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