Final Flashcards

0
Q

What is tightness

A

Restricted motion due to adaptive shortening of soft tissue

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1
Q

What is a contracture

A

Shortening of skin, fascia, Muscle joint capsule preventing normal mobility flexibility

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2
Q

What is your reversible contracture

A

Permanent loss of extensibility of soft tissue due to fibrotic adhesions scar tissue

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3
Q

What is overstretch

A

Stretch well beyond normal length of muscle and the range of motion of joint results and hypermobility causing joint instability

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4
Q

What is selected stretch

A

Applying a stretch to some muscles but limiting motions of others

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5
Q

What is a passive stretch

A

Patient is relaxed and stretches applied by manual contact device

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6
Q

What is active inhibition

A

This is a type of stretch which reflex inhibition and subsequent elongation of contractile elements of muscle

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7
Q

What are the components of physical function

A

Balance, cardiopulmonary fitness, coordination, flexibility, mobility, muscle performance, neuromuscular control, postural control, stability

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8
Q

Balance

A

The ability to align body segments against gravity and maintain or move the body within the center of mass and the available base of support without falling

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9
Q

Cardiopulmonary fitness

A

The ability to perform moderate repetitive total body movements over an extended period of time

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10
Q

Coordination

A

The correct timing and sequence of muscle firing combined with appropriate intensity of muscular contraction leading to the affected initiation guiding and grading of movement

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11
Q

Flexibility

A

The ability to move freely without restriction

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12
Q

Mobility

A

The ability of structures or segments of the body to move or be moved in order to allow the occurrence of range of motion for functional activities

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13
Q

Muscular performance

A

The capacity of Muscle to produce tension and do physical work muscle performance encompasses strength power and muscular endurance

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14
Q

Postural control

A

Used interchangeably with static or dynamic balance

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15
Q

Stability

A

The ability of the neuromuscular system through synergistic muscle actions to hold a proximal or just the body segment in a stationary position

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16
Q

What does motor learning involve

A

Acquisition and retention

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17
Q

Cognitive

A

Patient learns to perform safely and correctly they think about how to sequence the movements requires the most verbal cues and done and closed environment

18
Q

Associative

A

Patient requires frequent feedback from therapist and self corrects errors when they occur open environment and dual tasking introduced refine distance timing of exercises and add variations to each skill

19
Q

Autonomous

A

Movements are automatic and patient usually able to do task simultaneously. Requires the least amount of verbal cues. Challenge the environment dual tasking speed etc. most are discharged prior to the stage

20
Q

What are the types of feedback

A

Intrinsic
Extrinsic augmented
Concurrent feedback
Post response terminal feedback

21
Q

Intrinsic feedback

A

Feedback a patient gives themselves comes from them arises from directly performing or attempting a task may happen before or immediately following a task

22
Q

Extrinsic augmented feedback

A

Feedback given to patient from an outside source not supplemental to intrinsic feedback not inherent to task at hand may arise from another person or mechanical source

23
Q

Concurrent feedback

A

Occurs during the performance of a task real-time

There is variable intermittent here regularly random during motor task

There’s constant regularly occurring continuous during motor task

24
Post response
Occurs after completing a task Immediate: given directly after a task is completed Delayed: given after short interval of time had elapsed ( allows patient to reflect on how they did) Summary: info given about the average performance of several reps of motor skills
25
Knowledge of performance
Feed back about the nature/quality of the performance
26
Knowledge of results
Feedback about the outcome of the motor task
27
Frozen shoulder stage one
Characterized by a gradual onset of pain that increases with movement at this present at night loss of external rotation motion with intact rotator cuff strength is common usually last less than three months
28
Frozen shoulder stage 2
Referred to as freezing stage characterized by persistent and more intense pain at rest motion is limited in all directions and cannot believe restore within intra-articular injection usually lasts 3 to 9 months
29
Frozen shoulder stage III
Stage III frozen stage characterized by pain only with movement significant adhesions with limited glenohumeral motions with substitute motions in the scapula atrophy of the deltoid rotator cuff biceps and triceps maybe noted usually last 9 to 15 months
30
Frozen shoulder stage 4
Stage 4 the thawing stage characterized by minimal pain. Significant capsular restrictions from adhesions. Motion may be gradually improve during the stage. The stage last 15 to 24 months or longer. Some patients never regain normal range of motion.
31
Capsular restriction patterns with frozen shoulder
External rotation is the most limited abduction is second-most internal rotation third most flexion is the least limited
32
When do posterior dislocations occur
They occur after indirect trauma with arm add and internal rotation on the outstretched arm
33
What are the resistance precautions associated with total shoulder
Maximum protection phase is 4 to 6 weeks with no resistance Moderate protection phase is 6 to 12 weeks or 16 weeks you can use isometrics and light resistance Minimum protection phase is 12 to 16 weeks pain-free low load and high reps
34
What is medial epicondylitis?
This is also known as golfers elbow and involves the elbow flexors
35
What is lateral epicondylitis?
This is also known as tennis elbow and involves elbow extensors
36
What is the normal carrying angle for men and women
Angle of forearm relative to your body when the anatomical position men are 10° and women are 13°
37
What are mitosis ossification
There caused by severe blunt injury deep contusion surgical exposures and certain fractures Do not perform deep tissue, not thermal agents, no aggressive exercise or passive stretching.
38
What deformities are a result of RA
Boutonnieres deformity,ulnar drift, swan neck and pronation
39
OA
Nonsystematic, asymmetrical, where in tear, degenerative.
40
RA
Systemic, symmetrical, autoimmune, exacerbation and remissions. Cause inflammatory enzyme of synovium
41
Name the three phases of cardiac rehab
Phase 1 acute-care phase 2 outpatient phase 3 home
42
What are the abnormal responses to exercise?
``` Abnormal heart rate increases more than 20 to 30 beats per minutes above resting Heart rate decreases below resting Systolic increased 20 to 30 MMH G SPO2 below prescribed level Systolic decreases less than 10 MMH G ```
43
TEA precautions
Avoid moving or carrying objects Avoid pushing motions for 3 to 4 weeks Do not lift objects with elbow extended Limit repetitive lifting to 1 pound for three months 2 pounds for six months and no more than 5 pounds after six months Never lift more than 10 to 15 pounds in a single left for the rest of your life