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181 Cards in this Set

  • Front
  • Back
loss or abnormality of a body function or structure at the tissue, organ, or system level
impairment
decreased ability of a person to perform a task
functional limitation
occurs if the functional limitation restricts activity in a particular context or environment
disability
model that focuses on functional abilities that result from a medical condition.
disablement model
an interruption of normal processes, usually celluar level, is exhibited as abnormal signs or symptoms, and is generally reflected in the medical diagnosis called ___.
pathology/pathophysiology
example of ____ is decreased muscle strength or range of motion at a joint.
impairment
decreased strength in the upper limbs might result in a ____.
functional limitation
a disability becomes a ____ dependent
situation
the chinese in 3000bc used _____
massage.
the greeks and romans practiced ____ through the use of baths and river worship
hydrotherapy
the development of ____ began in the 1600s.
electrotherapy
more modern techniques of PT was practed extensively in ____ before being used in the US.
Europe
the need of physical therapy is the US was with response to the widespread of first ____ and then ____.
polio; WWI
as a result of the need for PT because of polio and WWI, the _____ was created in 1917.
Division of Special Hospitals and Physical Reconstruction
The Division of Special Hospitals and Physical Reconstruction was responsible for training and managing _____ who would provide physical reconstruction to those injured in the war.
reconstruction aides
the ____ was developed to study the cause and effects of polio.
vermont plan
during the Polio epidemic the teams made for the Vermont Plan consisted of orthopaedic surgeons, public health nurses, brace makers, stenographers and _____ who became involved in making accurate measurments to determine muscle strenght and providing theraphy through exercise and massage.
physiotherapists
after the WWI, the need for physical theraphy was still needed so the reconstruction aides moved to _____
physical theraputics
the first creation of a national organization for PT was _____
American Women's Physical Therapeutic Association
First president for the American Women's Physical Therapeutic Association was who?
Mary McMillan
created with becoming the first physical therapist
Mary McMillan
two membership categories were established for the American Women's Physical Therapeutic Association. what were they?
charter members and graduates of recognized schools of physiotherapy
The National Foundation for Infantile Paralysis was created why?
because there was still a Polio epidemic going on.
determines if PT services are needed
screening
activities the PT provides to prevent, limit, or reduce pain and dysfunction
prevention
relationship between worker, tasks, and environment
ergonomics
the level of health care delivered by a member of the health care system who is responsible for the majority of the health needs of the individual
primary care
provided by clinicians on a referral basis after the individual has received care at the primary level.
secondary care
the service is provided by specialist, commonly in facilities that focus on particular health conditions. privided on a referral basis.
tertiary care
____ is preferred to "practice without referral", which implies no regard or interest in the critical servies provided b practitioners in other disciplines
direct access
prevention programs generally include several components: (5)
history questionaries, medical screening and evaluation, consultation, exercise performance and reassessment.
evaluation that involves an examination of the physical abilities of the worker to perform the required tasks.
functional capacity evaluation
program that focuses on the physical dysfunction
work-conditioning program
program the includes the physical dysfunction to behavioral and vocational management.
work-hardening program
failure to act as a reasonably prudent person.
negligence
doing (or failing to do) something that a reasonably prudent person would have done (or wouldnt have done) under similar circumstances
negligence
professional negligence
malpractice
the failure to do ( or failure to aviod doing) something that a member in good standing of a profession would have done (or avoided doing) and that causes subsequent injury to the patient.
malpractice
the cause and extent of any functional disability
dysfunction
____ may be caused by structural imbalance of muscle or bone, birth defects, surgery, or degenerative changes in the body.
dysfunction
Symptoms of dysfuction of the musculoskeletal system are what? (5)
pain
stiffness
edema
muscle weakness or fatigue
loss of ROM
ROM : normal movement at a joint
range of motion
repeated stress to the musculoskeletal system can cause ____ that may result in pain, inflamation, and dysfunction
overuse injuries
examples of overuse injuries
bursitis, tendinitis, carpal tunnel
examples of traumatic injuries
sprain, fracture, muscle strain
examples of surgical conditions
total joint arthroplasty, amputation
ability of the joint surfaces to glide, roll and spin on each other
accessory motion
joint movement in which the patient may be assisted either manually or mechanically through an arc of movement
active assisted range of motion
joint movement in which the patient does not reveice any support or resistance through an arc of movement
active free range of motion
ability of the patient to voluntarily move a limb through an arc of movement
active range of motion (AROM)
exercise where there's a joint movement in which an external force resists the movement
active resisted exercise
exercise program that uses oxygen as the major energy source
aerobics training
therapeutic use of water for rehailitation or prevention of injury
aquatic physical therapy
aquatic therapy technique using proprioceptive neuromuscular facilitation techniques while the patient is suspended by rings in the water
Bad Ragaz method
inflammation of bursae, fluid-filled sacs located throughout the body that decrease the friction between two structures
bursitis
exercise incorporating several muscle groups through the use of several joints with the end segment fixed
closed kinetic chain exercise
application of cold agents to cause decreases in blood flow and metabolism, which result in a decrease in sweeling and pain
cryotherapy
application of electrictiy at specified location to stimulate nerves, muscles, and other soft tissues to reduce pain and swelling, to increase strength and range of motion, and to facilitate wound healing.
electrical stimulation
ability to move a limb segment through a range of motion
flexibility
exercise performed over time, using stress, to change the length and elasticity of soft tissue such as muscle; usually performed fro postural or ROM enhancement.
flexibility exercise
use of a self-contained unit filled with sawdust-type particles heared to the desired temperature and circulated by air pressure around the involved body part
fluidotherapy
break in the bone
fracture
exercise that mimics functional movements and activites. functional movements incorporate strength, flexibility, balance, and coordination
functional exercise
instrument used to measure and document ROM
goniometer
methods to measure and document ROM
geionmety
aquatic therapy technique using a preswim stroke instruction and musculoskeletal rehabilitaion.
Halliwick method
description of the past and current health status of the patient/client.
history
pouch filled with silica gel and soaked in thermostatically controlled water
hot pack
use of the therapeutic effects of water by immersing the body part or entire body into a tank of water
hydrotherapy
joint with excessive motion
hypermobile joint
joint with less motion than is considered functional
hypomobile joint
technique used when a patient's dysfunction is the result of joint stiffness or hypomobility; applies to a joint specific passive movements, either oscillatory (rapid repeated movements) or sustained.
joint mobilization and manipulation
test allowing the therapist to assign a specific grade to a muscle, based on whether the patient can hold the limb agains gravity, how much manual resistance can be tolerated, and whether there is full range of motion at a joint
manual muscle testing (MMT)
systematic use of various manual strokes designed to produce certain physiologial, mechanical, and psychological effects
massage
ability to produce and sustain tension over a prolonged period of time.
muscle endurance
maximal amount of tension an indivisual can produce in one repetition
muscular strength
manual stretching of the layers of the body's fascia (connective tissue that surrounds muscle and other soft tissues in the body)
myofascial release
pressure on a nerve
nerve entrapment
exercise in which the end limb segment is free
open kinetic chain exercise
use of a mixture of melted paraffin wax and mineral oil maintained at a specific temperature to promote relaxation and pain relief and allow greater comfort during ROM exercises
paraffin treatment
amount of movement at a joint that is obtained by the therapist's moving the segment without assistance from the patient
Passive range of motion (PROM)
one's awareness of position and movement
proprioception
receptors found in the skin and joints that respond to such stimuli and pressure, stretch, and position
proprioceptors
movement at a joint
ROM
exercise for mobility of a joint.
ROM exercise
exercise that is a form of active movement in which some form of resistance is provided to increase muscular strength and endurance.
resisted exercise
test that allows the therapist to detemine the general strength of a muscle group and assess whether any pain is produced with the muscle contraction
resisted test
use of electromagnetic energy to produce deep theapeutic heating effects
short-wave diathermy
one of a varity of "hands-on" techniqes designed to improve movement and decrease pain
soft tissue mobilization
tests designed for examination of specific joints to indicated the presence or absence of a particular problem
special tests
overstretching of a joint ligament accompanied by a tearing of the fibers, causing pain and instaility of the joint
sprain
tearing of muscle fibers, caused by a sudden contraction of a muscle of excessive stretch to the muscle
strain
amount of force produced during a voluntary muscular contraction
strength
interview of the patient about the extent and nature of an injury; a qualitative measurement based on the patient's perception of the problem
subjective examination
examination using test or measurements that the therapist performs on patient
objective examination
inflammation of a tendon, a structure that is located at the ends of muscled and attaches muscle to one.
tendinitis
disorder of a tendon
tendinopathy
degeneration of a tendon from overuse
tendinosis
agent used to modify the temperature of surrounding tissue, resulting in a change on the amount of blood flow to the injured area
thermal agent
therapeutic application of high-frequency sound waves that penetrate through tissue and cause an increase in the tissue temperature to promote healing and reduce pain
ultrasound
tank of water used in hydrotherapy for immersing a body part or the entire body
whirlpool
examples of superficial heat: (5)
thermal agents,
hot packs,
parraffin,
fluidotherapy,
whirlpool
examples of deep heat: (2)
ultrasound and
short-wave diathermy
examples of cold: (4)
ice packs,
ice massage,
cold whirlpool,
cold compression
examples of electrical stimulation: (4)
transcutaneous electrical nerve stumulation (TENS),
iontiphoresis,
electrical stimulation for tissue repair (ESTR), and
neuromuscular electrical stimulation (NMES)
what are the physiological effects of superficial heat: (6)
increases blood flow,
increases metabolism which
promotes healing and
removal of waste products,
decreases pain and
decreases stiffness
what are the physiological effects of deep heat: (6)
increases blood flow,
increases metabolism which
promotes healing and
removal of waste products,
decreases pain and
decreases stiffness
what are the physiological effects of cold: (4)
decreases blood flow,
decreases metabolim,
decreases edema (swelling),
decreases pain
what are the physiological effects of electrical stimulation: (5)
decreases pain,
decreases edema (sweeling),
promotes wound healing,
reeducateds muscles,
and decreases spasticity
what are some clinical indications of superficial heat: (3)
pain
joint stiffness
wound care
what are some clinical indications of deep heat: (3)
muscle spasm,
pain,
joint stuffness
what are some clinical indications of cold: (5)
acute injury
swelling
pain
muscle spasm
after exercise
what are some clinical indications of electrical stimulation: (5)
pain
edema
wounds
nerve regeneration
muscle weakness and imbalance
injuries that can result from a direct blow or when they are placed under excessive stretch
traumatic injuries
injuries that are cause from repeated stress to the musculoskeletal system
overuse injuries
injuries resulting from repeated stress, acute trauma, or disease processed may require sugrical intervention for appropriat healing.
surgical conditions
in the clinical situation the therapist uses the sense of touch to assess what is occurring below the skin and what musculoskeletal structures are involved in an injury
palpation
traits of generations:
patiotic, loyal, fiscally conservative, faith in institutions
traditionalists
traits of generations:
competitive, question authority, desire to put their own stamp on theings, "sandwiched"
baby boomers
traits of generations:
eclectic, resourceful, self-reliant, distrustful of institions, highly adaptive, skeptical
generation Xers
traits of generations:
globablly concerned, integrated, cyber literate, media savvy, realistic, environmentally conscious
millennials
rewards of generations:
satifcation of a job well done
traditionalists
rewards of generations:
money, title, recognition
baby boomers
rewards of generations:
freedom is the ultimate reward
generation Xers
rewards of generations:
work that has meaning for me
Millennials
Birth years of traditionalists
before 1946
Birth years of baby boomers
1946-1964
Birth years of generation Xers
1965-1981
Birth years of millennials
1982-2000
size of generation: traditionalists
75 million
size of generation: baby boomers
80 million
size of generation: generation Xers
46 million
size of generation: millennials
76 million
Preferred feedback of traditionalists
no news is good news
Preferred feedback of baby boomers
once a year whether you need it or not
Preferred feedback of generation Xers
"so, how am i doing?"
Preferred feedback of millennials
from a virtual coach with the push of a button
poverty of movements
akinesia
also known and Lou Gehrig disease; rapidly progressive neurological disorder associated with a degeneration of the motor nerve cells
amyotrophic lateral sclerosis (ALS)
technique in which radiopaque material is injected into the blood vessels to better visualize and idetify problems such as occlusion (blockage) of blood vessels, aneurysms, and vascular malformations.
angiography
slowness of movements
bradykinesia
neurological technique based on the natural sequence of recovery following stroke
brunnstroms approach
computer synthesis of x-rays transmitted through a specific plane of the body.
computed (axial) tomography (CAT or CT)
technique for recording the electrical potential activity in the brain by placing electroded in the scalp
electroencephalography (EEG)
technique for recording the electrical activity in the muscle during a state of rest and during voluntary contraction
electromyography (EMG)
impaired ability to express oneself
expressive aphasia
high tone
hypertonia
low tone
hypotonia
injection of a hypodermic needle into the lumbar subarachnoid space
lumbar puncture (LP)
creation of a computer image by placing the body part in a magnetic field.
magnetic resonance imaging (MRI)
ability to manipulate movement and non-movement of the body's musculoskeletal components
motor control
age-related processes of change in motor behavior
motor development
body's mechanism for aquiring or learing voluntary motor control
motor learning
disease in which patched of demyelination occur in the nervous system, leading to distrubances in conduction of messages along the nerves
multiple sclerosis (MS)
study that records the rate at which electrical signals are transmitted along peripheral nerves
nerve conducion velocity (NCV) study
approach to both analyzed and treated neurological disorders of posture and movement. through the use of a motivating environment and a patient's active participation, manual facilitation and inhibition techniques are employed by the therapist to present the patient with a "normal" sensory experience. thereby encouraging facilitaion of a more functional motor response
neurodevelopmental treatment (NDT)
spinal cord damage and resultant loss of sensory or motor function affecting the lower trunk and legs.
paraplegia
progressive condition, also referred to a paralysis agitans and idiopathic parkinsonism, characterized by a classic traid of sympotms: tremor, reigidity, and bradykinesia/akinesia
parkinson's disease
ability to integrate various simultaneous sensory inputs and to respond appropriately
perception
technique used to enhance movement and motor control, emphasizing proprioceptive stimuli but also using tactile, visual, and auditory stimuli
proprioceptive neuromuscular facilitation (PNF)
spinal cord damage resulting in loss of sensory or motor function affection all limbs
quadriplegia
diminished ability to receive and interpret verbal or written communications
receptive aphasia
disurbance of muscle tone; manifests as a resistance when the limbs are passively moved
rigidity
neurological treatment using a varity of sensory stimuli to infuence motor behavior.
rood's approach
abilty to receive sensory input from within and outside the body and transmit it through the peripheral nerves and tracts in the spinal cord to the brain, where it is receiced and interpreted.
sensation
damage to the spinal cord that results in neurological dysfunctions
spinal cord injury (CCI)
neurological problem arising from disruption of blood flow in the brain
stroke or cerebrovascular accident (CVA)
alternation contractions of oppoing muscle groups
tremor
tension ederted and/or maintained by muscled at reast and during movement
tone
damage to the brain caused by physical means and resulting in neurological dysfunction
traumatic brain injury (TBI)
sensation of spinning or whirling that ocurs as a result of a disturbance in balance
vertigo
what causes a stroke?
blockage and bleed that causes sweeling
what are the top causes of stroke?
diabeties, smoking and high cholesteral
what is traumatic brain injuries most often caused by?
car acidents, violence, motorcycle acidents
what groups are most commonly affected by traumatic brain injuries?
young males
what are some symptoms of stroke?
numbness or weakness on one side
what is the median age onset of ALS?
50ish
what is the average suvival time for diagnosis to death because of ALS?
4 years
what does hypotonia look like?
looking tired, laxy. "rag doll appearance"
what does hypertonia look like?
scrunched up, cant relax
memory and learning abilites
cognition