Activity and Exercise (Musculoskeletal System) Lecture Key Highlights Flashcards
Flexion
Bending the elbow
(decreasing the angle of the joint)
Extension
Straightening the arm at the elbow
(Increasing the angle of the joint)
AbDUCTION
Movement of the bone away from the body (think exercise machine - open the legs)
Adduction
Movement of bone toward the midline of the body (think exercise machine - close the legs)
Rotation
Movement of bone around a central axis
Circumduction
Movement of the distal part of the bone in a circle while the proximal end remains fixed
Eversion
Turning the sole of the foot outward by moving the ankle joint (think externally/ outward rotating ankle)
Inversion
Turning the sole of the food inward by moving the ankle joint
(think Internal ankle circles)
Pronation
Moving the bones of the forearm so that the palm of the hand faces downward when held Infront of the body
(Hands down- typing on keyboard)
Supination
Moving the bones of the forearm so that the palm of the hand faces upward when held Infront of the body
(hands facing up)
Which two joint movements involve the hands?
Pronation
Supination
Which two joint movements involve the foot?
Eversion
Inversion
When describing balance, input from the inner ear, vision and muscles are controlled by which cranial nerve?
8th cranial nerve
Coordinated movement involves cerebral functioning, list the three parts of the brain that are used
Cortex
Cerebellum
Basal Ganglia
Describe what the cortex does when coordinating movement
Initiates voluntary motor activity
Describe what the cerebellum does when coordinating movement
Coordinates the motor activities of movement
(Pt will have clumsy, unsure, uncoordinated movement if this is injured)
Describe what the basal ganglia do when coordinating movement
Maintains posture
_____ motor develops before _____ motor
Gross before fine
Joint mobility: which is stronger?
Flexion is stronger than extension
During isotonic exercise, what is occurring?
Muscle contractions
Active movement
Active ROM
Running
Walking
Swimming
Cycling
Increased blood flow to whole body
During isometric exercise, what is occurring?
Muscle contractions WITHOUT moving the joint (muscle length does NOT change)
does NOT change HR
Example: If a pt is in a cast, they can tense (squeeze) their muscle and relax.
Describe the benefits of exercise
Increase mobility, stability, ROM
Reduces weakness
Reduces depression and anxiety
Some examples of weight bearing exercise are
Walking
Running
Paresis
paralyzed
Spastic
too much muscle tone
Flaccid
no muscle tone at all
What should physical therapy be focused on for pts who have little lower body strength?
Their upper body
The pt can help push and get side to side
When assessing activity tolerance, what is also looked at other than muscle and bone?
HR (strength and rhythm)
RR (depth and rhythm)
BP
Activity must be stopped of the pt has
facial paleness
changed LOC
dizzy or weakness
HR or RR exceeding baseline
SOB
chest pain
dyspnea
Nursing interventions that pertain to exercise and activity are
activity therapy
cardiac care
rehab
constipation management
exercise promo
The nurse should lift no more than _____lb
35
Growth and development affect which 5 things?
Posture
Body proportions
Body mass
Body development
Reflexes
Which two micronutrients effect nutrition?
Vitamin D
Calcium
The benefits of exercise on the MS systems is
Size (Hypertrophy)
Shape
Tone
Strength
Effects of immobility on the MS system are
Osteoporosis
Atrophy in muscle size
Contractures (foot drop, permanent shortening, external hip rotation)
Stiffness and pain (collagen become immobile)
Describe the pathophysiology during the valsalva maneuver
Blood flow stops and returns to the heart when breathing again
Surge of blood enters the heart
Regarding mobility and metabolism, what is considered a good nitrogen balance?
Positive nitrogen stores (helps with making muscle/ healing wounds)
Adults do not get enough calcium, however, which food are high in calcium?
Milk/ dairy
Broccoli / Spinach (dark leafy greens)
Orange juice
Salmon w/ bones
Bushing hair is an example of which type of rotation?
External
Reaching behind your back (like parade rest) is an example of which type of rotation?
Internal (the shoulder comes in)
Nodding yes is an example of which type of movement?
Flexion
Extension
Hyperextension
Moving the head laterally from side to side (like shaking water out of your ears)
Lateral flexion
Shaking the head no is an example of which type of movement?
Rotation
Reaching with your arm to turn on an over head light, with your arm starting by your side is an example of which type of movement?
Flexion
Extension
Hyperextension
Reaching to the nightstand on the same side of the bed as the arm is an example of which type of movement?
Abduction
Reaching across the body toward the opposite side of the bed is an example of which type of movement?
Adduction
Moving the arm forward, up, back, in down in a full circle is an example of which kind of movement?
Circumduction
Which movements are used for eating, shaving, bathing?
Flexion
Extension
Writing is an example of which type of movement?
Flexion
Bending the wrist laterally toward the thumb side with the hand supinated is
Radial flexion (abduction)
Ulnar flexion (adduction)
Bending the wrist laterally toward the pinky
Name the movements where squeezing, gripping, and writing are used?
Flexion
Extension
Hyperextension
Curling the toes downward
flexion and extension
Bending back and touching the toes
flexion
extension
hyperextension
Touch each thumb to the top of each finger of the same hand
opposition
abduction
rotation
flexion