HOME STRETCH Flashcards
12 wks post fracture - functional phase goals are what
restore joint kinematics
attain full ROM pain free
JOINT MOBS to improve motion, dec guarding, lengthen tissue around joint
Children with juvenile RA ambulate with
Decreased cadence
Decreased PF range
Decreased hip ext
Increased ant pelvic tilt
water immersion US protocol
plastic basin with tap water
Move transducer 0.25 in away from the body surface
Pinching btw the thumb and tip of index finger would be good for what
Median nerve injury - CTS
Squeezing hand grip with elastic band resistance would be good for what
Cubital tunnel ulnar entrapment
Thumb opposition would be good for what
Median nerve
Deficits in thumb abd and opp
Squeeze therapy putty btw sides of fingers would be good for what
Lumbrical and interossei weakness
Innervated by ulnar
Affected when entraped at hamate (Guyon)
Horizontal nystagmus is a symptom of what type of lesion
Cerebellar
Like AICA
Ataxic gait is a symptom of what type of problem
Cerebellar
Like of basilar artery
Apraxia is a symptom of what type of problem
Middle cerebral artery lesion
L2-L3 sensation
anterior/medial thigh
L3-L4 sensation
L3 anteromedial thigh
L4 lower thigh, ant knee, shin
L5 - S1 sensation
L5 - lateral lower leg, dorsum of foot
S1 - pinky toe, lateral lower lower leg
Hip abduction myotome
L4-S1
Hip flexion myotome
L1-L4 (L2)
Hip add myotome
L2-L3
Knee flex myotome
L4-L5
Hip ext myotome
L4-L5
S1-S2 sensation
Post thigh and leg
Perineal region
Med with large impact on healing time
Long term steroid usage!
Upper trap action
Alone - elevates shoulder
Coupled with lower trap and SA will produce upward rot of scapula
Post deltoid action
Ext
Abd
ER
Rhomboid action
Retract
elevate scap
Doward rot of scap
Teres major action
Ext
Add
IR shoulder
International guidelines for prevention and treatment of pressure injuries includes referral of all individuals with pressure injury to who
A nutritionist for early assessment and intervention for nutritional problems
Plantar fasciitis - things that would contribute toa prolonged recovery
BMI greater than 25
Decreased big toe extension - normal is 70 degrees
Assessment of anterior tibiofibular ligament
Compression of the shafts of the tibia and fibula at mid calf
Syndesmosis ligament injury
Talar tilt test is for what and how
Ankle in neutral DF
Evaluate calcaneofibular ligament
Parrafin good for
Chronic conditions with no active swelling
Chronic OA of fingers
NOT CRPS (heat might aggravate)
ACL tear - closed vs. open chain
Closed chain puts less stress on ACL - appropriate for subacute (wk 4)
Open (esp last 25 ext) puts inc tension on ACL
ACL tear - straight leg raise
No stress on ACL - can be done in acute phase
ACL tear - plyometrics
Functional phase (week 10)
Oswetry scoring
lower number = better
0-100% disability
Most common presentation for enlargement of the prostate is
Difficulty initiating the urine stream
Symptoms of heart failure exacerbation
SOB
Dependent edema
Psoriasis is commonly found where
Scalp
Extensor surfaces of extremities
Footwear for someone with diabetes
Soft lining for protection from excess friction and pressure
NOT leather (unless is soft leather that will confrom to abnormalities)
Laces, straps, or velcro
SNUG fit around heel
Triglyceride level norm
Below 150
Waist measurement greater than ___ is risk factor for metabolic syndrome
35 in for women
40 for men
Meralgia Paresthetica is what
Entrapment or injury to the lateral femoral cutaneous nerve (a purely SENSORY nerve)
Injury affects sensation to the lateral thigh
Massed practice
Sequence of practice and rest where the rest time is much less than the practice time
Distributed practice
Practice intervals are equal to or less than the rest time
Blocked practice
Sequence organized around one task performed repeatedly, uninterrupted by practice of any other task
NOT based on time spent performing the task
Random practice
Several various tasks are ordered randomly across trials
Max torque of knee extensors reaches peak at
60 degrees of knee flexion
Groin pain is associated with what genitourinary problems
Upper urinary tract problems
Kidney or ureter infection
Sacral pain is associated with
Colon CA and colitis
Bladder infection is associated with
LBO
Suprapubic area
Junctional rhythm originates from the
AV instead of the SA node
P waves are missing!
Muscle ache (myalgia) common with hyper or hypothyroidism
Hypothyroidism
Most appropriate intervention with acute RA of wrist
Splints with wrists neutral position
What is important to monitor when pt is on coumadin/warfarin/anticoagulant
INR!
When on anticoag INR is between 2 and 3
Risk of bleeding with activity if higher than this
Erythrocyte sedimentatin rate is used to identify
inflammatory or necrotic processes
Red blood cell count is used to assess
oxygen carrying capacity of the blood
Hemoglobin measures the
oxygen carrying capacity of the red blood cells
KAFO is often used (with SB) for what reasons
When mm of the knee are weak and muscles of the ankle are absent
It can substitute for a lack of mm activity
Pts with emphysema have a hard time breathing with exercise - why?
alveolar dilation!
Neuroma can cause what kind of pain descriptors
Sharp, shootingm and localized pain
Arm exercise typically results in ____ oxygen uptake when compared to leg exercise
Arm exercise typically results in 30-40% lower max oxygen uptake than leg exercise
Hopping on one foot - gross motor that is appropriate for what age
age 4 should be able to hop on one foot
Kick ball
Catch ball
Kicking a stationary ball
Fast walking
Walking with assistance on stairs
appropriate for what ages
18 months to 3 years
Dribbling basketball
Riding bike
Skipping
what age?
5-6 years
Catching large ball
Riding tricycle
Running short distances
What age?
2-3 years
Hopping on one foot
Kick ball
Catch ball
What age
4 years
Spinal mm atrophy - if not sitting then what outcome
Unlikely to walk and will require power mobility
OSteochondritis dissecans - common joints
Knee
Talus
Elbow
Complication of quadriceps contusion
Myositis ossificans
Caused by heterotopic bone formation on the femur
During quad cx, mm belly rubs on bone and causes sharp pain
Signs of severe dehydration in infant
Inc RR
Sunken in fontanelle
Cold hands and feet
Unable to cry
Long term effects for what type of practice
RANDOM!
Due to higher cog processes that are required
S/S of unilateral vestibular lesion
Vertigo
Postural instability
Oscillopsia
Disequilibrium
Increased residual volume is seen in obstructive or restrictive
Obstructive
Increased functional residual capacity is seen in obstructive or restrictive
Obstructive
Ascites - what resp findings
Inc fluid in peritoneal cavity causing distention
Puts inc pressure on diaphragm and thoracic cavity
May lead to restrictive pattern!!!
Decreased nspiratory reserve volume is component of obstructive or restrictive
Restrictive
Ascites - can be classified as obstructive or restrictive
Restrictive
Decreased FEV1 with obstructive or restrictive
Obstructive
Hypoglycemia s/s
HA
Blurred vision
Slurred speech
S/S of diabetic ketoacidosis
HA Acetone breath Dehydration Weak and rapid pulse Kussmaul respirations Hyperosmolar copa Polyuria, thirst, neuro abnormalities and stupor
Vit B 12 deficiency s/s
HA Cog changes Dementia Ataxia Psychosis Peripheral neuropathy
Airborne - what pressure
Negative!
Direction of airflow is from outside adjacent space into the room
Furosemide is used for what
Diuretic - used for HTN
Metformin is used for hwat
Diabetes
Atenolol is used for what
Beta blcoker used for HTN, angina
Sweat glands - what layer
Dermis
Thermoregulation through insulation - what layer
SubQ
Thermoregulation through sweating - what layer
Dermis
Hoehn and Yahr classification is used for what
Parkinsons!
Hoehn and Yahr classification - stage 4 =
moderate to severe range
Exercise for someone with UE lymphedema - what sequence
Proximal to distal!
Cervical, shoulder, elbow, and then wrist
Orthostatic hypotension - s/s
With acute cervical injury is common to see
Dizziness/Light headed
Ringing in the ears
When in vertical position like sitting or standing
Common complication with myelomeningocele
Hydrocephalus - occurs in 25% or more
An additional 60% develop it after surgical closure of their back lesion
Between 80-90% of children with hydrocephalus will require CSF shunt
Anterior mm of rotator cuff
Subscap
IR
Posterior mm of rotator cuff
Infraspinatus
Teres minor
Shoulder mob in direction of anterosuperior direction is to improve
horizontal abduction
Shoulder mob in direction of posteroinferior direction
horizontal adduction
ALS develops over
months or years
Rapidly ascending bilateral weakness and paresthesias (but no anesthesia) makes you think of
GBS
Ulnar deviation involves what myotome
C8
Thumb ext involves what nerve roots
C6-C8
Osgood Schlatter disease is what
Apophysitis of the tibial tubercle
Usually in pubescent individuals
Report pain and tenderness over tibial tubercle
Meniscal tear - common symtoms
catching and pain at end range flexion
Glut med is innervated by what
Superior gluteal nerve
L5 - S1
The adductor magnus is innervated by
L4
Iliopsoas is innervated by what nerve
Femoral
L2-L4
Pectineus is innervated by what nerve
Obturator nerve
L2-L3
Presence of significant Q wave
MI
Premature atrial complex is indicated by what
an R wave that is close to the preceding R wave
Supraventricular tachycardia is indicated by what
Indicated by a diminished P wave
Atrial fibrillation is characterized by
inconsistent, irregular R-R intervals
Radiating upper extremity pain, SOB, and diaphoresis are signs of
MI
Undiagnosed, or poorly controlled diabetes - urine output
increased
Exercise will raise or lower blood glucose levels in patients with undiagnosed type 2 diabetes
Exercise will likely raise it
Type 2 diabetes - tend to have what heart rate
Reduced
Stocking and glove pattern of loss of sensation is present with who
Diabetic neuropathy
Vital capacity =
IRV + TV + ERV
Functional residual capacity =
ERV + RV
IC =
IRV + TV
EC =
ERV + TV
TLC =
IRV + TV + ERV + RV
Pts with COPD will likely have what lung value be decreased
VITAL CAPACITY
Air expelled after pt takes max ins and exp
COPD - RV will be
INCREASED
Air remaining in lungs when ERV has been exhaled
COPD - TLC will be
INCREASED
Destruction of alveolar walls
COPD - vital capacity will be
DECREASED!
IRV + TV + ERV
COPD - FRC will be
INCREASED
air trapping - amount in lungs after quiet exhalation
Coffee ground emesis
Upper GI bleed
(small intestine and above)
Peptic ulcer or esophageal varices
It is impossible to raise the arm overhead without action of what muscle
Serratus anterior
What muscle being used when POE to plank
Serratus anterior
If blood glucose is low (less than 100) what needs to be done for someone with insulin pump
reduce insulin infusion dose
If no pump - give carb snack
Fetal alcohol syndrome characteristics
Maxillary hypoplasia Elongated mid face Short, upturned nose Short attn span Poor growth
Fetal alcohol syndrome - problems with what activity
Fine motor dysfunction
Visuomotor deficits
Balance problems
Weak grasp
Sympathetic nerves from the pelvic plexus are most active during what phase of micturation
Filling
Parasympathetic nerves from the pelvic plexus are most active during what phase of micturation
Emptying!
Fire to contract the bladder and begin emptying
1+ pulse means what
Diminished
result of reduced SV, EF, and/or increased vascular resistance
2+ pulse meands what
Normal
3+ pulse means what
Moderately increased pulse amplitude
Associated with increased SV and EF
4+ pulse means what
Markedly inc pulse amp and associated with inc SV and EF
