B6-080 MSK Care in Patients With Disabilities Flashcards
loss or abnormality occurring at the organ level
old term: impairment
current term: body functions and structures
function performance or activity affecting the person
old term: disability
current term: activities
reflects the interaction with and adaptation to society
old term: handicap
current term: participation
what type of language should be used when documenting interactions with individuals with disability?
person first language
refers to the assumption that the “normal” able body is better than abnormal bodily forms and the ramifications of that assumption
abelism
what does expanded social history include when caring for a patient with disability?
support- physical assistance at home
home- is it accessible?
functional history should include [3]
mobility
ADLs
participation
describes an individual’s involvement in a life situation such as work, school, sports, etc
participation
(similar to handicap-focuses on the patients interaction with society)
what are the 4 parts of a MSK exam
inspection
palpation
ROM
special tests
acute injury occurs within […] and can be treated with […]
0-4 weeks
RICE
subacute injury occurs within […]
1-3 months
treatment for subacute injury
address biomechanics via physical/occupational therapy
an injury is chronic at […] duration
> 3months
treatment for chronic injury
ongoing rehab
medication, injections, braces
muscle remains the same length but tension changes
isometric
muscle changes in length but tension remains the same
isotonic
speed of contraction is constant, length and tension may change
isokinetic
does concentric or eccentric have a greater risk of injury?
eccentric- muscle is lengthening
is open or close chain exercise more prone to injury?
open
what types of exercise have the lowest risk of injury [2]
closed chain
isometric
deficits at the body function and structure level
includes organs and limbs
impairment
inability to access something in society affecting an individual’s participation
handicap
psychosocial supports such as family and friends act as […] to increase a persons independence and interaction with society
facilitator
an expanded social history should included [2]
living situation
psychosocial support
mobility refers to
walking
stairs
transfers
type of assistive device
a physical therapy prescription should include [3]
diagnosis
precautions
recommended treatment
muscle remains same length but tension changes
isometric
speed of contraction is constant, but length and tension may change
isokinetic
eccentric and concentric are types of […] contraction
isotonic
best initial treatment for acute MSK injury
RICE
treatment of subacute MSK injuries should include
physical therapy
intraarticular injections may be considered in […] MSK injuries
chronic