Final: Geriatric Patient Lab Flashcards
What is the most common MSK complaint of elderly?
Lumbosacral pain
-loss of muscle mass->decrease strength/stamina->pain
How do you assess for fall risk?
Get Up and Go Test
->12s means fall risk
Do old people prefer direct or indirect?
Indirect
Whats the first step in FPR?
Flatten the curve!
-then add compression and localize indirect
Whats the first step in Stills?
Localize to indirect
-then compress/traction and move into RB
LE extension=lumbar ____ E/F?
Extension
So LE F=Lumbar F
Which way would you lumbar sidebend with R LE ABduction?
To the R
Which way would you lumbar sidebend with R LE ADduction?
To the L
Right lower extremity internal rotation rotates the lumber to the..?
Left
-imagine it going the same direction as your knee cap
Right lower extremity external rotation rotates the lumbar to the..?
Right
-imagine it going the same direction as your knee cap
Prone Neutral Lumbar FPR (opposite letter)
Pt prone, doc contra to PTP
- Flatten the curve with pillow under stomach
- Compress with LE
- Slight E and IR contra leg
- ABduct contra leg
Prone Extended Lumbar FPR (same letter)
Pt prone, doc contra to PTP
- Flatten the curve with pillow under stomach
- Compress with LE
- Slight E and IR contra leg
- ADduct contra leg
Prone Flexed Lumbar FPR
Pt prone, doc ipsi to PTP
- Flatten the curve with pillow under stomach
- Compress with LE (knee off table!)
- Slight F and ER contra leg
- ABduct ipsi
Right Superior Pubic Shear Tx (FPR and Still’s)
Flex and compress R knee
Gentle ADduct and ER the LE
–superior motion at pubs
FPR hold for 3-5s
Stills IR to direct barrier
Right Inferior Pubic Shear Tx (FPR and Still’s)
Flex and compress R knee
Gentle ADduct and IR the Right LE
–inferior motion at pubs
FPR hold for 3-5s
Stills ER to direct barrier
Supine Innominate Shear Treatment (FPR and Still’s)
ER and abduct LE to gap SI Joint
-add compression through foot
FPR hold for 3-5
Stills IR while applying traction
How do you do a simplified sacral motion exam?
Pt is prone, Pillow is placed under abdomen
-direct cephalad force at ILA simultaneously
What is a positive test for the simplified sacral motion exam?
(+)=Diminished cephalad motion
-restriction at one side or other
Prone Sacral FPR Tx
Stand Ipsi to Restricted Side
- Flatten curve w pillow
- Flex ipsi leg off table w knee extended until ILA moves posterior
- Slight abduction at hip and fine tune w IR/ER
- Compress through ILA
- Hold 3-5s
How does exercise benefit elderly?
Most efficient lymph pump Sym/Psym balance Proper perfusion of joints Maintians neuroplasticity Encourages bowel movements
Sitting is the new smoking!
What is an attainable goal for elderly?
150 mins of moderate intensity per week
-start at 5-10 if needed
Swimming, walking, or other low impact
What muscles does the trendeleburg test, test?
Your abductors (gluts)
Which way does your hips dip during a trendelenberg gait?
Will fall away from pathologic side
Will raise toward pathologic side
What are some great exercises to strengthen your gluts?
Body weight stuff with chair
Back Bridge
Clamshell
