For final Flashcards
SAID principle?
Specific Adaption To Imposed Demands
Therapeutic exercise
A systematic, planned performance of bodily movements, postures, or physical activities intended to provide a patient/client with the means to:
- Remediate or prevent impairments
- Improve, restore, or enhance physical function
- Prevent or reduce health-related risk factors
- Optimize overall health status, fitness, or sense of well-being
Types of contractures?
Myostatic
Pseudomyostatic
Arthrogenic
Fibrotic
Myostatic contractrure?
Can it be resolved?
No mm patho, musculotendonous unit has shortened adaptively. (resolvable in shortterm
Pseudomyogenic contracture?
Can it be resolved?
Hypertonicity associated with CNS lesion
Can be caused by mm guarding or pain
Can be resolved with PNF stretch
Arthrogenic contracture?
Can it be resolved?
The result of intra-articular pathology Adhesions, effusion, >synovial fluid, etc.
A periarticular contracture develops if mm crosses the joint lose mobility.
no
Fibrotic contracture?
Can it be resolved?
Fibrous tissues in muscle overdevelop can be fatty,scar, or bone. D/t immobility.
Can be stretched but not to original length
No resolution c/o surgery
Match the terms with their definitions
MRE
Overtraining
Overwork
GTO
Ballistic stretching
Match the terms with their definitions
MRE
Overtraining
Overwork
GTO
Ballistic stretching
MRE
Manual resisted exercise
Externally applied either static or dynalmic
Overtraining
A decline in performance of healthy individiuals in intense exercise routines
Overwork
A progressive decline in already weak persons or persons with neuromuscular conditions
GTO
Golgi tendon organ (near the MMtendonous junctions of extrafusal muscle fibers.
Ballistic stretching
Rapid, forceful, high speed, bouncing stretch
Describe the PNF stretch technique contract-relax. Be thorough!
Step 1. Stretch the muscle in question, hold for 30 sec
step 2. Prompt the patient to push against you as you resist the muscles action, hold for 10 sec.
Step 3. Stretch the muscle again, hold for 30 sec.
This technique affects the golgi tendon organ of the muscle and causes it to relax. The result is that the muscle will stretch further than it would with a normal passive stretch.
Load that exceeds the metabolic capacity of the muscle must be applied for the mm to improve performance is the definition of ____________________.
Overload principal
________________ techniques are manipulative procedures that have evolved out of osteopathic medicine and are designed to lengthen muscle and fascia and to mobilize joints.
MET
The Specific Adaptation to Imposed Demands (SAID) principle relates to?
Specificity of Training
Your patient, Nicegan, has signs of erythema, edema, heat, and pain with palpation. Which phase of injury does she display?
Acute
Another patient, Paul, who happens to enjoy hunting cougars in his spare time, requires stretching to reach functional ROM, strengthening exercises, and the PT is performing joint mobilization. Which phase of injury does this represent?
Chronic
And yet another patient, Shelcy, has much less edema but still has pain at the end of available ROM, heat and mild erythema at the involved joint. The M.D. wants you to be very aggressive with treatment but you’re concerned. You’re concerned because you believe that he is in which phase of injury
Subacute
(not sure) Because she still has some pain and edema but the pain is only at the end of available ROM.
The main focus of the rehab of somebody in the acute stage should be?
The integrity of the surrounding periosteum
The quality of the involved extremity’s joint movement
Controlled Motion
Protect the site/injury from further damage
The integrity of the surrounding periosteum
The quality of the involved extremity’s joint movement
Controlled Motion
Protect the site/injury from further damage—-correct
In which of the following stages of motor learning does augmented feedback have the most positive impact on acquisition of a motor skill?
Associative
Cognitive
External feedback has equal impact in all stages
Autonomous
Associative —–Correct
Cognitive
External feedback has equal impact in all stages
Autonomous
What is the best method for determining the progression of exercise during the subacute stage of healing?
Increase endurance exercises by 3 repetitions each treatment session
Let patient response guide the progression of exercise
Increase strength training by 1 lb each treatment session
Increase range of motion 10 degrees each treatment session
Increase endurance exercises by 3 repetitions each treatment session
Let patient response guide the progression of exercise
Correct
Increase strength training by 1 lb each treatment session
Increase range of motion 10 degrees each treatment session
Which of the following types of active exercises is the most appropriate to use first during the acute phase of healing after a muscle injury?
Submaximal isokinetic concentric exercise at slow velocities
Multiple angle isometrics against manual resistance
Low intensity muscle setting
Active ROM exercises
Submaximal isokinetic concentric exercise at slow velocities
Multiple angle isometrics against manual resistance
Low intensity muscle setting—-correct
Active ROM exercises
Which of the following stages of soft tissue healing is characterized by remodeling and maturation of collagen in the scar?
Late subacute stage
Acute stage
Chronic stage
Early subacute stage
Late subacute stage
Acute stage
Chronic stage—–correct
Early subacute stage
Physical agents may be used in any of the phases of injury – as treatment, or as adjunct to treatment
True
False
True
Which of the following is the main goal for a patient in the chronic phase of injury
Reduce the edema, heat, and pain of the involved area
Keep the injury from developing immature collagen
Do not re-injure the involved area
Increase function, strength, and ROM of the involved extremity
Reduce the edema, heat, and pain of the involved area
Keep the injury from developing immature collagen
Do not re-injure the involved area
Increase function, strength, and ROM of the involved extremity—–Correct
According to the definition of therapeutic exercise and the impact of exercise on the disablement process, which of the following is a correct statement about therapeutic exercise? It can be used to:
Remediate, decrease, or prevent physical impairments and functional limitations
Secondary trauma to the surrounding tissue occurs with which of the following?
Correct!
Subluxation of a joint.
Any subacute phase treatment
Immature formation of collagen fibers
Bursitis and/or tendinitis
Subluxation of a joint. —-Correct
Any subacute phase treatment
Immature formation of collagen fibers
Bursitis and/or tendinitis
Another patient, Kara, who did not volunteer to be in this exam because she doesn’t volunteer anymore, requires stretching to reach functional ROM, is performing strengthening exercises, and the PT is performing joint mobilization. Which phase of injury does this represent and why?
Your Answer:
late subacute/controlled motion
Your Answer:
chronic
Because you only stretch in the chronic/late subacue phases.
Another term for the PNF technique agonist contraction is__________.
Active Stretch
The optimum time frame for holding a stretch is______________.
30 secs
In which of the following stages of motor learning does augmented feedback have the most positive impact on acquisition of a motor skill?
Cognitive
What is the best method for determining the progression of exercise during the subacute stage of healing? Be thorough! What do you use to guide the progression of exercise by your patient?
The best guide is the patient’s feedback. As the patient’s pain and inflammation decrease, the amount of resistance, number of reps, length of stretches, and extent of ROM should increase
; all should progress incrementally and should be backed off if the patient’s pain or inflammation increase.
Which of the following stages of soft tissue healing is characterized by remodeling and maturation of collagen in the scar?
Chronic stage
Your patient develops a contracture as the result of hypertonicity after a traumatic brain injury (TBI). This type of contracture is called a(n)?
Pseudomyostatic
Your patient has significant limitation in right shoulder external rotation. As you perform stretch interventions to improve ROM, you also need to develop strength in which of the following agonists
Subscapularis
Anterior Deltoid
Infraspinatus
Pectoralis Minor
Subscapularis
Anterior Deltoid
Correct!
Infraspinatus
Pectoralis
Safe and effective stretching to increase ROM requires all of the following except:
Proper alignment and patient positioning
Stabilization of the proximal attachment of the mm
Use of gained ROM in active function
Strengthening of the agonist
Proper alignment and patient positioning
Correct Answer
Stabilization of the proximal attachment of the mm
Use of gained ROM in active function
You Answered
Strengthening of the agonist
According to the authors of your text, the suggested number of repetitions for AROM to any given joint is:
5-10
The common substitution pattern for a supine patient performing shoulder internal/external rotation is? Mark all that apply.
Elbow flexion/extension
Scapular elevation
Trunk rotation
Trunk lateral bend
Correct Answer
Elbow flexion/extension
Scapular elevation
Correct Answer
Trunk rotation
Trunk lateral bend
Self feeding requires functional ROM of any of the following motions except:
Shoulder Flexion
Shoulder Abduction
Elbow Flexion
Forearm Pronation
Shoulder Flexion
Correct Answer
Shoulder Abduction
Elbow Flexion
\
You Answered
Forearm Pronation
A patient performing hip abduction exercises with a cuff weight in the supine position is primarily applying resistance force to which of the following muscle groups?
Hip Adductors
Hip Abductors
Hip Flexors
Hip Extensors
Hip Adductors
You Answered
Hip Abductors
Correct Answer
Hip Flexors
Hip Extensors
Laminar flow
Correct Answer Movement where all molecules move parallel to each other. Typically slow movement
Which of the following is the clinical condition characterized by adaptive shortening of skin, fascia, muscle, or joint capsule.
Adhesion
Reflex Muscle Guarding
Sprain
Contracture
Adhesion
Reflex Muscle Guarding
Sprain
Correct!
Contracture
Turbulent Flow
Molecules do not move parallet, faster
Surface tension
membrane, force per length, underwater is faser
Viscosity
Friction btwen molecules slows with resistance
Hydrostatic Pressure
exerted on submessedobjects, equal from all directions
Drag
Combined resistance of turbulance and viscosity
