Final review-Melissas Flashcards
Understand the Nagi Model and how to apply it. k/c chap 1
example of
Pathology
sprained ankle;
Understand the Nagi Model and how to apply it. k/c chap 1
example of
impairment
swelling, pain, delayed motor response;
Understand the Nagi Model and how to apply it. k/c chap 1
example
functional limitation (box- 1.4k/c)
problems with reaching and grasping, rolling, sitting, ascending/descending stairs;
Understand the Nagi Model and how to apply it. k/c chap 1
example
Disability
problems with self-care, occupational tasks, caring for dep, socializing.
Know the terms as listed in Objective 4
adaptive shortening of muscle-tendon unit and other soft tissues that cross or surround a jt, resulting in sig resistance to passive and active stretch and limitation of ROM.
Contracture
If pt has shortened elbow flexors and cannot fully EXTEND they are said to have an
ELBOW FLEXION contracture
When pt cannot fully ABD the leg because of shortened ADD of the hip they are said to have an
ADD contracture of the hip.
Know the terms as listed in Objective 4
restricted motion due to adaptive shortening of soft tissue despite its comon usage in the clinical and fitness settings to describe mild mm shortening
tightness
Know the terms as listed in Objective 4
permanent loss of extensibility of soft tissues that cannot be reversed by nonsurgical interventions
Irreversible contracture
Know the terms as listed in Objective 4
a stretch well beyond the normal length of muscle and ROM of a jt and the surrounding soft tissue, resulting in hypermobility.
Overstretching
Know the terms as listed in Objective 4
stretching of selective muscle and jts but allowing limitation of motion to develop in other muscles and jts
Selective stretching
Know the terms as listed in Objective 4
a sustained or intermittent external, end-range stretch force, applied with overpressure and by manual contact or a mechanical device, elongates a shortened muscle- tendon unit and perpendicular connective tissue by moving a restricted jt just past available ROM when the pt is relaxed.
Passive stretch
Know the terms as listed in Objective 4
a type of stretching exercise in which there is reflex inhibition and subsequent elongation of the contractile elements of muscles
active inhibition
Know and understand how posture can affect muscle length/tension relationship and how to treat the noted dysfunctions
strengthen the stretch weakness and stretch the tight weakness (then strengthen)
tight weakness/stretch weakness
Know and understand how posture can affect muscle length/tension relationship and how to treat the noted dysfunctions
for scolosis you stretch what and strengthen what?
stretch the concave,
strengthen the convex
Know and understand how posture can affect muscle length/tension relationship and how to treat the noted dysfunctions
wrist/hand – the position of the wrist controls the length of the________muscles of the hand.
extrinsic
Know and understand the aspects of physical function
Balance
the ability to align the body segments against gravity to maintain or move the body within the available base of support without falling; the ability to move the body in equilibrium with gravity via intersection of the sensory and motor systems.
Know and understand the aspects of physical function
the ability to perform mod to intense, repetitive total body movements over an extended period of time. * Also called cardiopulmonary endurance.
Cardiopulmonary fitness
Know and understand the aspects of physical function
the correct timing and sequencing of muscle firing combined with the appropriate intensity of muscular contractions leading to the effective initiation, guiding, and grading of movement.
Coordination
Know and understand the aspects of physical function
the ability to move freely, without restrictions; mobility
Flexibility
Know and understand the aspects of physical function
the ability of structures or segments of the body to move or be moved in order to allow the occurrence of the ROM for functional activities
Mobility
Know and understand the aspects of physical function
the ability of structures or segments of the body to move or be moved in order to allow the occurrence of the ROM for functional activities
Mobility
Know and understand the aspects of physical function
the capacity of muscle to produce tension and do physical work (strength, power, and endurance)
Muscle performance
Know and understand the aspects of physical function
the interaction of the sensory and motor systems
used interchangeably with static or dynamic balance.
Postural control ,
postural stability,
equilibrium
the ability of the neuromuscular system through synergistic muscle actions to hold a proximal or distal body segment in a stationary position or to control a stable base during superimposed movement.
Stability
intrinsic sensed during task or extrinsic an ongoing usually verbal about the quality of the pt’s performance, such as posture or knee control during weight shifting activities.
Knowledge of performance
immediate, post task, augmented feedback about the outcome of a motor task.
Knowledge of results
– from all the sensory systems of the pt and happens with during or after a task is performed.
Intrinsic feedback
(extrinsic) – feedback given by PT either during or at the end of performance of task.
Augmented feedback
during task “real time “feedback
Concurrent
after completing a task.
Postresponse
directly after task
Immediate
a short time after task, giving pt time to reflect on performance
Delayed
info given about the average performance of several reps
Summary Postresponse
a response that occurs irregularly
Variable
A response that occurs regularly
Constant
what are the 4 stages of adhesive capsulitis
Stage 1 – “Primary stage” pain that increases with movement and present at night, loss of ER and usually lasts less than 3 months
Stage 2 – freezing stage, persistent and more intense pain even at rest, motion is LIMITED IN ALL DIRECTIONS, 3-9 months.
Stage 3 – frozen stage, pain only with movement, significant adhesions, and limited GH motions with substitute motions of the scap. Atrophy of the deltoid, rotator cuff, biceps, and tricps, 9-15 months.
Stage 4 – thawing stage, min pain, significant cap restrictions from adhesions, 15-24 months
what stage of adhesive capsulitis is
min pain, significant cap restrictions from adhesions, 15-24 months
Stage 4- thawing stage
What stage of adhesive capsulitis?
pain that increases with movement and present at night, loss of ER and usually lasts less than 3 months
Stage 1 - Primary stage
what stage of adhesive capsulitis is
persistent and more intense pain even at rest, motion is LIMITED IN ALL DIRECTIONS, 3-9 months.
Stage 2 - freezing stage
what stage of adhesive capsulitis is ?
pain only with movement, significant adhesions, and limited GH motions with substitute motions of the scap. Atrophy of the deltoid, rotator cuff, biceps, and tricps, 9-15 months.
stage 3- frozen stage
characterized by decreased shoulder ROM, pain, inflam, fibrous synovial adhesions, and reduction of the jt cavity.
adhesive capsulitis- also called frozen shoulder
adhesive capsulitis and the capsular restriction pattern??
Greatest loss - ER
moderate loss- ABD
mininmal loss- IR
posterior force while the humerus is in a position of elevation, ER, and horizontal ABD.
Usually associate with complete rotator cuff rupture, can also have fracture, neurological or vascular injuries. Axillary nerve is most commonly injured.
Anterior dislocation
a compression fracture of the posterior aspect of the humeral head
hill – sachs lesion
avulsion of the capsule and glenoid labrum off the anterior rim of the glenoid
bankart lesion
Describe education that may be provided following a GH manipulation under anesthesia
- Arm is elevated overhead in ABD and ER during inflamm stage
- Sleep with arm in ABD for up to 3 weeks
Describe resistance precautions associated with total shoulder arthroplasty and how to treat
k/c 558
- short frequent X
- low number of reps
- passive or assitvie ROM in safe range NO END RANGE STRETCHING
- avoid excessive stress to anterior capsule
- non hyperextension of horz abd ( beyone neutral)
- NO combo of ext, add, and IR
- for pulley - face the the doorway
- trunk erect during Passive or assisted elevation of arm sitting or standing
- no active, antigravity, dynamic shoulder exercises, particularly IR
Formed by between the intersection of the long axis of the humerus and the axis of the ulna, with the elbow jt in full extension
carrying angle
carrying angle for women
13* valgus
carrying angle for men
10* valgus
