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PT Skills II: Therapeutic Exercise > Impaired Mobility/ROM > Flashcards

Impaired Mobility/ROM Flashcards

1
Q

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

A

patient management

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2
Q

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

A

patient management

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3
Q

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

A

examination

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4
Q

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

A

evaluation

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5
Q

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

A

diagnosis

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6
Q

The prediction of optimal level and time frame for improvement

A

prognosis and plane of care

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7
Q

Comparison of capability vs individual desirability of functional level

A

prognosis and plan of care

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8
Q

Establish achievable goals an expected outcomes

A

prognosis and plan of care

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9
Q

Determine frequency and duration of interventions and discharge plans

A

prognosis and plan of care

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10
Q

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

A

intervention

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11
Q

Hands on provision of services within the scope of PT practice

A

intervention

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12
Q

Individual and/or caregiver instruction with every episode of care

A

intervention

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13
Q

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

A

referrals/consultations

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14
Q

When to evaluate progress and outcomes

A

during re-examination

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15
Q

The time to modify prognosis, plan of care or interventions

A

re-examination

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16
Q

What does ICF stand for?

A

international classification for function, disability and health framework

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17
Q

The ICF model 3 aspects of functioning with a health condition

A

body functions and structure
activity
participation

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18
Q

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

A

environmental and personal

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19
Q

The 6 determinants of function

A
  • muscle performance
  • cardiopulmonary/endurace
  • mobility/flexibility
  • neuromuscular control/coordination
  • stability
  • balance/postural equilibrium
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20
Q

How to treat mobility physiologic impairments during rehabilitation?

A 
PROM 
Flexibility
- static
- dynamic
- PNF (contract/relax)
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21
Q

How to treat stability physiologic impairments during rehabilitation

A

muscle strength
muscle endurance
muscle power
neuromuscular control

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22
Q

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

A

AROM

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23
Q

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

A

Active assisted ROM

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24
Q

What are limitations of AROM/AAROM?

A

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

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25
Q

What are two of the relative contraindications of ROM?

A
  • life threatening condition

- when motion will disrupt the healing process

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26
Q

What are 4 indications for doing PROM when assessing ROM?

A
  • 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
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27
Q

What are 6 goals of PROM?

A
  • maintain jt
  • connective tissue and muscle mobility/elasticity
  • decrease contracture risk
  • decrease pain
  • assist with circulation
  • increase synovial fluid movement
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28
Q

What are 3 limitations of PROM?

A
  • does not prevent atrophy
  • cant increase strength or endurance
  • aides with circulation but isn’t as effective as voluntary muscle contraction
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29
Q

What are 3 passive stretching techniques used by PTs?

A

manual
mechanical
positional

30
Q

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

A

active inhibition

31
Q

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

A

flexibility exercises

32
Q

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

A

total end range time

33
Q

What are the parameters for PROM stretching?

A
  • hold 15-30 sec
  • repeat 3-5 times
  • instruct pt on the need to feel some “pulling and slight discomfort”
34
Q

Static flexibility purpose is to:

A

lengthen the muscle tissue or structure

35
Q

Indicated with a joint contracture and muscle extensibility loss

A

static flexibility

36
Q

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

A

static flexibility

37
Q

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

A

dynamic stretching/flexibility

38
Q

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

A

PNF stretching/flexibility

39
Q

What does CPM stand for?

A

continuous passive motion

40
Q

Name the 4 indications of CPM (continuous passive motion)

A
  • OA
  • contractures
  • joint fracture
  • post-op early recovery especially TKR
41
Q

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

A

contracture

42
Q

How are contractures named?

A

by the side of the joint that is tight

43
Q

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

A

overstretching

44
Q

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

A

collagen fibers

45
Q

This fiber provides extensibility and can eloongate

A

elastin fibers

46
Q

This type of fibers main function is to bulk

A

reticulin fibers

47
Q

This protein hydrates, stabilizes collagen and resists compressive forces

A

proteoglycans

48
Q

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

A

glycoproteins

49
Q

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

A

tendons

50
Q

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

A

multidirectional

51
Q

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

A

random pattern of fibers

52
Q

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

A

elasticity

53
Q

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

A

viscoelastic properties

54
Q

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

A

plasticity

55
Q

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

A

plastic range

56
Q

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

A

rate dependence

57
Q

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

A

creep

58
Q

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

A

stress-relaxation

59
Q

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

A

initial phase

60
Q

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

A

stretch phase

61
Q

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

A

release phase

62
Q

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

A

non-contractile

63
Q

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

A

myofibrillogenesis

64
Q

What part of the muscle is the stretch receptor

A

muscle spindle

65
Q

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

A

muscle spindle

66
Q

The tension monitor during stretching

A

golgi tendon organ

67
Q

Where is the golgi tendon organ located?

A

in the musculotendinous junction

68
Q

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

A

autogenic inhibition

69
Q

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

A

reciprocal inhibition

70
Q

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

A

autogenic inhibition

71
Q

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

A

mechanical stretch

PT Skills II: Therapeutic Exercise (2 decks)

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