CHAPTER 5 Flashcards
BLANCH
TO BECOME PALE
CONTRACTURE
SHORTENING OR TIGHTENING OF THE SKIN, MUSCLE, FASCIA OR JOINT CAPSULE THAT PREVENTS NORMAL MOVEMENT OR FLEXIBILITY OF THE INVOLVED STRUCTURE
ISCHEMIA
DEFICIENCY OF BLOOD IN A PART OF THE BODY FROM FUNCTIONAL CONSTRICTION OR OBSTRUCTION OF A BLOOD VESSEL
MACERATION
THE SOFTENING OF A SOLID BY SOAKING
ISCHIAL TUBEROSITY
THE PROTUBERANCE OF THE ISCHIUM; THE INFERIOR, DISTAL PORTION OF THE PELVIS
PERINEUM
THE PELVIC FLOOR AND ASSOCIATED STRUCTURES OCCUPYING THE PELVIC OUTLET
HEAD AND TRUNK -SUPINE
OCCIPITAL TUBEROSITY; SPINE OF SCAPULA; INF ANGLE OF SCAPULA; VERT. SPINOUS PROCESSES; SACRUM
HEAD AND TRUNK -PRONE
FOREHEAD; LATERAL EAR; TIP OF ACROMION PROCESS; STERNUM; ANT. SUPERIOR ILIAC SPINE
HEAD AND TRUNK -SIDE LYING (LOWER MOST EXTREMITY)
LATERAL EAR; LATERAL RIBS; LATERAL ACROMION PROCESS
HEAD AND TRUNK -SITTING
ISCHIAL TUBEROSITIES; SCAPULAR & VERTEBRAL SPINOUS PROCESSES; SACRUM
UPPER EXTREMITY - SUPINE
MEDIAL EPICONDYLE OF HUMERUS; OLECRANON PROCESS
UPPER EXTREMITY - PRONE
ANTERIOR HEAD OF HUMERUS; CLAVICLE
UPPER EXTREMITY - SIDE LYING (LOWER MOST EXTREMITY)
LATERAL HEAD OF HUMERUS; MEDIAL OR LATERAL EPICONDYLE OF HUMERUS
UPPER EXTREMITY - SIDE LYING (UPPER MOST EXTREMITY)
MEDIAL EPICONDYLE OF HUMERUS (IF RESTING ON A HARD SURFACE)
UPPER EXTREMITY - SITTING
MEDIAL EPICONDYLE OF HUMERUS; OLECRANON PROCESS
LOWER EXTREMITY - SUPINE
POSTERIOR CALCANEUS; GREATER TROCHANTER, HEAD OF FIBULA; LATERAL MALLEOLUS WITH EXCESSIVE EXT. ROT OF HIP
LOWER EXTREMITY - PRONE
PATELLA; RIDGE OF TIBIA; DORSUM OF FOOT
LOWER EXTREMITY - SIDE LYING (LOWERMOST EXT)
GREATER TROCHANTER OF FEMUR; MEDIAL & LATERAL CONDYLES OF FEMUR; MALLEOLUS OF FIBULA AND TIBIA; FIFTH METATARSAL
LOWER EXTREMITY - SIDE LYING (UPPERMOST EXT)
MEDIAL CONDYLE OF FEMUR; MALLEOLUS OF TIBIA
LOWER EXTREMITY - SITTING
GREATER TROCHANTER; POPLITEAL FOSSA; POSTERIOR CALCANEUS
SOFT TISSUE CONTRACTURE SITES- SUPINE
HIP AND KNEE FLEXORS
ANKLE PLANTAR FLEXORS
SHOULDER EXTENSORS, ADDUCTORS & INT. ROTATORS
HIP EXTERNAL ROTATORS
SOFT TISSUE CONTRACTURE SITES- PRONE
ANKLE PLANTAR FLEXORS
SHOULDER EXTENSORS, ADDUCTORS, INT/EXT. ROTATORS
NECK ROTATORS
SOFT TISSUE CONTRACTURE SITES- SIDE LYING
HIP AND KNEE FLEXORS
HIP ADDUCTORS AND INT. ROTATORS
SHOULDER ADDUCTORS AND INTERNAL ROTATORS
SOFT TISSUE CONTRACTURE SITES- SITTING
HIP AND KNEE FLEXORS
HIP ADDUCTORS AND INT. ROTATORS
SHOULDER ADDUCTORS, EXTENSORS AND INTERNAL ROT
TRANSFEMORAL AMPUTATION
AVOID PROLONGED HIP FLEXION
DON’T ELEVATE ON A PILLOW AS A CONTRACTURE OF HIP FLEXORS WILL DEVELOP
AVOID HIP ABDUCTION TO PREVENT CONTRACTURE OF HIP ABDUCTOR MM
LIE IN PRONE POSITION PERIODICALLY
TRANSTIBIAL AMPUTATION
AVOID PROLONGED HIP AND KNEE FLEXION
DON’T SIT IN A CHAIR FOR LONGER THAN 40 MIN.-DEVELOP CONTRACTURE OF KNEE FLEXORS
KNEE SHOULD BE MAINTAINED IN AN EXTENDED POSITION
HEMIPLEGIA - UPPER EXTREMITY
AVOID PROLONGED SHOULDER ADDUCTION AND INTERNAL ROTATION; ELBOW FLEXION; FOREARM SUPINATION OR PRONATION; WRIST, FINGER OR THUMB FLEXION; AND FINGER AND THUMB ADDUCTION
WILL CAUSE CONTRACTURES CAUSED BY MUSCLE SPASTICITY, REDUCED FUNCTION OF OPPOSING MM AND LACK OF ACTIVE MOTION
HEMIPLEGIA - LOWER EXTREMITY
AVOID PROLONGED HIP AND KNEE FLEXION; HIP EXTERNAL ROTATION AND ANKLE PLANTAR FLEXION AND INVERSION
WILL CAUSE CONTRACTURES CAUSED BY MUSCLE SPASTICITY, REDUCED FUNCTION OF OPPOSING MM AND LACK OF ACTIVE MOTION
RHEUMATOID ARTHRITIS
SYSTEMIC DISEASE INVOLVES MUSCULOSKELETAL SYSTEM, ESPECIALLY THE JOINTS
GENTLE, CAREFUL, AND FREQUENT ACTIVE OR PASSIVE MOVEMENT OF THE INVOLVED JOINTS SHOULD BE PERFORMED SEVERAL TIMES PER DAY UNLESS THE JOINTS ARE IN A STATE OF ACUTE INFLAMMATION
BURNS
AVOID POSITIONS OF COMFORT. A POSITION OF COMFORT FOR THE PATIENT WITH A BURN IS THE POS THAT DOES NOT PD STRESS OR TENSION TO THE WOUND OR GRAFT
MOBILE AND CHANGE POSITIONS FREQUENTLY
ORTHOPEDIC SURGICAL CONDITIONS
KNEE REPLACEMENT-KEEP KNEE IN EXTENSION
HIP REPLACEMENT-AVOID EXCESSIVE HIP ADDUCTION, ROTATION AND FLEXION