9/12b Principles of Intervention

Question 1

Components that affect intervention effectiveness

Answer 1

1. Motion - joint integrity testing
2. Force - MMT
3. Energy - TUG, 6 minute walk test
4. Motor Control - Motor planning, sensation

Question 2

Evaluation process entails:

Answer 2

1. complete tests on movement system ornament
2. diagnosis/prognosis
3. how to intervene
4. who to refer out to
5. what interventions

Question 3

Intervention principle

Answer 3

disturb homeostasis

Question 4

Importance of patient education and physical stress

Answer 4

managing physical stress is done by getting patients to increase/decrease their physical stress based on their personal situation and goals

Question 5

physical stress theory

Answer 5

changes in the relative level of physical stress cause a predictable adaptive response in all biological tissue

Question 6

Mechanobiology

Answer 6

your body’s tissues are able to take mechanical stress and transduce into biological activity

Question 7

Observation targets

Answer 7

CASSS

Question 8

therapeutic dose

Answer 8

the right dose that creates what you want to happen, but stays away from unwanted side effects

Question 9

PST shift down vs up

Answer 9

lack of physical stress causes a shift in the setpoints downward, but adding physical stress causes a shift in the set points upward

Question 10

Dosing physical activity

Answer 10

in order to determine the right dosage, you have to determine the patient’s pattern of use.
GOAL: figuring out the therapeutic response and determine the average pattern of use

Question 11

Breaking down your patient’s problem

Answer 11

1. Goal - function
2. Target - tissue, organ, system
3. Mechanism - often cellular, sub-cellular
4. Time Frame - variable
5. Dose - intensity, frequency, duration, etc.
6. Specificity - generalization
7. Monitor Effects - modify dose
8. Compensation vs recovery
9. Education

Question 12

Break down shirley’s problem. She has mild hemiparesis 2 years after her stroke, she lives alone, she can ambulate with a single point cane, independent with daily living (ADL), requires assistance with house cleaning, drives, and wants to develop HEP so she can improve stamina and go on a cruise.

Answer 12

1. Goal - improve stamina, walk long distance
2. Target - lower body function and CV
3. Mechanism - 6 minute walk test, relate back to patient and her needs
4. Time Fame - minimum time to see changes in 8 weeks, when would you see measurable change?
5. Dose - frequency, duration, intensity
6. Specificity - distance, length, effort, HR, how to improve walking
7. Monitor effects
8. Compensation vs recovery - can we get the patient to recover? do we have the right amount of time and motivation with the patient?
9. Education - ensure the patient has the right motivation, help the patient understand what to expect

Question 13

Effectiveness of intervention depends on:

Answer 13

• how well limiting factors are identified in the examination and assessed in evaluation
• how well intervention mechanisms address problems
• appropriate does
• patient partcipation