Impaired Mobility/ROM

Question 1

To coordinate, communicate and document every aspect of care takes place through the process of:

Answer 1

patient management

Question 2

Providing direct supervision of assistive personnel involved in the provision of PT services happens through what process?

Answer 2

patient management

Question 3

History, systems review and test & measures are taken during this process

Answer 3

examination

Question 4

To interpret findings that determine diagnosis, prognosis, and plan of care

Answer 4

evaluation

Question 5

Classification of conditions that will direct interventions within the scope of PT practice and engage in the process of differential dx

Answer 5

diagnosis

Question 6

The prediction of optimal level and time frame for improvement

Answer 6

prognosis and plane of care

Question 7

Comparison of capability vs individual desirability of functional level

Answer 7

prognosis and plan of care

Question 8

Establish achievable goals an expected outcomes

Answer 8

prognosis and plan of care

Question 9

Determine frequency and duration of interventions and discharge plans

Answer 9

prognosis and plan of care

Question 10

Purposeful interaction with the individual and/or others involved in the care

Answer 10

intervention

Question 11

Hands on provision of services within the scope of PT practice

Answer 11

intervention

Question 12

Individual and/or caregiver instruction with every episode of care

Answer 12

intervention

Question 13

What to do if a problem is outside scope of PT practice or if there is a need for complimentary services

Answer 13

referrals/consultations

Question 14

When to evaluate progress and outcomes

Answer 14

during re-examination

Question 15

The time to modify prognosis, plan of care or interventions

Answer 15

re-examination

Question 16

What does ICF stand for?

Answer 16

international classification for function, disability and health framework

Question 17

The ICF model 3 aspects of functioning with a health condition

Answer 17

body functions and structure
activity
participation

Question 18

The level of activity, from the ICF model breaks down to which two factors

Answer 18

environmental and personal

Question 19

The 6 determinants of function

Answer 19

• muscle performance
• cardiopulmonary/endurace
• mobility/flexibility
• neuromuscular control/coordination
• stability
• balance/postural equilibrium

Question 20

How to treat mobility physiologic impairments during rehabilitation?

Answer 20

PROM 
Flexibility
- static
- dynamic
- PNF (contract/relax)

Question 21

How to treat stability physiologic impairments during rehabilitation

Answer 21

muscle strength
muscle endurance
muscle power
neuromuscular control

Question 22

When a patient is able to use muscle to move a segment without assistance

Answer 22

AROM

Question 23

When a patient is able to contact muscle, but can’t move segment through full/desired ROM

Answer 23

Active assisted ROM

Question 24

What are limitations of AROM/AAROM?

Answer 24

for muscle that are WNL for strength, AROM/AAROM does NOT maintain or increase strength

Question 25

What are two of the relative contraindications of ROM?

Answer 25

- life threatening condition | - when motion will disrupt the healing process

Question 26

What are 4 indications for doing PROM when assessing ROM?

Answer 26

- acute inflamed tissue - after injury or surgery - pt is not allowed to actively move, or physically cannot move a segment - pt is comatose, paralyzed, or on bed rest

Question 27

What are 6 goals of PROM?

Answer 27

- maintain jt - connective tissue and muscle mobility/elasticity - decrease contracture risk - decrease pain - assist with circulation - increase synovial fluid movement

Question 28

What are 3 limitations of PROM?

Answer 28

- does not prevent atrophy - cant increase strength or endurance - aides with circulation but isn't as effective as voluntary muscle contraction

Question 29

What are 3 passive stretching techniques used by PTs?

Answer 29

manual mechanical positional

Question 30

Reflex inhibition and subsequent elongation of muscles using neurologic principles to reduce tension and lengthen a muscle, such as contract relax or hold relax

Answer 30

active inhibition

Question 31

Passive or active exercises used to elongate muscles and are performed by the patient

Answer 31

flexibility exercises

Question 32

What does T.E.R.T stand for?

Answer 32

total end range time

Question 33

What are the parameters for PROM stretching?

Answer 33

- hold 15-30 sec - repeat 3-5 times - instruct pt on the need to feel some "pulling and slight discomfort"

Question 34

Static flexibility purpose is to:

Answer 34

lengthen the muscle tissue or structure

Question 35

Indicated with a joint contracture and muscle extensibility loss

Answer 35

static flexibility

Question 36

Prolonged stretch at end range earlier through patient positioning or mechanical device

Answer 36

static flexibility

Question 37

More functional, total body approach which involves repetitive contractions of the agonist muscle to produce quick stretches of the antagonist muscle

Answer 37

dynamic stretching/flexibility

Question 38

Unique approach which uses diagonal movements of the extremities and a combination of isometric and isotonic contractions to encourage muscle relaxation and increased overall ROM/mobility

Answer 38

PNF stretching/flexibility

Question 39

What does CPM stand for?

Answer 39

continuous passive motion

Question 40

Name the 4 indications of CPM (continuous passive motion)

Answer 40

- OA - contractures - joint fracture - post-op early recovery especially TKR

Question 41

Adaptive shortening of the muscle-tendon unit and other soft tissues that cross or surround the joint, resistance to stretch and limited ROM

Answer 41

contracture

Question 42

How are contractures named?

Answer 42

by the side of the joint that is tight

Question 43

Stretching a joint well beyond the normal length of muscle, its surrounding soft tissues and ROM

Answer 43

overstretching

Question 44

This type of fiber has a function of providing strength/stiffness and resists tensile forces

Answer 44

collagen fibers

Question 45

This fiber provides extensibility and can eloongate

Answer 45

elastin fibers

Question 46

This type of fibers main function is to bulk

Answer 46

reticulin fibers

Question 47

This protein hydrates, stabilizes collagen and resists compressive forces

Answer 47

proteoglycans

Question 48

This type of proteins links cells together for nutrient transport, metabolism, and maintain space between fibers to prevent excessive cross-linking

Answer 48

glycoproteins

Question 49

This structure has parallel fibers to withstand HIGH tensile forces, to transmit mm force to bone

Answer 49

tendons

Question 50

Ligaments, joint capsule, and fascia have varied alignment of collagen to resist what type of forces

Answer 50

multidirectional

Question 51

What type of pattern of fibers does skin have to withstand only LOW tensile forces

Answer 51

random pattern of fibers

Question 52

Ability to return to its pre-stretch resting length directly after a short-duration stretch force is removed

Answer 52

elasticity

Question 53

Ability to resist deformation in length when a stretch force is applied, slowly lengthens if the force is sustained, but gradually returns to its original resting length when force is removed

Answer 53

viscoelastic properties

Question 54

Ability to assume a new and greater length after a stretch force is removed

Answer 54

plasticity

Question 55

Elongation happens in which range of stretching, due to the amount of collagen failure that happens

Answer 55

plastic range

Question 56

The faster you apply the load, the stiffer the tissue describes which soft tissue response to stretching

Answer 56

rate dependence

Question 57

Constant load applied over time increases the length of tissue is what soft tissue response to stretching

Answer 57

creep

Question 58

Load applied with the tissue kept at a constant length decreases tension in tissue for which soft tissue response to stretching

Answer 58

stress-relaxation

Question 59

When stretching, which phase is the muscles response to increase in tensile stress in the non-contractile tissue

Answer 59

initial phase

Question 60

Decreased crossbridging of the myofilaments causes abrupt lengthening of the sarcomeres (sarcomere give) during this phase of muscle response to stretching

Answer 60

stretch phase

Question 61

When stretching, which phase is the muscles response for the sarcomeres to return to their length (inherent elastic property of muscle)

Answer 61

release phase

Question 62

While stretching, targeting this tissue of the muscle will break up collage tissue adhesions?

Answer 62

non-contractile

Question 63

This means to increase the number of sarcomeres in a series and happens when targeting the contractile tissue of a muscle

Answer 63

myofibrillogenesis

Question 64

What part of the muscle is the stretch receptor

Answer 64

muscle spindle

Question 65

Sensory organ in muscle that reacts to quick and sustained stretching, to tell the muscle about changes in length, and the speed of those changes

Answer 65

muscle spindle

Question 66

The tension monitor during stretching

Answer 66

golgi tendon organ

Question 67

Where is the golgi tendon organ located?

Answer 67

in the musculotendinous junction

Question 68

During increased tension, the golgi tendon organ will then cause what kind of inhibition of the muscle to decrease the tension

Answer 68

autogenic inhibition

Question 69

Contraction of the agonist of the movement will inhibit the antagonist describes which inhibition

Answer 69

reciprocal inhibition

Question 70

Contraction of the antagonist of the movement will inhibit the antagonist describes which inhibition

Answer 70

autogenic inhibition

Question 71

Able to provide a low intensity stretch over a prolonged period of time using the creep or stress-relaxation properties of soft tissue is the effectiveness of which type of stretch

Answer 71

mechanical stretch