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75 Cards in this Set
- Front
- Back
A functional capacity exam is used for what purpose? |
Evaluates a persons functional abilities to complete work related tasks |
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What is Functional Movement screen used for ? |
Used with athletes for return to sports, injury prediction, and workout design |
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Owestry Disability Questionnaire? |
Used for back and leg pain and the effect on everyday life |
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What is the duty cycle on an ultrasound? |
The amount of time the ultrasound is working such as 100% (continuous) |
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Ice massage should be used for what types of impairments? |
Small focal treatments such as tendons, localized hematoma, and muscle contusion |
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How often can you put on an ice pack? Every 20 min? every hour? |
A patient can be treated for 15-30 minutes at a time with a 2 hour lap between treatments |
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What is the proper goniometer placement for measuring rotation of the shoulder? |
Axis- Olecrenon process Stationary Arm-Perpendicular to floor or ceiling Moving Arm- Mid-line of the ulna using ulnar styloid for reference |
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How often should you check cords on equipment? (maintenance) |
every day |
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You are handwriting a note and you write something that is incorrect. What do you do to correct this? |
Mark through the mistake with a single line and put initials beside it. Then put correction. |
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How often does whirlpool get cultured? |
Every 1-3 months |
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How often is the hydrocollator cleaned? |
Drained and cleaned every 2 weeks ( NO BLEACH / CHLORINE) |
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What do biomedical inspectors look at? How often do they come ? |
Anything electrical or that needs to be calibrated ( ultrasound & fluidotherapy ) Comes anually |
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Where would modalities be put in a soap note? |
Objective |
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AROM therex is put where in a soap note |
Objective |
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Vital signs are put where in a soap note? |
Objective |
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Where do Goals go in a soap note? |
Plan |
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When documenting patient improvement, where would it be documented in a soap note? |
Assessment |
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When giving a Functional Outcome test, where is the score documented? |
Objective |
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FIM is what kind of test? |
Uniform measurement for disability |
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Barthel Index measure what ? |
Scaling and scoring on ADL's |
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DASH is what kind of test? |
Questionnaire for disabilities of the arm, shoulder, and hand |
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Quick Dash test? |
Questionnaire about symptoms and ability to perform certain activities (arm) |
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FAB Scale ? |
Testing for advanced balance |
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Timed up and Go |
Timed test from seated to walk 3 meters, turn around and sit again |
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Timed 10-meter walk test |
Administered test and walks 10 meters without assistive device |
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Neck Disability Index? |
How neck pain affects everyday life |
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WOMAC is questionnaire for? |
on pain, stiffness, and physical function |
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Knee outcome survey ? |
Knee pain / functional limitations and how it affects level of activity |
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ABC Scale ? |
Questionnaire on confidence level about doing an activity without losing your balance or becoming unsteady |
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In the Anatomical position, what movements occur in the following planes? Saggital Plane Transverse Plane Frontal Plane |
Saggital Plane- Flexion & Extension Transverse Plane- Rotation Frontal Plane- Abduction & Adduction |
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How would you measure thoracolumbar rotation with a goniometer? |
Have subject seated with feet flat on floor in a seat w/o back support Axis- Centered over cranial aspect of head Stationary Arm- parallel to an imaginary line between tubercles of the iliac crest Moving Arm- Align with imaginary line between the two acromial processes |
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Changes in Mental Status is put where in a soap note? |
Assessment |
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Normal Joint End Feels |
Soft- approximation of two soft tissue structures Firm- Springy sensation when a contractile tissue is put on a stretch Hard- abrupt stop to motion because of boney approximation |
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What is the purpose or why would you perform PROM (manual ROM) |
Patient is unable to move it themselves lack of strength initiate movement patterns surgical precautions |
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What is Functional ROM for the shoulder? |
Reaching behind the head 112 degrees (abd) Reaching for objects on high shelf 148 degrees shoulder flexion Feeding requires 36-52 degrees shoulder flexion Reach behind back to fasten bra 56 degrees ext. and 69 degrees horizontal abduction |
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What is open pack position and why do we use it? |
Open pack= joint surfaces are least congruent and the joint is most mobile Why? Used to increase joint mobility or normalize arthrokinimatics. ( to keep from hitting bone on bone) |
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What is functional ROM for forearm? |
to read newspaper 48.8 pron. & -7.3 sup. rise from chair-33.8 pron & -9.5 sup eat with fork-10.4 pron & 51.8 sup use telephone 40.9 pron & 22.6 sup |
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What is functional ROM for knee? |
Rising from chair-90.1 to 95 degrees flexion Descending stairs- 86.9 to 107 degrees flexion |
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What is Functional ROM ? |
Motion necessary to complete a task eg. cervical rotation necessary to drive car, hip flexion necessary to sit in a chair |
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What is close pack position? |
Joint surfaces are most congruent with one another and the joint is most stable |
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What is Arthrokinematics? |
Movement that occurs between the joint surfaces and is not visible to the observing eye -roll -slide/glide -spin |
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What is osteokinematics? |
Movement that occurs between two bones ( one joint) and is visible to the observing eye |
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From the connective tissue lecture; what is found in the cellular components and what is found in the extracellular components? |
Cellular components= fibrblasts Extracellular components= Interfibrillar (ground substance) Fibrillar ( collagen, elastin, and reticular fibers) |
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Define Grade I jt. mobilizations for maitland? |
slow, small-amplitude oscillations parallel to the joint surface at the beginning of range; For pain reduction |
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Define Grade II joint mobilizations for Maitland? |
Slow, Large-amplitude oscillations parallel to the joint surface within the free range; For pain reduction and does not move into resistance or limit of free range |
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Define Grade III joint mobilizations for Maitland? |
Slow, Large-amplitude oscillations parallel to the joint surface from the middle to the end range; to increase mobility |
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Describe Grade IV joint mobilizations for Maitland? |
Slow, small-amplitude oscillations parallel to the joint surface at the limit of range; To increase mobility |
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How would you describe petrissage? |
deeper more aggressive strokes ( compression and rolling of the tissue to separate fascia) |
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What is capsular pattern for the shoulder? |
The greatest restriction of passive motion in a lateral rotation, followed by some restriction in abduction and less restriction in medial rotation Greatest loss of ER Moderate loss of Abduction Some loss of IR |
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What is the capsular pattern for Hip? |
Greatest loss of IR and flexion Some loss of Abduction Slight loss of extension |
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What is capsular pattern for the forearm? |
Equal loss of both supination and pronation |
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What is capsular pattern for elbow? |
Loss of flexion is greater than loss of extension |
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What is abnormal end feel? |
Abnormal= not what you want to feel Soft=boggy thick sensation in a joint Firm=springy sensation indicating abnormal Hard=abrupt stop to motion when rough joint surfaces contact one another Springy Block=Rebound effect is felt indicating soft tissue derangement Empty=patients pain causes motion to cease before the true joint end feel is acheived |
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Why would you want to use cross friction massage? |
For scar inflammation |
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How should cross friction be performed? |
Across muscle fibers ( Needs to be in slight tension) |
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Convex Concave rule-- does it change with open chain |
yes Open Chain: convex on concave= opposite concave on convex= same Closed chain: convex on concave= same concave on convex= opposite |
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What is capsular pattern and what does it indicate? |
Capsular Patter: Pathology limits all or most joint motion directions-restrictions of a certain pattern Indicates: joint capsule is tight |
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What is Hunting Reflex and when does it occur? |
Body's mechanism to protect itself from tissue damage During extreme change in temperature |
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What are the major categories for NAGI disablement model ? |
pathology: interruption of normal cellular process Impairment: abnormality at the tissue, organ, or body system level - ROM, Manual Muscle Test, pain scale Functional Limitation: restriction in an individuals performance of a task disability: inability to perform socially-defined roles |
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Medicare categorizes Functional Tests in what type of categories? Is this different from the APTA categories seen on the web site link? |
Medicare categorizes as: Performance Based Instruments Patient Self Report Instruments APTA: Pathology Diagnosis Functional limitation.... etc |
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Which categories of NAGI are testing with functional tests? |
Impairment, functional limitation, and disability |
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What modalities would be used for chronic swelling? |
Deep Thermal Agents Ultrasound Moist Heat Diathermy Phonophoresis |
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How long can shortwave Diathermy be left on the patient? How does this compare to other thermotherapy? |
Can be left on for 30-60 minutes ( longer than any other thermotherapy) Can be either continuous or pulsed Used on large areas |
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What are Precautions for massage? |
Autoimmune disease osteoporosis Skin allergy Low BP |
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What are contraindications for massage? |
Over arteries Active illness cardiovascular condition DVT Structural abnormalities Acute trauma active bleeding |
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What are precautions for ultrasound? |
Sensitivity to pressure sensation deficits appropriate speed and movement of soundhead appropriate settings |
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What are indications for Cryotherapy? |
Decrease Edema Muscle spasms Pain Acute burns Transverse friction massage athletics Neurologic sensitivity |
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What are Contraindications for Ultrasound? |
Pacemaker Pregnancy Tumors Thrombophlebitis Spinal Cord Laminectomy growth Plates Reproductive organs Cement on prosthetics |
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How often does ultrasound machine get calibrated? |
1 time a year |
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In ultrasound, what mHz is used for deep and what mHz is used for superficial? |
Deep= 1 mHz Superficial= 3.3 mHz |
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Vapocoolant cools by ? |
Evaporation |
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How long can you perform ultrasound? |
Time depends on the size of the area ultrasound is done 5 minutes for every two sound heads to be billable must be done for at least 8 minutes |
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When should Functional test be administered? |
Evaluation Re-evaluation Discharge Every 10 visits for Medicare |
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Can Intensity on ultrasound be changed ? |
Yes .5 to 2.0 w/cm squared |
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How often is the filter cleaned for fluidotherapy? |
After every use !!! |