Chunk Five Flashcards

1
Q

tummy time

A

placement of infant in prone position during periods of wakefulness to facilitate development or oral, fine and gross motor skills

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2
Q

adaptive positioning

A

modifications made to the position of a client during an activity to optimize trunk stability and postural alignment intended to improve:

upper extremity control
range of vision
swallowing ability
interactions within the environment

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3
Q

pursed lip breathing

A

technique used to control dynspnea/SOB by inhaling through the nose, with mouth closed, followed by slow exhale through pursed lips

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4
Q

diaphragmatic breathing

A

breathing technique used to control SOB with the following steps;

place hand on abdomen
inhale to fill the lungs with a slow and deep breath
pay attention to chest moving slightly and abdomen rising
exhale while abdomen relaxes

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5
Q

relaxation breathing

A

breathing technique used to control SOB and decrease rate of respiration with the following steps:

exhale completely
deeply inhale while counting
exhale slowly while counting at a rate greater than during inhalation
repeat at comfortable rate then return to normal breathing

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6
Q

body mechanics

A

application of kinesiology to promote proper alignment, position, and efficient use of the body during physical task activities,

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7
Q

principles include of body mechanics include:

A

plan movement
load close to body and bend knees when lifting
ensure solid base of support and use inertia when appropriate

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8
Q

myoelectric prosthesis

A

type of prosthesis used for a person following amputation that uses electrical signals from existing muscles to control the movement of the artificial limb

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9
Q

body-powered terminal device

A

component attached to the distal end of prosthesis that is operated by forces generated by the body and enables a person to hold and stabilize objects, types include hand and hook designs with voluntary opening or voluntary closing features

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10
Q

body powered prosthesis

A

type of upper limb prosthetic device that is operated using a harness and the movement of the body to generate forces through a cable control system

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11
Q

serial casting

A

specialized intervention technique used to increase ROM of a joint, inolves applying a series of well-padded casts to the limb to hold the target joint in a sub-maximal stretch

requires changing the cast at scheduled intervals to progressively increase ROM

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12
Q

orthosis

A

custom-made or prefabricated device used to immobilize, mobilize, or restrict one or more joints, typically used to

maintain alignment 
promote healing
improve function
restrict motion 
prevent contractures 
correct deformities
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13
Q

restriction orthosis

A

classification of an arthosis intended to limit partial mobility of one or more joints while allowing free movement through the remaining arc of motion typically used to

allow controlled motion
decrease risk of scar adhesions
mnimized risk of contracture
improve functional use

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14
Q

immobilization orthotic

A

classification of a custom-made or prefabricated orthosis intended to prevent movement of one or more joints, typically used to:

maintain tissue length
preserve joint alignment
maintain/protect a fracture reduction
protect a healing/repaired nerve or tendon

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15
Q

mobilization orthosis

A

classification of a custom made or prefabricated orthosis intended ot move one or more joints using applied, controlled tension, typically used to

promote tissue remodeling
elongate/stretch adhesions
substitute for weak or absent motion
provide resistance for strengthening

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16
Q

orthotic nomenclature: design descriptors

A

terms traditionally used to describe characteristics of orthotic devices that may be included as part of an orthotic prescription to help identify an orthosis using non -modified orthosis classification system nomensclature ie:

digit based 
hand based 
thumb based 
forearm based 
arm based
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17
Q

ON: modified orthosis classification system

A

system used to describe an orthosis for outpatient billing and reimbursement purposes based on the HCPCS typically corresponds to a specific “L-code”

replaces the traditional term “splints” with “orthotics”

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18
Q

ON: anatomical descriptors

A

naming convention used to describe the anatomical location of an orthosis for outpatient billing and reimbursement purposes, based on the HCPCS

ie:

EWHFO: elbow wrist hand finger orthosis
WHFO: wrist hand finger orthosis
HFO: hand finger orthosis

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19
Q

common names of restriction orthoses

A

names commonly used to describe this category of orthotic device include:

buttonhole PIP extnesion orthosis
anticlaw buckle orthosis
MCP joint ulnar deviation orthosis
meunster orthosis

may be included as part of an orthotic prescription to help identify an orthosis using non-modified orthosis classification system nomenclature

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20
Q

mobilization orthoses

A

names of comonly used to describe this category of orthotic device include:

tenodesis orthosis 
radial nerve pasly orthosis 
palmar ABduction orthosis 
dynamic flexion assist orthosis 
interphalangeal flexion orthosis 

may be included as part of an orthotic prescription to help identify an orthosis using non-modified orthosis classification system nomenclature

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21
Q

common names of immobilzation orthoses

A

names commonly used to describe this catergory of orthotic device include:

volar wrist orthosis 
thumb spica orthosis 
dorsal blocking orthosis 
resting hand orthois 
metacarpal fracture brace

may be included as part of an orthotic prescription ot help identify an orthosis usign non-modfiied orthosis classification system nomenclature

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22
Q

palmer crease

A

a crease on the hand that indicates areas of joint mobility and must be considered when fabricating and fitting an orthosis

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23
Q

types of palmer creases

A

distal
proximal
thenar
hypothenar

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24
Q

handling characteristics of thermoplastic material: memory:

A

capacity of thermoplastic material to retain its original properties when reheated, recommended when frequent re-molding may be necessary

25
Q

HCOTM: drapability

A

property of thermoplastic material that indicates its ability to conform, contour and shape to the underlying structures, material effective for:

small orthoses
experienced orthotic makers

26
Q

HCOTM: bonding

A

capacity of thermoplastic material to adhere to itself, beneficial characteristic when attaching dynamic orthotic components to an orthotic base

27
Q

PCOTM: rigidity

A

capacity of thermoplastic material to maintain its strength and to prevent a change in the integrity of the custom fit against force and repetitive stress, material effective to stabilize a large joint

28
Q

PCOTM: perforations

A

small holes distributed throughout thermoplastic material that allow for air flow to minimize risk of skin rash, sweating, and maceration

29
Q

angle of application

A

force or torque applied to a joint using the dynamic component of a mobilization orthosis, ideally 90* to body segment being moved

30
Q

mechanical advantage

A

application of a three class lever system to achieve efficiency and promote effectiveness of an orthosis

typically described in terms of the length of the effort arm and the length of the resistance arm

31
Q

elastic force

A

used as part of a mobilization orthosis to influence tissue response

common devices used for this purpose include
rubber bands
wrapped elastic cord
spring coils

32
Q

friction force

A

term used in orthotic fabrication that describes the amount of force generated by the orthotic materials and the amount of contact force, typically lessened by using

smooth thermoplastics 
proper fitting straps 
rounded edges 
foam-lining or gel padding 
stockinette
33
Q

orthotic pattern

A

necessary first step of orthotic fabrication to ensure custom fit and design that includes

tracing the shape/size of extremity on paper prior to cutting the material
using an anatomical landmarks

34
Q

intrinsic plus position

A

term used in orthotic positioning, commonly referred to as the “anti-deformity” or “safe position” of the hand, intended ot place the MCP joint collateral ligaments in an elongated position to reduce contracture risk

35
Q

intrinsic plus position consists of :

A

wrist neutral or slight extension
finger MCP joint 75-90* of flexion
finger IP joints in complete extension
thumb in ABduction and opposition

36
Q

anticontracture position: anterior neck burn

A

characteristics of this anitcontracture positon includes:

neck in extension
do not use a pillow when supine in bed
use a neck collar or neck extension orthosis

37
Q

Anticontracture position: burn of the axilla

A

characteristics of this anticontracture position includes:

shoulder joint in 120* if ABduction with slight external rotation
use of an orthosis or wedge to prevent shoulder adduction

38
Q

anticontracture position: anterior elbow burn

A

characteristics of this anticontracture position includes;

elbow joint in 5-10* of flexion
use of wrist extension orthosis to prevent flexion

39
Q

anticontracture position: burn on the dorsum of the hand

A

characteristics of this anticontracture position includes:

MCP joint in 70-90* in flexion with IP joints in full extension and thumb in opposition
maintain ROM of first web space
use of a functional hand orthosis to avoid claw hand deformity

40
Q

anticontracture position: burn on the dorsum of the wrist

A

wrist joint in neutral

use of an immobilizaiton orhtosis to prevent wrist extension

41
Q

anticontracture position: burn on the volar surface of the hand

A

MCP joint in slight hyperextension use of a palm extension orthosis to prevent cupping of the hand

42
Q

proshetic functional use training

A

intervention program for clients who have an upper limb deficiency or amputation, includes education on the use of harness and cable controls or myoelectric components and terminal device, emphasizes activites for:

bilateral and unilateral use of limbs
automatic movement patterns
spontaneous movements
performance indaily activites

43
Q

manual wheelchair

A

self-propelled or attendant-pushed wheel chair available with a wide variety of customizable options

44
Q

light weight manual wheelchair

A

manual wheelchair style frame that typically weighs between 25 -40 pounds

benefits include:
enhanced self-propulsion
decreased strain on upper extremity
ease of loading and unloading for transportation

45
Q

bariatric w/c

A

specialized w/c with weight capacity and size width options greater than the standard w/c frame

specialized frame include:
reinforced cross braces and frame
padded reinforced upholstery
heavy duty wheels

46
Q

beach w/c

A

type of specialized w/c with oversized wheels that allows for ease in movement in the sand

47
Q

sports wheelcahir

A

wheeled mobility specifically designed to enhance maneuverability and speed during athletic and leisure activities feature may include:

light weight frame
specially designed wheels
all terrain options
overall stability

48
Q

rear-wheel drive w/c

A

feature of a powdered w/c in which the casters are located at the front of the chair and the drive wheels located toward at the rear of the chair, designed to enhance maneuverability when using hand-operated controls

good option for use over rough terrain

49
Q

mid-wheel drive w/c

A

feature of a powered w/c that requires a third set of stabilizing caster wheels, designed with smaller turning radius which increases overall maneuverability

50
Q

front wheel drive w/c

A

feature of a powered w/c in which the casters are located toward the rear of the chair and teh drive wheels located at the front of the chair, designed to enhance maneuverability up and down sloped terrain

may be more difficult to maneuver at higher speeds

51
Q

drive wheel position

A

features of a powered w/c that influences the maneuverability stability traction and performance of the chair on a variety of terrains/surfaces, types include:

rear wheel
mid wheel
front wheel

52
Q

w/c accessories

A

customized components consdiered during the w/c assessment and prescription process to ensure the w/c fits the indivdiualized needs of the client

53
Q

options of w/c accessories

A
style of armrest and footrest 
lap tray, seat belt, anti-tip devices
brake style and extensions 
trunk and neck support 
cushion and pressure relief systems
54
Q

planar foam w/c seat cushion

A

type of w/c seat cushion with the following characteristics :

composed of viscoelastic material 
light weight adn inexpensive 
absorbs moisture 
multiple density and thickness options 
least effective option for pressure distribution
55
Q

air filled w/c seat cushion

A

bladder design with adjustable inflation level
provides even distribution of pressure relief
lightweight design feature
potential for air pressure variability inherent in overall design

56
Q

feeder chair

A

positioning aid that provides trunk support for feeding or other short term activity

adjustability allows for upright or reclined position

57
Q

trunk support ring

A

device used in the bathtub to provide external stability of the torso for children seated upright during bathing, typically used in the presence of mild hypotonicity

58
Q

hammock chair

A

device used in the bathtub to safety position of a child in supine for bathing typically used in the presence of poor trunk and head control