Classroom Stuff Flashcards
Greek and Roman PT History
therapeutic touch and massage
True False: is exercise equipment separate from modalities?
True!
weights - dumbbells barbells
bicycles
treadmills
isokinetic equipment ?
stair machines
total gym
theraband, theraputty, theratubing - resistance bands
Mechanical Modalities
massage
traction
compression
hydrotherapy
ultrasound
Electromagnetic Modalities
TENS
Iontophoresis
diathermy
UV
Laser
E-stim
Massage
manually move fluid tissues through the body and body systems
- increase blood flow
- decrease edema
- increase relaxation and flexibility
- Delicious unless in pain
Traction
plug it in, put straps
Joint spaces
decreases pressure
Compression
compression socks, ace wraps, air braces, tedhose (compression socks)
counteract pressure
reduce edema
residual limb reshaping so that it can receive a prosthesis
prevent deep vein thrombosis and scarring
Whirlpool
hydrotherapy
good for both kinds of arthritis
decreases edema
used for a lot of patients with paralysis
hydrostatic pressure - compresses nerves in nervous system, tells brain where your body is in space almost immediately
walk on toes
elevates circulation
cardiovascular response, bloodflow higher into chest. careful with patients with cardiac disease
saltwater thicker than non salt water
clean wounds
ultrasound
soundwaves penetrate tissue
increase circulation
increase metabolic rate
brings attention to all the cells moving in your body, get rid of waste materials, help cuts
Iontophoresis
electric current takes medication through the skin without the need for needles
pain relief, anti-inflammatory
sharp sensation that hurts a bit
Diathermy
microwave therapy, wound healing
shortwave or microwave current
thermal or nonthermal
if patient feels like its burning - listen to patient, something is wrong
Ultraviolet
treats skin disorders like acne, psoriasis, and wound healing
treats jaundice
Lasers
red light therapy
healing
works on a cellular level, deep not superficial
E-stim
electrical stimulation
- used to facilitate a muscle pump
- facilitate muscle contraction for patient who has nerve damage, use alongside biofeedback
- milk out excess fluid from muscle tissue, especially after exercise
-
TENS
Transcutaneous Nerve Stim
high frequency but below motor contraction
bugs running under skin
brain picks up on dominant sensation and helps focus on stimulation rather than pain
can move through exercise where the pain might be otherwise debilitating
use for 15-20
use in clinic setting under supervision so excess damage doesn’t happen
Can DPT’s inject medication?
No
DPTs dry needling only, but against law for PTAs to do dry needling
Hippocrates
460bc to 370bc; one of first to prescribe ????
Galen
120-200 ad: used massage and other modalities on Gladiators
Tip: Galen = Gladiators
Pehr Henrik Ling/Leng
father of physical therapy; swedish gymnastics and massage
Dudley Allen Sargent
1849; founded early schools
TIP
Sargent = schools
John Harvey Kellog
1852-1943 - hydrotherapy, comprehensive health and wellness
Andrew Taylor Still
osteopathic medicine
Daniel Davic Palmer
chiropractic
Willamena Wright
1907; worked with Dr. Lovett (orthopedic surgeon)
asked to join gym to treat ppl
did testing on muscle strength
built solid foundation for what we do today
Marguerite Sanderson
Reconstruction aide
Mary McMillan
1880-1959; recon aide wwi; born in us grew up in england. Forerunner for physical therapy. program director, first president
6 month program
Emma Vogel
PT education programs walter reed hospital
legitimized field
Hazel Furscott
private practice san francisco
Margarett Knott
Influential leader
Catherine Worthingham
Profession changed dramatically, from technical profession to true profession
Tip
Worthinghame made profession worthy
Lucy Blair
Navy physical therapist in WW2, polio consultant who selected the pt’s who went out on polio assignments across the whole country
Mildred Elson
president of first international organization, PT associated with money and dues
Mildred = Money ?
mIldred = International asdfs idk
Sprain
stretch injury - rolling an ankle
TIP
sPrain= Pull = stretch
Strain
tear injury
sTrain = Tear
Steps for Stance Phase in Gait
Stance Phase (60%): Target foot stays in contact with the floor
Traditional Terminology
(RLA Terminology)
- Heel strike (Initial Contact)
- Foot Flat (Loading Response)
- Midstance (Midstance)
- Heel off (Terminal Stance)
- Toe off (Preswing)
Steps for Swing Phase in Gait
Swing Phase (40%): foot is swinging
Traditional Terminology
(RLA Terminology)
- Acceleration (Initial Swing)
- Midswing (midswing)
- Deceleration (Terminal Swing)
First Step in Stance Phase
Traditional: Heel Strike
RLA: Initial Contact
Double Support (10%)
both feet on floor, target foot heel on floor, opposite foot toes on floor
Uses: Gluteus Maximus, posterior capsule, tibialis anterior
Second Step in Stance Phase
Traditional: Foot flat
RLA: Loading Response
Single Support (part of 40%)
Foot flat on target leg, opposite leg lifting up
Quadriceps femoris
Third Step in Stance Phase
Traditional: Midstance
RLA: Midstance
Single Support (part of 40%)
target leg straight foot on floor, other foot in middle of swinging forward
Triceps Surae
Fourth Step in Stance Phase
Traditional: Heel off
RLA: Terminal Stance
Single Support (part of 40%)
Heel lifts up on target leg, other leg swung forward
Triceps Surae
Fifth Step in Stance Phase
Traditional: Toe Off
RLA: Preswing
Double Support (10%)
target foot toes on floor, opposite foot heel on floor
Deep plantar flexors, toe flexors, intrinsic foot muscles, rectus femoris
First Step of Swing Phase
Traditional: Acceleration
RLA: Initial Swing
Single Support (second 40%)
target foot lifting up, opposite foot flat
contralateral abductors of hip, iliopsoas and rectus femoris
Second Step of Swing Phase
Traditional: Midwing
RLA: Midswing
Single Support (second 40%)
Target foot swinging forward, opposite foot still mostly flat ?
contralateral abductors of hip, iliopsoas and rectus femoris
Third Step of Swing Phase
Traditional: Deceleration
RLA: Terminal Swing
Single Support (40%)
Target foot swung forward, about to heel strike, opposite foot on toes
Hamstrings, quadriceps femoris, tibialis anterior
True/False: Did Medicare and Medicaid affect field of PT?
important event that changed field
Definition: Scope
What you can practice, level of things you can do, what you can do in this setting
Education: Physical Therapist
Graduate APTA federal program
Terminal degree is a doctorate (used to be masters)
Physical Therapist Role
Responsible for all PT patient treatment
makes decisions regarding patient care
Supervises PTAs and PT techs
Interpret referrals and prescriptions
Evaluate patient and create plan of care
Perform evaluations, reevaluations, and discharge planning