Foundational Concepts Flashcards

1
Q

Common reasons people seek physical therapy?

A

prevention and wellness-to improve overall level of fitness
movement disorders-caused by injury, disease or health-related conditions
physical impairments-^

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2
Q

systematic planned performance of bodily movements, postures, or physical activities

A

therapeutic exercise

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3
Q

what must all therapeutic exercises programs be?

A

INDIVIDUALIZED

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4
Q

goals of a therapeutic exercise program

A

prevent or improve impairments
enhance physical function
prevent or reduce health-related risk factors
improve overall health

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5
Q

the ability to maintain or move the body against gravity within the available BOS without falling

A

balance

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6
Q

the ability to perform moderate intensity, repetitive, total body movements over an extended period of time (walking, biking)

A

cardio-pulmonary fitness

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7
Q

performing effective, guided, graded movements using the proper timing and sequencing of muscle firing and contraction intensity

A

coordination

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8
Q

the ability to move freely without restrictions

A

flexibility

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9
Q

the ability of the body (or body parts) to move to allow ROM for function activities

A

mobility

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10
Q

the capacity of muscles to produce tension to do physical work

A

muscle performance

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11
Q

the interaction of the sensory and motor systems to control the body in response to proprioceptive or kinesthetic information

A

neuromuscular control

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12
Q

static balance

A

no moving

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13
Q

dynamic balance

A

moving (reaching outside the BOS)

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14
Q

the ability of the neuromuscular system to hold a body segment in a stationary position against resistance

A

stability

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15
Q

who are the first people we need to ensure safety of?

A

the patient and the therapist

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16
Q

factors influencing patient safety during exercise

A
health history
current health status
tolerance to physical exertion
meds
environment
accuracy in which the ex's are performed
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17
Q

teaching the patient to do something and then having them be able to do it on their own (eventually)

A

motor learning

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18
Q

involves acquisition of the ability to carry out a skill

A

performance

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19
Q

involves acquisition and retention

A

learning

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20
Q

discrete skill

A

has a beginning and end and it is more important to grasp these ideas
ex: lifting and lowering a weight, kicking a ball, doing a push up

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21
Q

serial task

A

made up of a series of discrete movements combined in a particular sequence
ex: eating with a fork, pitching, getting dressed

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22
Q

continuous task

A

repetitive, uniterrupted movements that have no distant beginning or ending
ex: walking, cycling, swimming

23
Q

cognitive stage

A

when the patient is learning how to do the motor task safely and correctly
frequent feedback is needed

24
Q

associative stage

A

patient is concentrating on fine tuning the motor task and should be able to self correct

25
Q

autonomous stage

A

movements are automatic for the patient and there is little to no instruction needed

26
Q

variables effecting motor learning

A

prepractice
practice
feedback

27
Q

pre-practice

A

the patients understanding of the purpose of the exercise, their interest, their attention

28
Q

practice

A

repeatedly performing a movement or series of movements in a task

29
Q

Practice: Part vs. Whole

A

Discrete vs. Serial - some patients may do better if you teach them the serial task at the beginning and some may learn better if you teach them the discrete task at the beginning

30
Q

Practice: Blocked

A

segment by segment (you have to perfect this before you can do this - muscle memory)

31
Q

Practice: Random

A

learn the discrete tasks regardless of what sequence it occurs in - more adaptability

32
Q

Feedback

A

intrinsic - the patient themselves

augmented - the therapist

33
Q

knowledge of performance vs. knowledge of results

A

how well you did the specific task vs. how am i doing with my end goal

34
Q

variables affecting adherance

A

pts characteristics
pts health condition or impairments
program related variables

35
Q

inflammation of a joint

A

arthritis

36
Q

limitation of a joint without inflammation

A

arthrosis

37
Q

characteristics of RA

A
periods of exacerbation and remission
morning stiffness in and around the joints lasting at least 1 hr before maximal improvement
at least 3 joint areas
swelling in the wrist, MCP, or PIP joints
symmetrical arthritis
rheumatoid nodules
serum rheumatoid factor
radiographic changes including erosions
(must have at least 4 of 7)
38
Q

characteristics of OA

A

chronic degenerative disease disorder mainly affecting articular cartilage of synovial joints

pain at rest
stiffness after inactivity
pain with mechanical stress of excessive activity

39
Q

a chronic condition characterized by widespread pain that covers half the body and lasts for more than 3 months

A

fibromyalgia (rule out disease)

40
Q

characteristics of FM

A
11 of 18 tender points
poor sleep
morning stiffness
no referred patterns of pain
fatigue
41
Q

myofascial pain syndrome

A

chronic regional pain

42
Q

characteristics of myfascial pain syndrome

A

trigger points in muscle
referred patterns of pain
tight band of muscles

43
Q

disease of the bone that leaves to decreased mineral content and weakening of the bone
80% are females

A

osteoporosis

44
Q

fractures are identified by:

A
site
extent
configuration
relationship of the fragments
relationship to the environment
complications
45
Q

children with fractures heal within:

A

4-6 weeks

46
Q

adolescents with fractures heal within:

A

6-8 weeks

47
Q

adults with fractures heal within:

A

10-18 weeks

48
Q

bone healing following a fracture goes in this order:

A

inflammation
soft callus
hard callus
remodeling

49
Q

Grade 1 Tissue Injury

A

mild pain within 1st 24 hours

mild swelling, local tenderness, and pain when tissue is stressed

50
Q

Grade 2 Tissue Injury

A

mod pain that requires stopping activity
stress and palpation of tissue greatly increase pain
results in increased joint mobility in ligamentous injury

51
Q

Grade 3 Tissue Injury

A

near complete tissue tear or avulsion with severe pain

stress to tissue is usually painless

52
Q

Acute Stage of tissue response

A

day 1-6
movement is painful during ROM
inflammed
involves cellular, vascular, and chemical responses in the tissue
during 1st 48 hours vascular changes predominate

53
Q

Subacute Stage of tissue response

A

days 3-20, may last up to 6 weeks
pain at the end of available ROM
inflammation begins to decrease
repair begins

54
Q

Chronic Stage of tissue Response

A

may last 6 months to a year; usually day 9 and on
maturation and remodeling of tissue
a lot of fibroblasts at this stage