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Neuro 2 - Exam 1 > Clinical Decision Making In Therapeutic Exercise > Flashcards

Clinical Decision Making In Therapeutic Exercise Flashcards

1
Q

ultimate goal of PT

A

improve fxn

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2
Q

evaluating fxn

A

pt/caregiver interview

outcome measures

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3
Q

outcome measures –> evaluating fxn

A

FIM - fxnal independence measure

FAM –> fxnal assessment measure

barthel index

berg balance score

disability specific measures for CVA, TBI, PD, MS

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4
Q

ICF model

A

international classification of fxning, disability and health

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5
Q

what does ICF describe

A

how a person fxns in daily life

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6
Q

what doesnt the ICF do

A

focus on dx or diability

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7
Q

what does the ICF encourage

A

health care personnel to look at the entire person to decide on POC

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8
Q

general principles

A

evaluate the pt’s fxnal ability

pt’s abilities

environmental demands and/or restrictions

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9
Q

general principles –> changes occur through

A

natural recovery

intervention

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10
Q

general principles –> changes occur through intervention

A

intervention must address both primary and secondary impairments

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11
Q

how could improved fxnal outcomes be obtained

A

by interventions which help the pt to change if it is a possibility

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12
Q

help the pt to change –> improved fxnal outcomes

A

if the change is possible and appropriate

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13
Q

what if change is not possible or appropriate

A

we can teach pt compensatory techniques and use compensatory aides

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14
Q

compensatory aides –> change isnt possible or appropriate

A

modify the pt’s environment to accommodate the pt’s ability

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15
Q

looking at the pt as a whole

A

consider the pts extrinsic, intrinsic, physical and combined factors

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16
Q

extrinsic factors

A

physical environment

social environment

cultural environment

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17
Q

physical environment –> extrinsic factors

A

private home

apartment

assisted living

etc.

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18
Q

social environment –> extrinsic factors

A

family/friends

occupation

recreation

education

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19
Q

cultural environment –> extrinsic factors

A

religious beliefs

cultural belief

nutrition

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20
Q

intrinsic (inherent) factors

A

psychological

medical

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21
Q

psychological –> intrinsic factors

A

self-esteem

sense of control

happiness

life satisfaction

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22
Q

medical –> intrinsic factors

A

PMH/PSH

health habits

meds

contraindications

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23
Q

physical factors

A

results of your systems review

cardio/pulmonary, MSK, neuromuscular

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24
Q

combined factors

A

all previous factors influence health to create either

-positive coping manner or
-negative strain leading to stress responses

25
Q

stress responses –> combined factors

A

depression

anxiety

ulcers

LBP

chronic pain syndrome

26
Q

examination

A

mobility

skill

pt’s capacity

learning variables

27
Q

mobility –> examination

A

passive ROM

active ROM

stability

mobility control in fxn

28
Q

passive ROM –> mobility

A

normal/limited

tx

29
Q

limited passive ROM

A

joint

soft tissue

muscle tightness

muscle hypertonicity

30
Q

active ROM –> mobility

A

initiation and throughout range

31
Q

stability –> mobility

A

muscle synergy for stability

postural stability

32
Q

mobility control in fxn –> mobility

A

weight shifting

transitional movements

33
Q

skill –> examination

A

normal timing and sequencing for locomotion and manipulation

34
Q

what is patient’s capacity

A

ability to do work

35
Q

what is pt’s capacity a combination of

A

physiological stress

36
Q

physiological stress –> pt’s capacity

A

HR

BP

respiratory rate

intensity

duration

frequency

speed of movement

37
Q

learning variables –> exam

A

intensity of the stimuli

task repetition

variability of the procedure and environment to improve generalization

38
Q

what should be identified in the evaluation process

A

pt’s fxnal needs and desired outcomes

39
Q

what should the evaluation process assess

A

the physical impairments and environmental constraints to determine each one’s contribution to the limitation of fxn

40
Q

what should we examine in the evaluation process

A

limitations or impairments to try and find a cause

41
Q

what does the evaluation process include

A

determining the appropriate PT goals and interventions

re-assess after a specific period of time

change/modify interventions as necessary

refer to other practitioners if necessary

document accurately and appropriately

42
Q

interventions should be directed towards

A

the patient

43
Q

how many components of intervention

A

3

44
Q

3 components of intervention

A

activities

techniques

parameters

45
Q

activities –> interventions

A

postures

movements

46
Q

techniques –> interventions

A

to achieve movement control (mobility, stability, controlled mobility and skill)

47
Q

parameters –> interventions

A

to determine dosage of intensity, duration, frequency and variables of learning

48
Q

how does tx always start w/

A

activities the pt can perform and progress in difficulty to the fxnal outcome

49
Q

what could be varied by changing any component in tx

A

challenge/difficulty

50
Q

what happens if a pt’s status cannot change –> intervention

A

try to change the home, work or community environment

to decrease architectural barriers

51
Q

what do we need to look at relative to the environment –> intervention

A

postures needed for the activity

type of movement required

repetition, speed and duration requirements

52
Q

classification of pt’s impairments

A

primary and secondary

53
Q

primary impairments

A

direct result of pathology

54
Q

secondary impairments

A

secondary effect of pathology or result of improper care

55
Q

how should we plan interventions

A

to change those impairments that are changeable

pick and choose interventions from a variety of sources

cross systems

56
Q

what should we do throughout tx

A

provide compensatory aids and strategies as appropriate for safety and fxn

modify environmental constraints

educate pt, family and caregivers for carryover

57
Q

reassessment

A

formal and informal

58
Q

informal reassessment

A

constantly

modify/change intervention as necessary

59
Q

formal reassessment

A

as your facility requires

Neuro 2 - Exam 1 (16 decks)

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