Final Exam. Flashcards
Range of Motion
3
- Amount of possible movement.
- Type of joint and ligament structure.
- More Permanent
Joint Mobility
ABILITY.. How far can I go today
Intraarticular and Periarticular Factors that limit ROM
Intra - pain, propriaception and cartilage damage
Peri - pain, propriaception and muscular weakness
Goniometer Proper Alignment
2
- Alignment goniometer of pivot to the joint axis and
- Moveable arm on distal and still arm on proximal.
Recording Systems: 2 of them…
- 0-180
- anatomical is 0 and move away from anatomical the # increases.
- Vs… opo recoring where 180 is anatomical
Resistance: know the line of resistance and how to apply pressure.
- Give you resistance directly oposite of the way I want you to pull.
- I give a little les at the beginning and more in the middle and less at the end of movement because of the strength of the muscles at the beginning and end of the motion.
Manual muscle testing:
5 Grading Steps: Names and Definition:
Normal if full range of motion with max resistance
1. Good grade if full ROM moderate resistance 2. Fair grade FULL ROM no resistance 3. Poor is decreased ROM and Grvity only 4. TRACE initiate muscle contraction only 5. Zero no muscle contraction
Assessment: 2 purposes
- Trying to form a baseline.
2. Assess patients current condition to assess correct modality
Information on Patients physical status: four sources:
- Medical record before patient shows up. 2. Ask and talk to patient.
- Do my own eval and come up with my own.
- perception.
Patients Physical status: Know 9 Factors
I have ten…
- Injury status
- surgical results
- Muscular
- mobility
- atrophy
- neurological
- posture
- emotional state
- psychological
- fitness
Four Phase Rehab Program:
each phase has these 3 things and tells us if the patient completed the phase and move on.
Four Phase Rehab Program 3 steps:
- Tells you if the person is in the phase or not, like where they fit.
- Objectives and what we r trying to accomplish.
- Tells us when we can move on and progress for the criteria.
Passive Exercise: Def
Def. Move a joint and there is no muscle contraction.. Someone moves it for you
Passive Exercise Types and purposes
4
- relaxed; maintain ROM
- maintaining for range of motion - FORCED: move joint past point of tension
- purpose to break up scar tissue.
Active Exercise: DEF.
Do it with muscle contraction
Active Exercise: 3 Types
- Assisted where they try hard and we assist in the ROM.
- FREE: exercise with their own body weight and gravity.
- RESISTED: exercise with body weight and more than gravity.
Active Exercise: Therapeutic Exercises
4
- -isometric (joint angle and muscle length do not change during contraction) EX:Plank
- -isotonic (is a form of muscle training where the muscle contracts and shortens) EX:BENCH
- -accommodating (variable level of resistance)
- -isokinetic (a form of muscle training performed at a constant speed and performed against a variabe resistance)
Open vs. Closed Kinetic Chain exercises:
- OPEN: Distal segment is mobile and not fixed… ex leg extension machineVS…
- CLOSED: distal segment is fixed. ex standing squat..
Hydrodynamic Exercises: DEF and Therapeutic indications
2
- Exercise in the pool..
2. Resistance I get while moving in water. THERAPEUTIC Indications know 3 (TAY)
Hyrdrostatic Forces: Definition
Pressures in the water that is stationary in the water
Hydrostatic Forces: Archenemies Principle:
When u hop in water your body displaces the water, so you fit in it. And water pushes back at you with forces to get you back up.
Hydrostatic Forces: Specific Gravity
2
- know those last 2 Ration of weight of an object.
2. Like what sinks and what floats.
Hydrostatic Forces:Effects on Patients weight:
muscle dense and tends to sink while fat floats
Hydrodynamic Forces: Definition
Forces that work on a body in motion in water
Hydrodynamic Forces: Viscosity
speed of movement effects thats faster you go the more force
hydrodynamic Forces: Factors that effect movement
2
- size and form of the body surface;
2. in the form on the travel thru the water makes a difference.
Neuromuscular Re-Education: Definition
Voluntary control of muscles