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72 Cards in this Set
- Front
- Back
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6 mos old gross development -able to |
reach for multi-colored object unsupported sitting unguarded sitting |
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pt has pain (for more than 24 hrs) from mobilizations to regain nomral mid thoracic ext after 3 thereapy sessions -what to do |
-change to gentle, low-amplitude oscillations to reduce jt & soft tissue irritation -pain > 24 hrs = possible tissue damage, so need to modift\y |
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self stretching improves? |
-osteokinematic motion -not arthrokinematic |
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osteokinematic motion |
gross movements of bones at joints -flex/ext -abd/add -etc |
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arthrokinematic motion |
small amplitude motions of bones at joint surfaces -roll -glide (slide) -spin |
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behavior modification is best achieved through use of |
positive reinforcement for all desired behaviors -ignore (-) behaviors -self correction not a form of behavior moification |
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Dysmetria |
-coordination problem -pt unable to judge distance or range of movement (undershoots or overshoots) TX -manual resistance with PNF can slow down movement & give better control |
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Dysmetria -contraindicated exercise |
fast paced isokinetic |
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isokinetic |
variable resistance to constant limb movement -exercise bike (resistance varies, but speed of the limb and revolutions per min stays the same) -used for pts with CVA |
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isotonic |
force generated by muscle while contracting -muscle lengthens and shortens with movement |
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isometric |
push against something that is immovable -muscle contraction without muscle joints moving (muscle stays same length) |
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intervention for knee capsular tightness |
-mobilizations |
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mobilizations should be in -loose or closed pack |
loose packed position |
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mobilization for full knee flex |
posterior glide and IR of tibia |
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convex on concave |
opposite direction |
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concave on convex |
same direction |
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knee ext -direction of mobilization |
ant glide and ER |
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cardiac transplant for end stage HF -how will exercise look |
-longer periods of warm up & cool down (physiological response to exercise & recovery takes longer) -low-mod intensity resistance -aerobic exercise 4-6x/week -increase duration (15-60 mins) |
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EMG & inserting needle |
-insert in normal muscle initially causes a burst of electrical activty (insertional activity) -after insertion before contraction = electrical silence |
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fibrillation potentials |
-spontaneous activity seen in relaxed denervated muscle |
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polyphasic potentials |
-seen in contracted muscles undergoing reorganization |
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platelet count < 20,000 -contraindicated exercise |
Resistive exercise -AROM and ADLs are ok to perform & beneficial |
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TOS |
-compression to neurovascular structures between scalenes (ant & middle) -compression d/t short pec minor & scalenes |
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Tx for TOS |
-stretching to gain space btwn scalenes -stretch scalenes & pec minor |
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Pt with DM is exercising & has following Sx's -weak, dizzy, nauseous, sweatiing, unstead |
HYPOglycemia (sx's seem like drunk) Tx -sit down and give oral sugar |
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HYPOglycemia |
-abnormally low blood glucose -results from too much insulin |
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Clinical manifestations of post polio syndrome |
-myalgia -new weakness -atrophy -exercise fatigue with min. activity |
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Tx for post polio syndrome |
-non exhaustive exercise -general body conditioning -low intensity & duration -3x/week |
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Primary lymphedema -genetic risk |
< 25% (there is a familial link) |
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Secondary lymphedema d/t? |
trauma or insult to lymph system (not genetic) |
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Recovering from CABG (open heart surgery) at 8 weeks -is pt able to do resistance exercises with mod to heavy weights |
NO -should be avoided for 3 mos (until sternum heals) -once cleared initial loads should be *30-40% 1 RM: UEs *50-60% 1 RM: LEs |
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Albuterol (ventolin) taken for |
asthma |
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effect of albuterol |
-reduce bronchospasm -decreases airway resistance -mimics effect of sympathetic NS -albuterol works on Beta2 receptor in bronchiole smooth muscle -can have effect on Beta1 receptor: producing adverse cardiovascular rxn (increase BP and tachycardia) |
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Hydrostatic pressure & lymphedema |
pressure exerted by water on immersed objects is equal on all surfaces -increased hydrostatic pressure limits effusion, assists with venous return and can induce bradycardia |
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walking with backward trunk lean during WB |
backward trunk lean = weak hip extensors (glute max) |
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weak glute max (hip ext) -difficuty with |
-going up ramps or stairs Tx -bridges |
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buckling knees indicates |
weak knee extensors |
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tight hip abdcutors indicates |
lateral lean during all phases of gait (rare) |
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thick eschar secondary to full thickness burn -infection control |
sulfamylon (penetrates eschar) |
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silver nitrate & nitrofurazone |
superficial agents that attack surface organisms |
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Panafil |
keratolytic enzyme for selective debridement |
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cataracts |
-clouding of the lens -gradual loss of vision -central vision lost 1st, then peripheral |
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glaucoma |
loss of peripheral vision 1st, then central, then total blindness |
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hemianopsia |
-field defect in both eyes -usually after CVA |
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pronator teres syndrome test |
median nerve for entrapment at pronator teres -signs prox & distal to hand |
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ulnar nerve tension test |
abnormal motion/glide for ulnar nerve |
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How to decrease flex tone in pt post R CVA 1 mos ago with spasticity in L UE -lack of voluntary movement control -min active movement -1/4 inch subluxation |
-sitting WB and rocking on extended L UE to decrease flex tone -also give jt compression to stimulate stabilizing muscles (QUAD too strenuous) |
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Craigs test |
looks for increased/decreased antetorsion angle |
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Thomas test |
examines flexibility of hip flexors |
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Post impingement test |
impingement of post hip jt capsule/and/or labrum |
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empty can tests |
supraspinatus |
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Hemiballismus |
sudden, jerky, forceful & flailing involuntary movement on one side of body |
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Athetosis |
slow, writhing & twisting involuntary movement |
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Chorea |
rapid, irregular jerky involuntary movements |
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Intention tremor |
involuntary oscillatory movements during voluntary movement |
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antero inferor dislocation of humerus head d/t |
weak deltoids (axillary nerve damaged d/t anatomial location) |
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drop arm test |
rotator cuff |
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rhomboid innervation |
dorsal scapular nerve |
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location of dorsal scap nerve |
medial & post to shoulder joint |
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alternating experimental and control conditions for subject -design |
A-B-A-B design (single subject design studies) |
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cohort design |
no control group (sample of convenience) |
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L hemoplegia -deficits |
-visuospatioal perceptual deficits (do not use a lot of demonstration & gesture) -use verbal cues, encourage pt to slow down, simplfy env (remove clutter) |
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excessive handling of premature infant can cause |
O2 desaturation |
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positive mcmurrays and lachmans -best intervention for subacute phase |
unhappy triad injury -closed chain exercises for sub-acute phase -for all muscles surrounding knee (quads & HS's) to enhance functional control -terminal extension must be achieved for normal function to occur |
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L lateral face & head pain -passive lateral deviation full on both sides -limited active & passive mouth opening ROM reason for limitation in mouth openeing ROM |
decreased flexibility of muscles of mastication to the L (muscles need to lengthen as mandible moves away from upper palate) |
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primary motion of mandible |
slight ant translation of mandibular condyle without increasing distance btwn body of mandible and upper palate |
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unilateral capsular & interarticular restrictions of TMJ result in |
deflection of mandible toward side of restriction with openeing -would limit lateral deviation away from side of restriction d/t increased ant translation of mandibular condyle |
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Ant TMJ disc displacement with reduction -what does it do to mouth opening |
does not limit it |
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dependent variable |
change or difference in behavior |
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infiltrate in lungs -what to expect with auscultation |
crackles |
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lower than normal tidal volume -what happens to RR |
elevated to maintain adequate min ventilation (min venti = RR*TV) |
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chest pains in post & L thorax -how would thoracic expansion look |
limited and assymetrical |
