8.29 Aqatic Therapy + Misc Flashcards

1
Q

buoyancy: waist

A

~50% BW

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2
Q

buoyancy: neck/clavicle

A

~10% BW

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3
Q

buoyancy: normal nipple level

A

~25% BW

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4
Q

Temperature for a warm pool

A

88-92˚

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5
Q

Who would not need to do aquatic therapy (esp in a warm pool)?

A
  • MS » fatigue
  • exacerbation phase of RA
  • Guillain-Barré
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6
Q

What are some benefits of pool therapy?

A
  • buoyancy
  • temperature (warmth)
  • hydrostatic pressure
  • fear, anxiety, avoidance issues
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7
Q

Which patients would have issues with pressure from aquatic therapy? Why?

A
  • CHF
  • Don’t put them in the pool without talking to the doc
  • They’ll drown without being under water
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8
Q

Which patients would benefit a lot from the pressure of the pool?

A

preggos

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9
Q

Why would a CHF pt drown in a pool?

A

too much fluid being pushed up

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10
Q

How does the pool help with fear, anxiety, and avoidance?

A
  • sometimes people who are afraid to move or don’t move well may be more apt to move in the water
  • be aware that fatigue can happen quicker
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11
Q

How might pool therapy benefit an SCI pt?

A

buoyancy can give them a greater sense of freedom

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12
Q

Why would an external fixation be used?

A
  • slightly less invasive
  • physician doesn’t think they’ll get good alignment and maintain it
  • avoids massive incision to put a plate in
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13
Q

What type of fx is an external fixator likely to be used with?

A

closed

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14
Q

WB and external fixator

A

typically joints around it can still be used and/or have some WB

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15
Q

What is a major risk with an external fixator?

A

infection at the screw holes

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16
Q

What is a hybrid fixation?

A
  • half cemented

- half press-fit

17
Q

Hip replacement: hybrid fixation

A
  • cement femoral (prevent pistoning)

- press-fit acetabular component

18
Q

Why use press-fit for the acetabular component?

A
  • mostly compression through the hip
  • don’t get distraction
  • salvages bone
19
Q

Primary determinant for rehab for a hip fx

A

WB status

20
Q

How would bone density affect physical therapy following THA?

A
  • bone density around the screws

- may need additional time to heal completely

21
Q

Does the type of repair affect therapy? Why is mobility following a hip fx so important?

A

not usually - need to have early movement!

  • If you don’t get a hip fx pt moved early, it’s essentially a death sentence
  • 80% of hip fx pts over 75 die within the year due to immobility
22
Q

Do hip dislocation pts need to go to the ER? Why or not?

A
  • yes

- blood supply can be a major problem with this

23
Q

vertebral compression fx: acute treatment stuff

A
  • sit to stand (emphasizing eccentric control)
  • transfers
  • education on movements to avoid
  • proper lifting techniques
  • gait
24
Q

stuff to work on with gait

A
  • TUG
  • balance
  • functional reach
  • fall recovery within the limits of their mobility
25
Q

What condition will be likely to show a capsular pattern of the hip?

A

OA