B6.080 MSK Care in Patients with Disability

Question 1

impairment

Answer 1

any loss or abnormality of psychological, physiological or anatomical structure or function
-occurs at the level of organ or system function

Question 2

disability

Answer 2

any restriction or lack (resulting from an impairment) of ability to perform an activity in the manner or within the range considered normal for a human being
-functional performance or activity affecting the person

Question 3

handicap

Answer 3

a disadvantage for a given individual, resulting from an impairment or a disability, that limits or prevents the fulfillment of a role that is normal (depending on age, sex, and social and cultural factors) for that individual
-reflects the interaction with and adaptation to society

Question 4

current ICF definition of function

Answer 4

health condition
body functions and structures > activities > participation
environmental factors
personal factors

Question 5

body structures

Answer 5

anatomical parts of the body, such as organs and limbs and their components

Question 6

environmental factors

Answer 6

aspects of the physical, social, and attitudinal environment

Question 7

personal factors

Answer 7

myriad of features of an individual’s life that influence functioning, such as age, coping style, education, and social background

Question 8

activity

Answer 8

the execution of a task or action by an individual, and activity limitation are difficulties in executing activities

Question 9

`components of mobility

Answer 9

walking
stairs
can or walker
wheelchair

Question 10

participation

Answer 10

individual’s involvement in a life situation such as work, school, or sports, and required performance of various actions and tasks

Question 11

components of participation in a functional history

Answer 11

living situation
social roles
community access

Question 12

goal of physiatry

Answer 12

goal is prevention, diagnosis and treatment of disorders that may produce temporary or permanent impairment
restoration of function
maximize quality of life
patient centered care

Question 13

3 tasks of the gait cycle

Answer 13

weight acceptance
single limb support
limb advancement

Question 14

phases of the gait cycle

Answer 14

stance phase

swing phase

Question 15

gait in hemiparesis

Answer 15

circumduction of the affected side due to foot drop

Question 16

Trendelenburg sign

Answer 16

drop of pelvis when lifting leg opposite to weak gluteus muscles

Question 17

myofascial pain

Answer 17

painful muscles with taut bands and trigger points (knots) that refer pain with pressure

Question 18

pathophysiology of myofascial pain

Answer 18

muscle weakness

overuse or imbalance

Question 19

treatment of myofascial pain

Answer 19

1st - correct muscle imbalances, stretch and strengthen, with correct biomechanics
2nd - medications or injections

Question 20

trochanteric bursitis

Answer 20

inflammation of the bursa over the greater trochanter

Question 21

pathophysiology of trochanteric bursitis

Answer 21

injury
overuse
muscle imbalances

Question 22

treatment of trochanteric bursitis

Answer 22

1st - correct muscle imbalances, stretch and strengthen gluteal muscles with correct gait biomechanics
2nd - medications or injections

Question 23

ways to improve gait in those with hemiparesis

Answer 23

single point cane
ankle foot orthosis on affected side
physical therapy

Question 24

proper use of single point cane

Answer 24

one point on contact with the ground
held in unaffected arm
height at the level of the greater trochanter
-maintains arm carriage as to not flex elbow too much or put too much weight on the cane

Question 25

components of a PT prescription

Answer 25

diagnosis
precautions
treatment

Question 26

open chain exercise

Answer 26

proximal segment fixed

distal segment free

Question 27

closed chain exercise

Answer 27

distal segment fixed

proximal segment free

Question 28

benefit of closed chain exercise, particularly in the elderly

Answer 28

preserves joint better

less shear force on affected joint

Question 29

drivers evaluation with OT

Answer 29

clinical evaluation of physical, visual, perceptual, cognitive, and behavioral skills
appraisal of driver seating needs and vehicle entry and exit needs
determination of needs related to transporting mobility aids such as walkers, crutches, wheelchairs or scooters
on the road assessment in appropriate driving environments