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Ther Ex 1 > Final Greatest Hits > Flashcards

Final Greatest Hits Flashcards

1
Q

which domain should always be improved/worked on first in post-op rehab?

A

ROM!!

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2
Q

internal plates are stress ____

A

shielding

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3
Q

which fixations are stress sharing?

A

screws
pins
rods
casts
wires
external fixators
nails

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4
Q

can WB be done with plates or stress shielding devices?

A

NO

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5
Q

what is the best WB protocol for stress sharing devices?

A

early WB helps with callous formation

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6
Q

absolute stability is required for ____ fracture healing

A

primary

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7
Q

when is PEACE used? what is it?

A

immediately after soft tissue injury
Protection
Elevation
Avoid anti-inflammatories
Compression
Education

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8
Q

when is LOVE used? what is it?

A

a few days after soft tissue injury
Load
Optimism
Vascularization
Exercise

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9
Q

how long does a tendon take to heal?

A

3-7 weeks

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10
Q

how long does tendonitis take to heal?

A

3-4 weeks to 5-7 weeks

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11
Q

how long does tendon laceration take to heal?

A

5-7 weeks to 3-6 months

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12
Q

how long does an exercise induced muscle injury take to heal?

A

0-3 days

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13
Q

how long does a grade 1 muscle strain take to heal?

A

0-14 days

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14
Q

how long does a grade 2 muscle strain take to heal?

A

4 days - 3 months

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15
Q

how long does a grade 3 muscle strain take to heal?

A

4 days - 3 months

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16
Q

how long does a bone injury take to heal?

A

5 weeks - 3 months

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17
Q

how long does an articular cartilage repair take to heal?

A

2 months - 2 years

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18
Q

how long does a grade 1 ligament injury take to heal?

A

0-3 days

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19
Q

how long does a grade 2 ligament injury take to heal?

A

3 weeks - 6 months

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20
Q

how long does a grade 3 ligament injury take to heal?

A

5 weeks - 1 year

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21
Q

stage 1 ACL ligamentation

A

acute inflamation
0-2 months

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22
Q

when does avascular necrosis occur after ACL repair?

A

0-3 weeks

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23
Q

when does revascularization occur after an ACL repair?

A

6-8 weeks

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24
Q

stage 2 ACL Ligamentation

A

rapid remodeling
2-10 months
increase collagen, cellularity, vascularity

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25
when is the risk for ACL retear occurs when?
~12 weeks
26
stage 3 ACL ligamentation
maturation 10-36 months cellular and metabolic activity decrease
27
Criteria for full ambulation (phase I ACL rehab)
≥ 0 degrees knee extension 90 degrees knee flexion ≥ 30 SLR without lag Minimal effusion, pain, symmetrical gait without a limp MD or PT approval
28
Criteria for jogging (phase 2 ACL rehab)
Pain less than 3/10 (worst) Within 2 degrees normal knee extension 120 degrees knee flexion Quadriceps and hamstring strength ≥ 60% normal < 4cm deficit on single-leg squat (anterior reach) at least 1 min of single leg squats MD or PT approval
29
Criteria for heavy agility (phase 3 ACL rehab)
Pain less than 2/10 (worst) Quadriceps and hamstring strength ≥ 80% normal ≥ 50% H/Q ratio female at least 3 mins single leg squats (resisted) ≤ 5 on landing error scoring system (less) MD or PT approval
30
PCL rehab recommendations
closed kinetic chain exercises immediately after hamstring strengthening delay 6-12 weeks
31
what is the optimal length for a LE residual limb (AKA)?
long femur
32
post-op precautions for mastectomy
no shoulder elevation past 90 PROM only avoid static dependent position elevate arm 30 deg supine
33
contraindications for post-op mastectomy
ultrasound e-stim HEAT!! aggressive exercise aggressive manual
34
what to avoid in first 2 weeks of post-op mastectomy?
lifting arm above shoulder height lifting or pushing with involved arm lifting >5 lbs. push up from bed or push open door pulling towards the body with involved arm
35
how many degrees does the temperature increase with mild thermal US?
1 degree
36
how many degrees does the temperature increase with moderate thermal US?
2 degrees
37
how many degrees does the temperature increase with vigorous thermal US?
4 degrees
38
which balance system has the fastest processing time?
somatosensory
39
list the balance systems in order of fastest processing time to slowest
somatosensory visual vestibular
40
how many degrees of A/P sway
12 deg
41
how many degrees of M/L sway
16 deg
42
where is the COM?
S2
43
what moves in static balance?
COM only
44
what systems contribute to balance?
MSK reactive mechanisms anticipatory mechanisms (internal) proactive mechanisms (external) sensory systems neuromuscular synergies
45
where are the hips in relation to the ankles when standing?
hips in front of ankles
46
where are the hips in relation to the shoulders when sitting?
shoulder over hips
47
what is muscle tone?
force with which muscles resist
48
what is postural tone?
antigravity muscles
49
what are the 3 components of balance?
vision vestibular proprioceptive (somatosensory)
50
what does the semicircular canals detect?
angular acceleration
51
what do the otolith organs detect?
linear acceleration head position with respect to gravity
52
what brain areas contribute the most to balance?
cerebellum basal ganglia supplementary motor area
53
what is the motor control model?
individual + task + environment = motor control
54
T/F: balance cannot be trained in isolation.
T
55
heat and cold contraindications
- Acute and early subacute traumatic and inflammatory conditions - Decreased circulation - Decreased sensation - DVT - Impaired cognitive function - Malignant tumors - Tendency towards hemorrhage or edema - Very young - Elderly
56
iontophoresis dosing
dose 40 intensity 4 or 2 time 10 mins or 20 mins
57
cathode is - or +?
negative
58
anode is - or +?
+
59
ion movement is affected by ____
current density
60
which meds are negative for iontophoresis?
acetate dexamethasone
61
which meds are positive for iontophoresis?
lidocaine
62
is iontophoresis DC or AC?
DC
63
where do you put the meds for iontophoresis?
on the same charged electrode
64
what does biofeedback mainly measure?
motor unit of action potentials generated by muscles
65
what other things does biofeedback measure?
skin temp skin conductance vasocontraction or pulse EMG activity ** pressure **
66
where to place electrodes for EMG biofeedback
parallel
67
what are the contraindications for biofeedback?
NONE
68
what are yellow flags?
emotions behaviors family work compensation

Ther Ex 1 (7 decks)

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