Final review-Melissas Flashcards

1
Q

Understand the Nagi Model and how to apply it. k/c chap 1

example of

Pathology

A

sprained ankle;

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2
Q

Understand the Nagi Model and how to apply it. k/c chap 1

example of

impairment

A

swelling, pain, delayed motor response;

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3
Q

Understand the Nagi Model and how to apply it. k/c chap 1

example

functional limitation (box- 1.4k/c)

A

problems with reaching and grasping, rolling, sitting, ascending/descending stairs;

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4
Q

Understand the Nagi Model and how to apply it. k/c chap 1
example

Disability

A

problems with self-care, occupational tasks, caring for dep, socializing.

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5
Q

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.

A

Contracture

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6
Q

If pt has shortened elbow flexors and cannot fully EXTEND they are said to have an

A

ELBOW FLEXION contracture

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7
Q

When pt cannot fully ABD the leg because of shortened ADD of the hip they are said to have an

A

ADD contracture of the hip.

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8
Q

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

A

tightness

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9
Q

Know the terms as listed in Objective 4

permanent loss of extensibility of soft tissues that cannot be reversed by nonsurgical interventions

A

Irreversible contracture

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10
Q

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.

A

Overstretching

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11
Q

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

A

Selective stretching

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12
Q

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.

A

Passive stretch

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13
Q

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

A

active inhibition

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14
Q

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)

A

tight weakness/stretch weakness

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15
Q

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?

A

stretch the concave,

strengthen the convex

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16
Q

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.

A

extrinsic

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17
Q

Know and understand the aspects of physical function

Balance

A

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.

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18
Q

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.

A

Cardiopulmonary fitness

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19
Q

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.

A

Coordination

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20
Q

Know and understand the aspects of physical function

the ability to move freely, without restrictions; mobility

A

Flexibility

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21
Q

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

A

Mobility

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22
Q

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

A

Mobility

23
Q

Know and understand the aspects of physical function

the capacity of muscle to produce tension and do physical work (strength, power, and endurance)

A

Muscle performance

24
Q

Know and understand the aspects of physical function

the interaction of the sensory and motor systems

A
25
Q

used interchangeably with static or dynamic balance.

A

Postural control ,

postural stability,

equilibrium

26
Q

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.

A

Stability

27
Q

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.

A

Knowledge of performance

28
Q

immediate, post task, augmented feedback about the outcome of a motor task.

A

Knowledge of results

29
Q

– from all the sensory systems of the pt and happens with during or after a task is performed.

A

Intrinsic feedback

30
Q

(extrinsic) – feedback given by PT either during or at the end of performance of task.

A

Augmented feedback

31
Q

during task “real time “feedback

A

Concurrent

32
Q

after completing a task.

A

Postresponse

33
Q

directly after task

A

Immediate

34
Q

a short time after task, giving pt time to reflect on performance

A

Delayed

35
Q

info given about the average performance of several reps

A

Summary Postresponse

36
Q

a response that occurs irregularly

A

Variable

37
Q

A response that occurs regularly

A

Constant

38
Q

what are the 4 stages of adhesive capsulitis

A

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

39
Q

what stage of adhesive capsulitis is

min pain, significant cap restrictions from adhesions, 15-24 months

A

Stage 4- thawing stage

40
Q

What stage of adhesive capsulitis?

pain that increases with movement and present at night, loss of ER and usually lasts less than 3 months

A

Stage 1 - Primary stage

41
Q

what stage of adhesive capsulitis is

persistent and more intense pain even at rest, motion is LIMITED IN ALL DIRECTIONS, 3-9 months.

A

Stage 2 - freezing stage

42
Q

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.

A

stage 3- frozen stage

43
Q

characterized by decreased shoulder ROM, pain, inflam, fibrous synovial adhesions, and reduction of the jt cavity.

A

adhesive capsulitis- also called frozen shoulder

44
Q

adhesive capsulitis and the capsular restriction pattern??

A

Greatest loss - ER

moderate loss- ABD

mininmal loss- IR

45
Q

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.

A

Anterior dislocation

46
Q

a compression fracture of the posterior aspect of the humeral head

A

hill – sachs lesion

47
Q

avulsion of the capsule and glenoid labrum off the anterior rim of the glenoid

A

bankart lesion

48
Q

Describe education that may be provided following a GH manipulation under anesthesia

A
  • Arm is elevated overhead in ABD and ER during inflamm stage
  • Sleep with arm in ABD for up to 3 weeks
49
Q

Describe resistance precautions associated with total shoulder arthroplasty and how to treat

k/c 558

A
  1. short frequent X
  2. low number of reps
  3. passive or assitvie ROM in safe range NO END RANGE STRETCHING
  4. avoid excessive stress to anterior capsule
  5. non hyperextension of horz abd ( beyone neutral)
  6. NO combo of ext, add, and IR
  7. for pulley - face the the doorway
  8. trunk erect during Passive or assisted elevation of arm sitting or standing
  9. no active, antigravity, dynamic shoulder exercises, particularly IR
50
Q

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

A

carrying angle

51
Q

carrying angle for women

A

13* valgus

52
Q

carrying angle for men

A

10* valgus

53
Q
A