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63 Cards in this Set
- Front
- Back
If impairments are resolved, improvement in functional abilities will subsequently follow. (T/F)
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FALSE
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_______ learning involves a series of movements that are combined together in a particular sequence.
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Serial
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The clinical decision making model used by PT, the pt management model, moves from examination to pt outcomes. The use of MMT, goniometry, vital sign monitoring, gait & postural analysis are all part of the _______ part of the pt management model.
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Examination
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Based on the above illustration (Curling weight), the triceps are the antagonist during the concentric phase & the agonist during the eccentric phase. (T/F)
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FALSE
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_______ is the term that refers to impact & functional consequences of conditions that compromise an individual's ability to meet societal functions & roles.
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Disability
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Therapeutic goals & outcomes must be meaningful to the pt, measurable & linked to each other. (T/F)
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TRUE
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_______ refers to the ending of PT services prior to the achievement of anticipated goals or expected outcomes
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Discontinuation
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Physical function includes all of the following:
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Cardiopulmonary endurance, muscle performance, mobility/flexibility & postural/balance (NOT age/gender)
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Functional limitations & disabilities are collectively referred to as:
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Quality of life issues
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Preferred practice patterns included in the Guide to PT practice include all of the following:
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Strategies to PT diagnostic categories, consensus based opinions on pt management & describes all components of pt management (NOT indicates specific pathways of care)
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PTA's may only perform an evaluation after consultation w the supervising PT (T/F)
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FALSE
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Moderate pain, stopping the activity & increased joint mobility w endfeel are consistent w a grade_______ ligamentous injury.
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Grade II/moderate
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Components of postoperative pt education & interventions should include all of the following:
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Contraindications to movement/weight bearing status, active ankle exercises & incision care (NOT muscle concentrics)
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Pain experienced simultaneously w tissue resistance & without overpressure is consistent w what stage of healing?
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Subacute/Controlled motion
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Signs of excessive stress include all of the following:
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Decreased ROM over several sessions, progressive weakness & activity pain that does not resolve after 24hrs (NOT activity stress pain that does not decrease after 12 hours)
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_______ are the adaptive shortening of skin, fascia, muscle, capsule & prevents normal mobility or flexibility of structures.
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Contractures
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Acute stage is to modalities, PROM, muscle setting as Return to Function is to all of the following:
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ligament of scar, Functional independence & specificity of drills (NOT Isotonic resistance)
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All of the following apply to OA:
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Morning stiffness, gelling; Hips, knees, cervical, lumbar; & osteophyte formation (NOT multiple joints/bilateral)
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Arthroscopic subacromial decompression is an example of _______ surgical technique.
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Release/Decompression
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Progress stretching exercises to simulate specific demands including both open & closed chain & both eccentric & concentric activities. (T/F)
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TRUE
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Indications for surgery:
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Gross instability, Significant loss of function & Failed conservative management (NOT Pain)
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Arthroscopic subacromial decompression is an example of decompression or _______ surgical technique.
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Release/Decompression
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Phase II cardiac rehab includes all of the following:
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2-12 weeks, Large muscle groups & 4-5 METS (NOT 60-80% MHR)
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_______ is a general term used to describe the ability to perform physical work.
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Fitness
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Coronary pts complete 35% less work w arm exercises than w leg exercises before symptoms occur.
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TRUE
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Using Karvonen's formula, a 60 YO pt exercising @ 60% heart rate reserve would have what target heart rate? (Assume resting heart rate 70bpm.)
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120
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The energy system primarily responsible for activities lasting 30-90 seconds is the _______.
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Anaerobic glycolytic
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Phase I cardiac rehab includes all of the following:
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1-3 days, 1-2 METS & Supervised ambulation (NOT stationary bike)
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Phase III cardiac rehab includes all of the following:
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Exercise training, education/counseling & output (NOT valsalva training)
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Resting heart rate increases w age. (T/F)
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FALSE
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The decrease in muscle mass as one ages is primarily due to decreased protein synthesis in concert w a decline in the # of fast twitch muscle fibers.
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TRUE
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Precautions for stress testing include all of the following:
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Systolic BP over 220-240, Respirations should not be labored & diastolic should not exceed 120 (NOT MET level 5)
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Following a TKA, the pt is having difficulty bending her knee past 90 degrees. Assuming the activity limitation is based on the impairment of adaptive shortening of the quadriceps, which of the following statement is correct?
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Extension contracture, knee hypomobility
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A PTA is using the Hold Relax PNF technique for a knee extension contracture. Which of the following is true for this pt & technique:
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Extension contracture, knee hypomobilityPt contracts antagonists, performs knee extension followed by relaxation during which time the PT takes the pt into extension
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When attempting to achieve new increases in ROM, the PT is required to place sufficient force during stretches to take shortened tissue into the _____ region of the stress strain curve.
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Plastic
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The PT is stretching the pt's triceps. In order to maximally lengthen the long head of the triceps, how should the shoulder & elbow be positioned?
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Flexion & flexion
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The PTA is treating a pt following RTC surgery. All of the following are considered functional ROM activities for the upper extremity:
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Grasping a eating utensil, donning or doffing a shirt/jacket, brushing/combing hair (NOT performing shoulder flexion w wall pulleys
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INTENSITY
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Low intensity beyond elastic range
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SPEED OF STRETCH
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Slow to activate golgi tendon
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FREQUENCY
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# of stretching sessions per day
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DURATION
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length of time, 60 seconds
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The PTA is using a CPM. All of the following are benefits of CPM as indicated by Salter:
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Prevents development of adhesions & contractures, enhance synovial movement & nutrition to cartilage, decreases postoperative pain (NOT increases healing time)
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Which of the following pt's would be most appropriate for stretching:
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Sedentary 68YO pt w forward head posture & thoracic kyphosis
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All of the following affect increased tension of skeletal muscle:
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Muscle produce the greatest tension when it is near or @ the physiological maximally shortened position; Larger the diameter/cross section, the greater the tension generating capacity; In order from greatest to least force: eccentric, isometric, concentric (NOT the greater # of motor units firing, the more tension)
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If the desired functional outcome requires greater muscular endurance than strength, then the intensity & duration of exercises should be geared toward muscular endurance. This is an example of specificity of training. (T/F)
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TRUE
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All of the following are benefits of resistance training:
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Decreased stress on joints & risk of soft tissue injury during physical activity, possible improvement in balance (NOT greater bone mineral density/increased bone demineralization
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When injured muscles are immobilized, type I fibers atrophy @ a faster rate than type II fibers. This underscores the necessity for early initiation of endurance training. (T/F)
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TRUE
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_______ exercise is also called accommodating resistance exercise.
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Isokinetic
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All of the following are parameters & progression of closed chain exercises:
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Uniplanar to multiplanar, sagittal to frontal (NOT anterior to posterior & NOT partial to full weight bearing)
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Resistance training should be postponed for up to 12 weeks following myocardial infarction or coronary artery bypass graft surgery or until the pt has clearance from the physician. (T/F)
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TRUE
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During D1 Flexion strengthening PNF patterns of the shoulder, the shoulder moves into flexion, adduction & _______ rotation. The scapula moves into elevation, upward rotation & _______
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External & Abduction
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A pt w a 1 RM of 100lbs would be expected to have a 10 RM of 75lbs. (T/F)
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TRUE
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All of the following are signs/symptoms of muscle fatigue/contraindications to strength training:
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Uncomfortable sensation within the muscle, tremulousness in the contracting muscle, Use of substitute movements to complete movement pattern (NOT Increase in the peak torque during isokinetic testing)
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Forward head posture is characterized by increased flexion of the lower cervical & increased extension of the upper cervical vertebrae (T/F)
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TRUE
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Which of the following is typically associated w disk protrusions:
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Peripheralization of symptoms w repeated forward bending; Increased symptoms w sitting, coughing, straining; Dermatome & myotome of affected nerve root (NOT extension posture)
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Holding one's breath while contracting the abdominals inhibits activation of the transverseus abdominis & therefore spinal stability is decreased.
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(But decreased?) TRUE
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Which of the following ligaments are taut during spinal extension:
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Anterior longitudinal ligament
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Pt complains of back/neck pain often does not relate to specific pathologies (T/F)
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TRUE
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All of the following are true for structural scoliosis:
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Prominence of ribs posteriorly on the convex side, Posterior rib hump is detected during forward bending (NOT Irreversible lateral curvature w rotation of the vertebrae NOT Can be corrected w correction of leg length discrepancy)
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If the pt has a lateral shift of the spine, extension alone will not reduce the nuclear protrusion. The shift needs to be corrected 1st, then have the pt perform extension to maintain the correction (T/F)
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TRUE
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Isometric activities as well as active back flexion/extension exercises must be avoided during the acute stage of a disk lesion (T/F)
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TRUE
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Typically, w a sway back posture the entire pelvic segment shifts posteriorly resulting in increased hip extension (T/F)
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FALSE
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Which of the following muscles are primarily responsible for stabilization of the spine:
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Transverse abdominus
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