Classroom Stuff Flashcards

1
Q

Greek and Roman PT History

A

therapeutic touch and massage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

True False: is exercise equipment separate from modalities?

A

True!

weights - dumbbells barbells
bicycles
treadmills
isokinetic equipment ?
stair machines
total gym
theraband, theraputty, theratubing - resistance bands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Mechanical Modalities

A

massage
traction
compression
hydrotherapy
ultrasound

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Electromagnetic Modalities

A

TENS
Iontophoresis
diathermy
UV
Laser
E-stim

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Massage

A

manually move fluid tissues through the body and body systems
- increase blood flow
- decrease edema
- increase relaxation and flexibility
- Delicious unless in pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Traction

A

plug it in, put straps

Joint spaces
decreases pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Compression

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Whirlpool

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

ultrasound

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Iontophoresis

A

electric current takes medication through the skin without the need for needles

pain relief, anti-inflammatory
sharp sensation that hurts a bit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Diathermy

A

microwave therapy, wound healing

shortwave or microwave current
thermal or nonthermal
if patient feels like its burning - listen to patient, something is wrong

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Ultraviolet

A

treats skin disorders like acne, psoriasis, and wound healing
treats jaundice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Lasers

A

red light therapy
healing
works on a cellular level, deep not superficial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

E-stim

A

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
-

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

TENS

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Can DPT’s inject medication?

A

No
DPTs dry needling only, but against law for PTAs to do dry needling

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Hippocrates

A

460bc to 370bc; one of first to prescribe ????

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Galen

A

120-200 ad: used massage and other modalities on Gladiators

Tip: Galen = Gladiators

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Pehr Henrik Ling/Leng

A

father of physical therapy; swedish gymnastics and massage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Dudley Allen Sargent

A

1849; founded early schools

TIP
Sargent = schools

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

John Harvey Kellog

A

1852-1943 - hydrotherapy, comprehensive health and wellness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Andrew Taylor Still

A

osteopathic medicine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Daniel Davic Palmer

A

chiropractic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Willamena Wright

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Marguerite Sanderson

A

Reconstruction aide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Mary McMillan

A

1880-1959; recon aide wwi; born in us grew up in england. Forerunner for physical therapy. program director, first president
6 month program

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Emma Vogel

A

PT education programs walter reed hospital
legitimized field

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Hazel Furscott

A

private practice san francisco

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Margarett Knott

A

Influential leader

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Catherine Worthingham

A

Profession changed dramatically, from technical profession to true profession

Tip

Worthinghame made profession worthy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Lucy Blair

A

Navy physical therapist in WW2, polio consultant who selected the pt’s who went out on polio assignments across the whole country

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Mildred Elson

A

president of first international organization, PT associated with money and dues

Mildred = Money ?

mIldred = International asdfs idk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Sprain

A

stretch injury - rolling an ankle

TIP

sPrain= Pull = stretch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Strain

A

tear injury

sTrain = Tear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Steps for Stance Phase in Gait

A

Stance Phase (60%): Target foot stays in contact with the floor

Traditional Terminology
(RLA Terminology)

  1. Heel strike (Initial Contact)
  2. Foot Flat (Loading Response)
  3. Midstance (Midstance)
  4. Heel off (Terminal Stance)
  5. Toe off (Preswing)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Steps for Swing Phase in Gait

A

Swing Phase (40%): foot is swinging

Traditional Terminology
(RLA Terminology)

  1. Acceleration (Initial Swing)
  2. Midswing (midswing)
  3. Deceleration (Terminal Swing)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

First Step in Stance Phase

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Second Step in Stance Phase

A

Traditional: Foot flat
RLA: Loading Response

Single Support (part of 40%)

Foot flat on target leg, opposite leg lifting up

Quadriceps femoris

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

Third Step in Stance Phase

A

Traditional: Midstance
RLA: Midstance

Single Support (part of 40%)

target leg straight foot on floor, other foot in middle of swinging forward

Triceps Surae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

Fourth Step in Stance Phase

A

Traditional: Heel off
RLA: Terminal Stance

Single Support (part of 40%)

Heel lifts up on target leg, other leg swung forward

Triceps Surae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

Fifth Step in Stance Phase

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

First Step of Swing Phase

A

Traditional: Acceleration
RLA: Initial Swing

Single Support (second 40%)

target foot lifting up, opposite foot flat

contralateral abductors of hip, iliopsoas and rectus femoris

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

Second Step of Swing Phase

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

Third Step of Swing Phase

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

True/False: Did Medicare and Medicaid affect field of PT?

A

important event that changed field

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

Definition: Scope

A

What you can practice, level of things you can do, what you can do in this setting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

Education: Physical Therapist

A

Graduate APTA federal program

Terminal degree is a doctorate (used to be masters)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

Physical Therapist Role

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

Evaluation

A

Initial session, identifying problems, difficulties, weaknesses

50
Q

Reevaluation

A

measure gains, look for deficits, see if patient has plateaued. what is and isn’t working.

Nevada law: PT must reassess patient every 7th visit or 21 days.

51
Q

Average length for short term goals

A

3-6 months

shorter in orthopedic settings where patients aren’t expected to stay for as long, so can sometimes be two weeks

52
Q

Average length for long term goals

A

Usually 6 months to a year

53
Q

NEVADA LAW: How often must PT reassess the patient?

A

Every 7th visit or 21 days.

54
Q

How many credit hours must a PT/PTA take to maintain licensure?

A

15 credit hours, usually a full weekend

55
Q

Can PTs prescribe medication?

A

no

56
Q

PTA level of education

A

graduate of an APTA accredited program (associates of applied science)

education at csn does not cross over to a PT degree at unlv

57
Q

NEVADA LAW: How many hours of supervision must be maintained after graduation?

A

2000 hours of supervision

58
Q

PT TECH and supervision

A

must be in direct line of site of PT

cannot put hands on patient, cannot teach, no modalities and no procedures

Cannot work if PT calls out sick

PTA who has graduated cant do anything until after first 2000 hours

59
Q

How must letters of recommendation be signed to get into the program?

A

Must be signed across the seal

60
Q

When is packet due?

A

June 1st

61
Q

How many people get into the program?

A

Took 10 last year, a maximum of 12

62
Q

What is the Juris Prudis exam?

A

Knowing local and state laws

63
Q

Classes for PTA

A

Anatomy (phys)
kinesiology
path 1&2
observations and measurement
physical Agents ?
Fundamentals of pt
ther ex 1&2
O&P (orthotics and prosthetics)

ADMIN
psych social
cardio/pulm
neurology
2 clinical affiliations (8 weeks each)
320 affiliation hours, 8 40 hour weeks each

64
Q

UNLV DPT Program Prerequisites?

A

BS in any field
GPA 3.0 or above
Bachelors has to have
2 anatomy and phys
1 stats
2 bio
2 chemistry with labs
2 physics with labs
2 psychology

3 letters (2 from pts)
oral interview
100 hours PT observation
GRE graduate record exame: score of 300 minimum

65
Q

UNLV DPT PROGRAM CLASSES

A

Anat/phys
neuro anat
kines
path
neurophys
obs/measure
phys agents
electro therapy
spec. topics
ther ex 1&2
O&P
Admin/leadership
psych social
cardio pulm
eval tech
pro. dev
peds
geriatrics
pharmacology
imaging
electives
research
women’s studies
4 affiliations (5-12 wks each)

6 month internship

66
Q

RLA stands for?

A

Rancho Los Amigos

67
Q

STEP is

A

initial contact of one foot and ends with initial contact of other foot

Right heel contact until left heel strikes

68
Q

TTWB

A

Toe Touch Weight Bearing

only allowed to touch toe to ground, really for body awareness

68
Q

Default Weight Bearing Status

A

immediately ask doctor
while waiting, the general is 30% of body weight

69
Q

WBAT

A

Weight Bearing As Tolerated

whatever the patient feels comfortable with
often towards end of process

70
Q

FWB

A

Full Weight Bearing

71
Q

NWB

A

Non Weight Bearing

72
Q

PWB

A

Partial Weight Bearing

73
Q

Five Cardinal Signs
(Bed Mobility and Transfers)

A

Keep the Load Close

Create a Base of Support

Use Isometric Contractions of the Trunk

Lift with the legs (do not twist) (where hips go everything else follows)

Use Verbal Clues

74
Q

General Considerations for Bed Mobility and Transfers

A

review chart for weight bearing precautions

ask patient or family what transfer works best for them

consider your own weight and height

allow patient to do as much as they can

orient the patient and demonstrate what you want them to do

use gravity, transfer downhill or level

secure items

use gait belt

75
Q

Passive ROM

A

(range of motion)

Produced entirely by external force, little voluntary muscle movement

76
Q

Active Assistive ROM

A

(range of motion)

assistance provided by outside force because muscles need assistance to move

77
Q

Active ROM

A

produced by active muscles

78
Q

Self Assisted ROM

A

patient taught to use stronger extremity to assist weaker extremity

79
Q

Surgical term for TKR

A

Total Knee Replacement = Total Knee Arthroplasty

80
Q

AD

A

Assistive Devices

81
Q

QUAD SET exercise

A

lying down

push knee into bed and push foot up while leg is flat or with towel under knees, tightening quads

82
Q

STRAIGHT LEG RAISE exercise

A

lying down

raise leg a few inches, lower slowly and then relax

83
Q

ANKLE PUMP exercise

A

lying down

point ankle forward and then up

84
Q

ANKLE CIRCLES

A

lying down

moving ankle in circles, reverse direction, relax

85
Q

HEEL SLIDE

A

lying down

Bend knee up by sliding heel back and then slide it back flat

86
Q

BRIDGES

A

lying down

feet bent and flat and lifting hips up

87
Q

Terminal Knee Extension

A

lying down

Pillow under knee, lift toe and foot up

88
Q

MINI SQUATS

A

Standing exercise

Very small knee bend

89
Q

HEEL RAISES

A

Standing Exercise

Lifting heels up and weight on toes

90
Q

Seated Knee Flexion

A

chair exercise

91
Q

Hemiplegic Gait

A

one-sided paralysis, weakness can’t do knee flexion or foot flexion
compensate by moving leg in a circle pattern

92
Q

Diplegic Gait

A

spasticity, high muscle tone, stiff in legs

crouched gait pattern

turn feet and legs inward, up on tippy toes, bent forward, staggering walk

same circle movement but on both legs, use arms for counterbalance

93
Q

Neuropathic Gait

A

nerve issue, inability to dorsalflex the foot

must step high to clear the foot, like marching but dragging toe

Lifts foot high up and drags forward

94
Q

Myopathic Gait

A

Muscle issue
trendelenburg gait, abnormal hip abductor mechanism, pelvis drop/swaying hips

waddle as pelvis drops and comes back up instead of remaining perpendicular

95
Q

Ataxic Gait

A

no coordination or stability, constant trembling or tremor kind of state

difficult to start and stop, difficulty watlking in straight line

96
Q

Four simple rules for active listening

A
  1. Show you’re willing to listen
  2. Listen for both feeling and content
  3. Clarify - ask questions and make sure you understand
  4. Verify - sum up what you understand from talk
97
Q

Seven Deadly Dont’s for active listening

A
  1. don’t make assumptions
  2. don’t deny the senders feelings
  3. don’t jump to conclusions
  4. don’t offer a quick fix
  5. don’t talk about yourself
  6. don’t be judgemental
  7. don’t interrupt
98
Q

Definition of Physical Therapy from APTA

A

Definition amended in 1993

PT is a health profession whose primary purpose is the promotion of optimal human health and function through the application of scientific principles to prevent, identify, asses, correct, and alleviate acute or prolonged dysfunctions.

Expanded.

Evaluate, alleviate, prevent, educate; EAPE

  1. evaluates patients of all ages with impairments, functional limitations, and/or disability to determine appropriate intervention/type of therapy
  2. attempts to alleviate impairments and functional limitations by designing, implementing, and modifying appropriate therapeutic interventions using tools, exercises, modalities, training
  3. attempts to prevent injury, functional limitations, and disabilities by promoting health, fitness, and quality of life through wellness programs, work hardening programs, and industrial health.
  4. engages in education and research to be at the forefront of the field and to meet the needs of their patients.
99
Q

5 criteria to meet definition of a profession

A
  1. commitment to the particular field of work or service
  2. specific service to clients
  3. recognized, official representative organization
  4. specialized education is necessary and standardized.
  5. autonomy of judgement

Commitment, service, organization, education, autonomy

CSOEA

100
Q

Definition of Physiotherapy

A

science of corrective exercises
used in England and France before the US

101
Q

When was the Division of Special Hospitals and Physical Reconstruction created?

A

1917, goal of the division was to “reconstruct” injured soldiers to as near normal as possible.

102
Q

Reconstruction Aides

A

first physical therapists, all women, unmarried, 25-40 years old, US citizen, 60-70 inches tall, 100-195 pounds, cheerful, subordinate, cooperative, team player. eugh

103
Q

Who was Mary McMillan

A

US citizen, trained in England as a physiotherapist. Head reconstruction aide at Walter Reed Hospital in Washington D.C. in 1918. Later appointed to Reed College in Portland, Oregon to start the first pt program. Called “War Emergency Training Course in Physiotherapy”. lasted 6 months.

104
Q

When was the AWPTA created?

A

American Women’s Physical Therapeutic Association

January 15, 1921

In Keen’s Chop House in New York City with Mary McMillan as its first president. also started first journal called Physiotherapy review.

105
Q

What did the AWPTA change its name to in 1922?

A

American Physiotherapy Association (APA) and began admitting men.

106
Q

When was the first standardized curriculum published by the APA and how long did it last?

A

in 1928, lasted 9 months.

107
Q

When were the first schools for physical therapy technicians accredited?

A

1933 jointly by the APA and AMA. in 1935 the first competency exams were given.

108
Q

When was the National Foundation for Infantile Paralysis (polio) established?

A

1938, source of support for pt profession both financially and vocally

109
Q

What roles were created in the 1940s?

A

Doctors established “Physiatrist” - a doctor who specializes in rehabilitation medicine

Physical therapy technicians officially became known as “Physical Therapists”

in 1945, became a four year degree independent of other curricula

110
Q

When did the name change to American Physical Therapy Association (APTA)?

A

1947

111
Q

When were the first schools created for the idea of physical therapist assistants?

A

1967, two schools in Miami and Minneapolis.
Two year programs with the first graduates in 1969

TIP
graduates in 1969 nice, - 2 for 1967

112
Q

When was the APTA recognized by the United States office of education as an accrediting agency?

A

1977, but it took until 1983 for the AMA to no longer be involved in physical therapy school accreditation.

113
Q

Porgram Prerequesite courses

A

HHP 123, HHP 124 - Introduction to Human BOdy and lab
Math 116, 120, 124 or higher
ENG 100, 101, 107, 113
PT 100

114
Q

What do you need to complete before selection

A

Health programs Orientation, meet with Health Programs Advisor, complete limited entry workshop (within 2 yars of application deadline)_

115
Q

what is minimum GPA for all program prerequesites

A

2.50

116
Q

How many times can you attempt prerequisite courses?

A

three times

117
Q

Additional Gen Ed Requirements

A

communications
US & Nevada constitution
SOcial sciences/humanities
Human relations ** can only enroll once accepted into program

118
Q

limited entry applicatoin fee

A

20 per application

119
Q

Program course work

A

Fall sem, program course work starts

pt 105, 1 cr, musculoskeletal anatomy review

PT 110; 2 cr; Principles of Kinesiology

PT 11;1; 2 cr; Problems of Kinesiology

PT 117; 2 cr; Fundamental Principles for the Physical Therapist Assistant

Spring sem

PT 120; 2 cr; Observation and Measurement Prin. for the Physical Therapist Assistant

PT 121; 2 cr; Observation and Measurement Procedures

PT 122; 3 cr; Psychological-Social Considerations in Patient Care

PT 125; 2 cr; Principles of Physical Agents

PT 126; 2 cr; Physical Agents Procedures and Practices

PT 130; 2 cr; Administration in Physical Therapy

PT 134; 2 cr; Clinical Affiliation

Second Fall

PT 225; 3 cr; Therapeutic Principles for Musculoskeletal Pathologies

PT 226; 2 cr; Therapeutic Procedures for Musculoskeletal Pathologies

PT 238; 3 cr; Pathophysiology I

PT 240; 1 cr; Orthotic and Prosthetic Considerations in Patient Care

PT 244; 2 cr; Clinical Affiliation I

PT 250; 2 cr; Therapeutic Principles for Cardiopulmonary Pathologies

PT 251; 1 cr; Therapeutic Procedures for Cardiopulmonary Pathologies

Second Spring

PT 248; 3 cr; Pathophysiology II

PT 254; 3 cr; Therapeutic Principles for Neuromuscular Path.

PT 255; 2 cr; Therapeutic Procedures for Neuromuscular Pathologies

PT 256; 2 cr; Clinical Affiliation