B6.081 Rehab Approach to Impairments of the MSK System

Question 1

goal of physiatry

Answer 1

improving function
prevention, diagnosis, and treatment of disorders that may produce temporary of permanent impairment
maximize quality of life
holistic approach

Question 2

impairment

Answer 2

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

Question 3

disability

Answer 3

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 4

handicap

Answer 4

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 for that individual
-reflects the interaction with and adaptation to society

Question 5

activity

Answer 5

execution of a task or action by an individual

-has limitations

Question 6

participation

Answer 6

involvement in a life situation

-has restrictions

Question 7

environmental factors

Answer 7

physical, social, and attitudinal environment in which people live and conduct their lives
-has barriers / hindrances

Question 8

capacity

Answer 8

subdomain of activity
person’s ability to execute a task or action
documents a person’s highest level of functioning in a given environment and requires testing in a standardized environment

Question 9

performance

Answer 9

subdomain of participation

describes what a person routinely does in his or her current environment

Question 10

personal factors

Answer 10

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

Question 11

which domains of outcomes can be improved with adaptive aids or another person’s assistance?

Answer 11

performance

participation

Question 12

shift in definition of function

Answer 12

shift focus from disability, and focus on capabilities of the individual instead

Question 13

MSK conditions treated by physiatrists

Answer 13

trauma and injuries
acute and chronic pain syndromes
diseases (osteoporosis, arthritis)

Question 14

cardio conditions treated by physiatrists

Answer 14

cardiac rehab

vascular diseases

Question 15

pulm conditions treated by physiatrists

Answer 15

COPD

other respiratory dysfunction

Question 16

neuro conditions treated by physiatrists

Answer 16

stroke
spinal cord injury, TBI
multiple sclerosis
peripheral neuropathy
movement disorders: Parkinson's, dystonia
motor neuron disease

Question 17

difference between medical model and rehab model

Answer 17

both do a H&P
medical team does tests/imaging and makes a diagnosis w/ a plan including meds and procedures
rehab team does functional evaluation with goal setting and makes a plan w/ therapy, assistive devices, and interventions

Question 18

what is a FIM evaluation?

Answer 18

18 tasks with a scoring system from 1-7
1 = total dependence
7 = independence

Question 19

treatment options for MSK pathologies

Answer 19

lifestyle modification
therapies
-functional eval
-PT/OT/SLP
-vocations
meds
orthotics
interventions (US guided injections)