Exam 1: Introduction to Prosthetics Flashcards
A patient centered rehabilitation team will consist of a multidisciplinary team. List the different types of care givers that could all be working with on patient.
Physician Nurse PT OT Prosthetic/Orthotist Social worker nutritionist patient family psychologist
A multidisciplinary team must _____ and ____ each other.
They must have a good ____ base.
They must share ____ and have mutual ____ for all members.
A great team will have good _____ and be (optimist/pessimistic).
Collaborate and trust
knowledge
responsibility and respect
communication and optimistic
True or False:
Multidisciplinary teams should be open and receptive to ideas of others
true
True or False:
Multidisciplinary teams should work individually and value their own opinion over their teammates
false
True or False:
Multidisciplinary teams should value interdependence and acceptance of commitment to patient centered care
true
True or False:
Multidisciplinary teams should be not share ideas with each and only take responsibility for themselves
false
What is the most important job of a rehab team
patient education
True or False:
Patients who feel prepared and informed are most likely to invest in and comply with recommended interventions and often have the positive health outcomes
true
Only ___% of new amputees surveyed indicated receiving info about the timing and rehab process and prosthetic options before or right after surgery
50%
Which two team members were indicated to provide the most education during amputation, and which two team members were indicated to be the most helpful after amputation
PT’s and Physicians provided the most education
PT’s and prosthetists were the most helpful
Most amputees are (young/elderly) patients
elderly
Many amputee have a number of _____ that will cause a decrease in activity tolerance
co-morbidities
Many amputees have a number of co-morbidities that will cause a (increase/decrease) in activity tolerance
decrease
What are two underlying conditions that could be present when working with the amputee population
cardiovascular and pulmonary issues
Many amputee patients have (active/sedentary) lives before amputation and potentially (short/lengthy) down time after amputation
sedentary; lengthy
Typically, an amputee will walk with decreased ____ and ____ ____ while wearing a prosthesis
speed and stride length
Young traumatic amputees are usually (slower/faster) than those who lost their limb from dysvascular etiology
faster
(young traumatic/dysvascular etiology) amputees are usually faster than those who lost their limb from a (young traumatic/dysvascular etiology) event
young traumatic; dysvascular event
Young amputees are (close to/far away) normal values if they are transtibial
close to
Young amputees are very close to normal values if they are (transtibial/transfemoral)
transtibial
Preservation of the ______ ____ also plays a significant role in the amount of work it takes an amputee to walk
anatomical knee
A study showed that compared to a non-amputee patient, amputees have oxygen costs that are __-__% higher for transtibial amputees and __-__% higher for transfemoral amputees
16-28 for tibial
60-100 for femoral
Patients walking with a prosthetic will need frequent ____, and you must monitor exertion levels via ___
breaks; RPE
Many amputees will be ___ and their blood sugar levels will need to be watched
diabetic
Many amputees will be diabetic and their ___ ___ levels will need to be watched
blood sugar
Movement is ____ ____
goal directed
____ is goal directed
movement
There (is one/are many) different ways to accomplish any task
are many
Each person will develop ___ ways of moving
preferential
What term is described as the dynamic ability of the brain to structurally and functionally reorganize neural circuits in response to activity and environmental demand
neuroplasticity
What term is described as the ability of the brain to change and repair itself
neuroplasticity
What term is described as remodeling in the brain
neuroplasticity
Using an understanding of motor ____ and motor ____ can drive neuroplasticity in acute and chronic stages of neurological and neuromuscular diseases
control; learning
We need to make sure our _______ are sufficient in intensity and duration to trigger neuroplastic changes that will improve function and quality of life
interventions
We need to make sure our interventions are sufficient in _____ and _____ to trigger neuroplastic changes that will improve function and quality of life
intensity and duration
What are the two key components of neuroplasticity
intensity and duration
State what principle is related to following description:
Failure to drive specific brain function can lead to functional degradation
use it or lose it
State what principle is related to following description:
Training that drives a specific brain function can lead to enhancement of that function
use it and improve it
State what principle is related to following description:
The nature of the training experience dictates the nature of the plasticity
specificity
State what principle is related to following description:
Induction of plasticity requires high levels of repetition
repetition matters
State what principle is related to following description:
Induction of plasticity requires high-intensity training
intensity matters
State what principle is related to following description:
Different forms of plasticity occur at different times during training
time matters
State what principle is related to following description:
Different forms of plasticity occur with exercise prior to and following training
exercise matters
State what principle is related to following description:
The training experience must be sufficiently salient to induce plasticity
salience matters
State what principle is related to following description:
Training induced plasticity occurs more readily in younger brains
age matters
State what principle is related to following description:
Plasticity in response to one training experience can enhance the acquisition of similar behaviors
transference
State what principle is related to following description:
Plasticity in response to one experience can interfere with acquisition of other behaviors
interference
State what principle is related to following description:
Both internal reinforcement and external validation of success are necessary
success reinforcement
State the description that is related to the following principle:
use it or lose it
Failure to drive specific brain function can lead to functional degradation
State the description that is related to the following principle:
use it and improve it
Training that drives a specific brain function can lead to enhancement of that function
State the description that is related to the following principle:
specificity
The nature of the training experience dictates the nature of the plasticity
State the description that is related to the following principle:
repetition matters
Induction of plasticity requires high levels of repetition
State the description that is related to the following principle:
intensity matters
Induction of plasticity requires high intensity training
State the description that is related to the following principle:
time matters
Different forms of plasticity occur at different times during training
State the description that is related to the following principle:
exercise matters
Different forms of plasticity occur with exercise prior to and following training
State the description that is related to the following principle:
salience matters
The training experience must be sufficiently salient to induce plasticity
State the description that is related to the following principle:
age matters
Training induced plasticity occurs more readily in younger brains
State the description that is related to the following principle:
transference
Plasticity in response to one training experience can enhance the acquisition of similar behaviors
State the description that is related to the following principle:
interference
Plasticity in response to one experience can interfere with acquisition of other behaviors
State the description that is related to the following principle:
success reinforement
Both internal reinforcement and external validation of success are necessary
How many steps are the in EBP process
4
What are the four steps of the EBP process
- Formulating an answerable clinical question PICO
- Locating and accessing the best evidence
- Critically appraising the evidence
- Applicability to patients and clinical practice
