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Intro to Clinics > Gait and Function Assessment of Other Systems > Flashcards

Gait and Function Assessment of Other Systems Flashcards

1
Q

Beginning of stance when heel or some other portion of the foot contacts the ground

A

Initial contact

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2
Q

Body weight rapidly loads onto lead limb from trailing limb

A

Loading response

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3
Q

Trunk continues forward progression relative to foot. Heel rises from ground and limb achieves trailing limb posture

A

Terminal stance

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4
Q

Body weight unloads from the reference limb and reference limb prepares for swing

A

Pre-swing

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5
Q

Starts when the reference foot lifts from the ground. Hip, knee, and ankle rapidly flex for clearance and advancement during this initial 1/3 of swing

A

Initial swing

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6
Q

Thigh continues to advance, knee gegins to extend, and ankle is achieving neutral posture

A

Mid swing

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7
Q

Knee achieves maximal extension and ankle remains at neutral in preparation for initial contact

A

Terminal swing

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8
Q

6 determinants of gait

A

pelvic rot in horizontal plane
pelvic tilt in frontal plane
early knee flexion
weight transfer from heel to flat foot
late knee flexion in last part of stance phase
lateral displacement of pelvis toward the stance limb

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9
Q

angle of foot placement with respect to line progression

A

foot angle

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10
Q

length of time that a person can stand upright in the parallel bars bearing weight on both extremities

A

Bilateral stance time

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11
Q

length of time that a person can stand in upright parallel bars bearing weight on the uninvolved extremity

A

Uninvolved stance time

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12
Q

length of time that a person can stand in upright parallel bars bearing weight on the involved extremity

A

Involved stance time

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13
Q

The rate at which an individual in the parallel bars can transfer weight from one extremity to the other

A

Dynamic weight transfer rate

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14
Q

Length of time required for an individual to walk the length the of the parallel bars

A

parallel bar amputation

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15
Q

Scoring in FIST

A

0 to 4

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16
Q

0 in FIST

A

Dependent

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17
Q

1 in FIST

A

needs assistance

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18
Q

2 in FIST

A

UE support

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19
Q

3 in FIST

A

Needs verbal cues

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20
Q

4 in FIST

A

Independent

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21
Q

Walks for exercise only

A

physiological walkers

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22
Q

relies on walking to some extent for home activities. requires assistance for some activities and ues a w/c

A

limited household walker

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23
Q

able to walk for all household activities w/o reliance on w/c

A

unlimited household walker

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24
Q

enters and leaves home independently and can ascend and descend a curb independently

A

most-limited community walker

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25
Q

independence in stair management

A

least-limited community walker

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26
Q

can accept crowds and uneven terrains

A

community walker

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27
Q

scoring in Functional Independence Measure for no helper(FIM)

A

5-7

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28
Q

no. of items in FIM

A

18

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29
Q

7 in FIM ( no helper)

A

Complete independence; walks a min of 150 ft c no AD

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30
Q

6 in FIM (no helper)

A

Modified independence; walks a minimum of 150 ft but uses AD

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31
Q

5 in FIM (no helper)

A

Exception; subject walks 50 ft indep c/s AD

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32
Q

scoring in Functional Independence Measure for helper(FIM)

A

1-5

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33
Q

5 in FIM (helper)

A

supervision; subject requires supervision, cueing, or coaxing

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34
Q

4 in FIM (helper)

A

minimal contact assistance; subject performs 75% of the locomotion effort

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35
Q

3 in FIM (helper)

A

moderate assistance; subject performs 50-74% of locomotion effort

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36
Q

2 in FIM (helper)

A

maximal assistance; subject performs 25-49% of locomotion effort

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37
Q

1 in FIM (helper)

A

total assistance; subject performs less than 20%

38
Q

Prior level of function and current level of function assessment tool

A

Outcome and Assessment Information Tool Set(Oasis)

39
Q

An assessment composed of 13 functional tasks

A

CAHAI

40
Q

Tests the skin’s elasticity

A

skin turgor test

41
Q

bluish-gray discoloration of the skin

A

Cyanosis

42
Q

Caused by hypoxia and results in color changes in the central aspect of the body

A

Central cyanosis

43
Q

Caused by hypoxia and results in color changes in the nail beds and lips

A

Peripheral cyanosis

44
Q

Caused by bruising and may be seen anywhere on the body

A

Ecchymosis

45
Q

Reddened area of the skin

A

Erythema

46
Q

Diffuse redness of face

A

Flushing

47
Q

Caused by impaired liver function, the skin takes on a yellow-orange hue

A

Jaundice

48
Q

The skin takes on a lighter tone

A

Pallor

49
Q

Tiny red or purple hemorrhagic spots

A

Petechiae

50
Q

ABCDE of skin lesion

A

Asymmetry
Border
Color
Diameter
Evolving

51
Q

Pressure ulcer stage I

A

skin changes are observable

52
Q

Pressure ulcer stage II (partial-thickness)

A

epidermis and dermis are damaged; ulcer is superficial and presents as blister/abrasion

53
Q

Pressure ulcer stage III (full-thickness skin loss)

A

damage through the subcutaneous tissue; appears as a deep crater

54
Q

Pressure ulcer stage IV

A

involvement of muscle, bone, tendon, and joint capsule

55
Q

Erythematous, pink, or red and presents with no blisters and a dry surface. There is delayed pain or tenderness

A

Epidermal burns

56
Q

Bright pink or red in color and has brisk capillary refill; presents c intact blisters and is very painful to various changes

A

Superficial partial-thickness

57
Q

Mixy red, waxy white in color and has slow capillary refill; presents with broken blisters and a wet surface

A

Deep partial-thickness

58
Q

White, charred, or tan in color and has poor distal circulation; presents with parchment-like and leathery skin

A

Full thickness

59
Q

Charred in color and subcutaneous tissue damage is evident

A

Subdermal

60
Q

Rule of nines head percentage

A

4.5%

61
Q

Rule of nines arms percentage

A

4.5%

62
Q

Rule of nines trunk percentage

A

18%

63
Q

Rule of nines genitalia percentage

A

1%

64
Q

Rule of nines legs percentage

A

9%

65
Q

Mild s/sx of dehydration

A

thirst
dry mouth, dry lips

66
Q

Moderate s/sx of dehydration

A

very dry mouth
sunken eyes
poor skin turgor
postural hypotension

67
Q

severe s/sx of dehydration

A

all signs of mod dehydration
rapid, weak pulse
confusion
cold hands and feet

68
Q

indication of <0.2 ankle brachial index reading

A

ischemic/gangrenous extremity

69
Q

indication of <0.5 ankle brachial index reading

A

severe peripheral arterial occlusive dse

70
Q

indication of 0.5-0.8 ankle brachial index reading

A

moderate PAOD

71
Q

indication of 0.8-0.9 ankle brachial index reading

A

mild PAOD

72
Q

indication of 1.0-1.3 ankle brachial index reading

A

normal

73
Q

s/sx of early shock

A

restlessness
tachycardia
rapid pulse
thirst, nausea, vomiting

74
Q

s/sx of stage 2 shock

A

confusion
abrupt changes in behavior
cold, clammy skin
weak pulses
hypotension

75
Q

s/sx of stage 3 shock

A

cyanosis
dull eyes, dilated pupils
loss of bowel control

76
Q

clinical manifestations of addison’s dse

A

anorexia
hyperpigmentation
cardia insufficiency
diarrhea
muscle weakness

77
Q

cause of addison’s dse

A

hyperfunction of the adrenal cortex

78
Q

cause of cushing syndrome

A

hypofunction of the adrenal cortex

79
Q

clinical manifestations of cushing syndrome

A

thinning of scalp hair
moon face
osteoporosis
cardiac hypertrophy
easy bruising

80
Q

clinical manifestations of hyperthyroidism

A

thin hair
exophthalmos
tachycardia
weight loss
diarrhea
hyperreflexia

81
Q

clinical manifestations of hypothyroidism

A

loss of hair
bradycardia
constipation
cold intolerance
muscle weakness

82
Q

Age of onset of type 1 diabetes

A

< 30 y/o

83
Q

Age of onset of type 2 diabetes

A

> 35 y/o

84
Q

Insulin-dependent type of diabetes

A

type 1

85
Q

Body weight @ onset of type 1 diabetes

A

normal

86
Q

Body weight @ onset of type 2 diabetes

A

80% are obese

87
Q

Abnormal accumulation of serous fluid in the peritoneal cavity associated c liver impairment

A

Ascites

88
Q

Warm redness of skin over the palm and soles of the feet in caucasian population

A

Palmar erythema

89
Q

Most common cancer among males

A

prostate

90
Q

Most common cancer among females

A

breast

91
Q

Type of cancer that has the highest mortality rate among men

A

Lung and bronchus

Intro to Clinics (9 decks)

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