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
type of massage: finger pressure acupuncture points myotherapy
shiatsu massage
26
pushing out blood and then allowing it to come back into the trigger point
myotherapy
27
Three ways to classify sports massage
event - pre-, inter-, post maintenance
28
most common massage in North America
swedish massage
29
swedish massage technique - long, smooth strokes
effleurage
30
swedish massage technique - kneading, squeezing, pulling
petrissage
31
swedish massage technique - tapping rhythm, hacking
tapotement
32
swedish massage technique - cross fiber, circular or linear
friction
33
swedish massage technique - shaking, vibrating fingers
vibration
34
three things that passive range of motion should do
Stretch, prevent stiffness Enhance blood flow, stimulate cartilage Prevent loss of range of motion
35
Application of an electrical current to stimulate nerves, muscles, and soft tissue
electrical stimulation
36
two forms of electrical stimulation
NMES TENS
37
what does NMES stand for
neuromuscular electrical stimulation
38
what does TENS stand for
transcutaneous electrical nerve stimulation
39
six benefits of using electrical stimulation
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
what does PEMF stand for
pulsed electromagnetic field therapy
41
two benefits of pulse electromagnetic field therapy
decrease inflammation (arthritis) increase circulation
42
what tool is used for pulsed electromagnetic field therapy
Assisi loop
43
Deep-heating agent converting electrical energy to high-frequency sound waves
ultrasound
44
two kinds of ultrasound therapies
thermal non thermal
45
which kind of ultrasound: increases metabolic rate, increases enzyme activity, increases circulation and tissue extensibility and offers pain reduction.
thermal ultrasound
46
which kind of ultrasound: reduces muscle spasm and pain, accelerates healing, aids in tissue regeneration, repairs soft tissue, reduces swelling
nonthermal ultrasound
47
ultrasound prep includes: Area of application must be ______ Skin cleaned with _______ Water-soluble _____ for probe use
shaved alcohol gel
48
8 things to never use ultrasound on
Eyes Malignancy Infections Areas of decreased circulation and sensation Thrombi Pregnant uterus Carotid sinus Exposed spinal cord
49
uses infrared energy
low level laser (therapy laser)
50
what kind of PPE is needed for low level laser
protective eyewear
51
what should you do for black pigmented skin receiving low level laser
wet the skin
52
treatment times for low level laser are figured by what
Joules per meter squared
53
four benefits to low level laser
Stimulates wound healing. Decreases pain. Retards scar tissue formation. Increases bone density.
54
Low level laser locally stimulates production and release of ________ _______, a natural ________, from ________.
nitric oxide vasodilator hemoglobin
55
Laser therapy stimulates _______ through laser energy
tissue
56
four areas to not use low level laser over
Eyes Active malignancies Pregnant uterus Directly over topical heating - Ben-Gay
57
four unique areas that low level laser can be used over
Metal implants Pins or screws Pacemakers Defibrillators
58
cold and heat therapy is used to decrease ______ and ________, ______ skeletal muscles, reduce muscle _______, reduce joint ________
pain and inflammation relax spasms stiffness
59
four examples of how to do cryotherapy
cold packs ice massage cold baths cold compression units
60
cryotherapy is the vaso_______ of the blood vessels
constriction
61
cryotherapy offers ______ of the area
anesthesia
62
heat therapy is the vaso_______ of the blood vessels
dilation
63
heat therapy increases the permeability of _______ and the ______ system
capillaries lymphatic
64
heat therapy ______ tight muscles to reduce pain
relaxes
65
heat ________ joint stiffness
decreases
66
Support weak or non-functioning body part
supportive and assitive devices
67
three forms of supportive and assistive devices
boots slings 2 or 4 wheeled carts
68
Boots can protect feet when conscious ________ defects are present
proprioception
69
Boots should be removed periodically to maintain ______ ______ and also during _______ exercises
skin condition rehab
70
Orthotic devices _______ a limb and prosthetic devices ______ a limb
support replace
71
orthotic devices _______ or ______ movement of a limb
prevent or correct
72
orthotic devices ______ the limb and ______ the joint
rest protect