Chapter 23 - Physical Therapy and Rehab Flashcards

1
Q

difference between rehabilitation and physical therapy

A

rehab is broad care
PT is specific care

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2
Q

The goal of physical therapy is to return the affected ______ and the ______ back to its prior level of _______

A

area
animal
function

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3
Q

eight goals of physical therapy

A

1) Reduce PAIN and
2) Accelerate Healing
3) Maintain and restore Range of Motion
4) Prevent Fibrosis or soft tissue contraction
5) Prevent disuse atrophy
6) Gain Strength in paralyzed limbs
7) Positive psychologic encouragement
8) Educate owner with home care programs

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4
Q

five indications for a referral to PT

A

Orthopedic conditions
Post Operative
Neurological conditions
Wound care
Other conditions (weight loss, wellness)

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5
Q

three kinds of exercise based therapies

A

passive exercise
active assistive exercise
active exercise

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6
Q

three purposes of exercised based therapy

A

Strengthen specific muscles or muscle groups

Building Endurance

Enhancing Balance and proprioception (Reeducation of normal posture and Gait)

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7
Q

what kind of exercise based therapy:

Mimics normal muscle pumping action

No voluntary muscle contraction from the patient

A

passive exercise

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8
Q

passive exercise requires ______ assistance with muscle movement

A

total

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9
Q

passive exercise improves ______ ______ and ______ awareness in affected limb

A

blood flow and sensory

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10
Q

passive exercise is:

Total ________ with _________ movement

Improves _______ _______and _________awareness in affected limb

A

assistance
muscle

blood flow
sensory

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11
Q

passive exercise is NOT a _______ and should never be ________

A

stretch
forced

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12
Q

what kind of exercise based therapy:

Requires outside force to assist with range of motion

A

active assistive exercise

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13
Q

active assistive exercise is:

________ assistance with muscle movement

For _________ of weak limb, >familiarity of movements

A

minimal

stretching

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14
Q

what kind of exercised based therapy:

Produce movement by active muscle contraction

A

active exercise

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15
Q

active exercise based therapy is:

_______ assistance with muscle
movement

Build ________

A

NO

strength

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16
Q

hydrotherapy is the use of water to reduce ________ _______

A

gravity buoyancy

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17
Q

two benefits to hydrotherapy

A

Decrease the concussive force on joints

Strength and balance

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18
Q

what should the temperature of the water be for hydrotherapy

A

warm water

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19
Q

two benefits of using warm water for hydrotherapy

A

Assists in pain reduction

Accelerates healing process

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20
Q

three ways to do hydrotherapy

A

underwater treadmills
pool
ponds, streams

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21
Q

two benefits of land treadmills

A

Strength and endurance
Foot placement-balance

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22
Q

four tech roles with land treadmills

A

Teach …without fear
Assist
Monitor
Record

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23
Q

Systematic and scientific manipulation of soft tissue to obtain or maintain health

A

massage

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24
Q

four types of massage

A

shiatsu
sports
TTEAM
swedish

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25
Q

type of massage:

finger pressure
acupuncture points
myotherapy

A

shiatsu massage

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26
Q

pushing out blood and then allowing it to come back into the trigger point

A

myotherapy

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27
Q

Three ways to classify sports massage

A

event - pre-, inter-, post
maintenance

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28
Q

most common massage in North America

A

swedish massage

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29
Q

swedish massage technique - long, smooth strokes

A

effleurage

30
Q

swedish massage technique - kneading, squeezing, pulling

A

petrissage

31
Q

swedish massage technique - tapping rhythm, hacking

A

tapotement

32
Q

swedish massage technique - cross fiber, circular or linear

A

friction

33
Q

swedish massage technique - shaking, vibrating fingers

A

vibration

34
Q

three things that passive range of motion should do

A

Stretch, prevent stiffness
Enhance blood flow, stimulate cartilage
Prevent loss of range of motion

35
Q

Application of an electrical current to stimulate nerves, muscles, and soft tissue

A

electrical stimulation

36
Q

two forms of electrical stimulation

A

NMES
TENS

37
Q

what does NMES stand for

A

neuromuscular electrical stimulation

38
Q

what does TENS stand for

A

transcutaneous electrical nerve stimulation

39
Q

six benefits of using electrical stimulation

A

Enhance muscle performance

Retard muscle atrophy

Increase strength and range of motion

Accelerate wound healing

Reduce pain and edema

Enhance transdermal
administration of medications

40
Q

what does PEMF stand for

A

pulsed electromagnetic field therapy

41
Q

two benefits of pulse electromagnetic field therapy

A

decrease inflammation (arthritis)

increase circulation

42
Q

what tool is used for pulsed electromagnetic field therapy

A

Assisi loop

43
Q

Deep-heating agent converting electrical energy to high-frequency sound waves

A

ultrasound

44
Q

two kinds of ultrasound therapies

A

thermal
non thermal

45
Q

which kind of ultrasound:

increases metabolic rate, increases enzyme activity, increases circulation and tissue extensibility and offers pain reduction.

A

thermal ultrasound

46
Q

which kind of ultrasound:

reduces muscle spasm and pain, accelerates healing, aids in tissue regeneration, repairs soft tissue, reduces swelling

A

nonthermal ultrasound

47
Q

ultrasound prep includes:

Area of application must be ______
Skin cleaned with _______
Water-soluble _____ for probe use

A

shaved
alcohol
gel

48
Q

8 things to never use ultrasound on

A

Eyes
Malignancy
Infections
Areas of decreased circulation and sensation
Thrombi
Pregnant uterus
Carotid sinus
Exposed spinal cord

49
Q

uses infrared energy

A

low level laser (therapy laser)

50
Q

what kind of PPE is needed for low level laser

A

protective eyewear

51
Q

what should you do for black pigmented skin receiving low level laser

A

wet the skin

52
Q

treatment times for low level laser are figured by what

A

Joules per meter squared

53
Q

four benefits to low level laser

A

Stimulates wound healing.
Decreases pain.
Retards scar tissue formation.
Increases bone density.

54
Q

Low level laser locally stimulates production and release of ________ _______, a natural ________, from ________.

A

nitric oxide
vasodilator
hemoglobin

55
Q

Laser therapy stimulates _______ through laser energy

A

tissue

56
Q

four areas to not use low level laser over

A

Eyes
Active malignancies
Pregnant uterus
Directly over topical heating - Ben-Gay

57
Q

four unique areas that low level laser can be used over

A

Metal implants
Pins or screws
Pacemakers
Defibrillators

58
Q

cold and heat therapy is used to decrease ______ and ________, ______ skeletal muscles, reduce muscle _______, reduce joint ________

A

pain and inflammation
relax
spasms
stiffness

59
Q

four examples of how to do cryotherapy

A

cold packs
ice massage
cold baths
cold compression units

60
Q

cryotherapy is the vaso_______ of the blood vessels

A

constriction

61
Q

cryotherapy offers ______ of the area

A

anesthesia

62
Q

heat therapy is the vaso_______ of the blood vessels

A

dilation

63
Q

heat therapy increases the permeability of _______ and the ______ system

A

capillaries
lymphatic

64
Q

heat therapy ______ tight muscles to reduce pain

A

relaxes

65
Q

heat ________ joint stiffness

A

decreases

66
Q

Support weak or non-functioning body part

A

supportive and assitive devices

67
Q

three forms of supportive and assistive devices

A

boots
slings
2 or 4 wheeled carts

68
Q

Boots can protect feet when conscious ________ defects are present

A

proprioception

69
Q

Boots should be removed periodically to maintain ______ ______ and also during _______ exercises

A

skin condition
rehab

70
Q

Orthotic devices _______ a limb and prosthetic devices ______ a limb

A

support
replace

71
Q

orthotic devices _______ or ______ movement of a limb

A

prevent or correct

72
Q

orthotic devices ______ the limb and ______ the joint

A

rest
protect