscle holding patterns Alters spinal reflex activity (facilitated segment) Increases rate and amount of blood flow to and from the area Increases cellular activity including fibroblasts and mast cells in the region Increases histamine response secondary to mast cell activity |
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What are key points to deep friction massage?
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Also called cross fiber massage in the literature
Deep transverse friction (James Cyriax) Done without a lubricant Friction increases the water binding capacity of ground substance Done 30 seconds to 10 minutes Healing cascade Breaks up or softens scar tissue |
