Interprofessionak MSK Med Mangement Flashcards
Message therapist education/qualifications
Accredited massage therapy program
Avg 647 hours of training
Continuing education while in practice
What tools/techniques do massage therapist utilize?
Swedish massage - Hypertonicity **
Deep tissue - trigger points
Shiatsu - rhythmic pressure on precise points of body
Lymphatic massage - edema**
Rolfing - ten-step approach to align structure
Mostly referred to by chiropractors, physical therapist, and physicians
Who can perform acupuncture and what is it?
Most physicians can perform it in most states without formal certification
Requires 1200 hours of training for non physiciansn
Diplomate of acupuncture
Diplomate of Chinese herbology
Diplomate of oriental medicine
Combinations of traditional thought of encouraging the flow of qi mixed with modern though of recruiting neuroanatomical activities in segmental distributions
- neurochemical response to places of needle - body releases mediators of healing ( macrophages , substance, P, etc )
Acupuncture uses
Nausea, pain, headache, allergies, menstrual cramps, osteoarthritis, etc
Yoga
Group of physical, mental, and spiritual practices that were introduced to western culture in the late 19th century and early 20th century
- it’s a lifestyle change which may be difficult for patients
Ultimate goal of moksha (liberation)
Many forms of (classical, Buddhist, Jain, Vedanta, tantric, hatha, Laya, kundalini and feldenkrais)
Feldenkrais- gentle movement and directed attention to help people learn new and more effective wats of living with their bodies
What is the role of speech language pathologist?
Work to prevent, assess, diagnose, and treat speech language, social communication, and cognitive communication, and swallowing disorders in children and dukes,
-dysarthria, aphasia, pragmatics, voice, fluency, feeding and swallowing
What credentials do speech language pathologist need?
2 year master degree
For clinical doctor of speech language pathology need CScD, SLPD - 2 year masters degree
Where do speech language pathologist (SLP) practice?
Inpatient, out patient therapy, in schools
The mercy SLP - she also works in radiology to perform modified barium swallow studies
Who refers to SLP and what conditions/ pts are referred?
Physicians refers often for
Children with speech delay or autism spectrum disorders
Adults - Parkinson’s and MS, ALS - voice and breath support and swallowing and cognition , cognitive deficits from medications or anesthesia from procedure, help with clarity to be functional
Stroke patients
Dementia patients
Speech disorder and reason for referral
Person has difficulty producing sounds correctly or fluently ( stuttering fluency issue) or has problems with their voice or resonance
Language disorder and referral reasons
- trouble understanding others ( receptive language)
- trouble sharing thoughts, ideas, feelings (expressive language); can spoken or written and may involved the form (phonology, morphology, syntax) , context (semantics)and/ or use (pragmatics) of language in functional and socially appropriate ways
Social communication do and reason for referral
Trouble with social use of verbal and nonverbal communication
A) communicating social purposes like greetings, commenting, questions
b) talking in different ways to suit the listener and setting
C)following rules for conversation and story telling
All individuals with Austin spectrum disorder have social communication problems
Others who have traumatic brain injury also can have this
Cognitive communication and reason for referral
A person has problems organizing thoughts , paying attention, remembering, planning, and/ or problem solving.
Swallowing disorders and reasons for referral
A person has feeding and swallowing difficulties which may follow illness surgery stoke or injury
What is occupational therapy and what credentials do they have ?
Practitioners have holistic perspective in which the focus is on adapting the environment or task to fit the person, and the person is an integral part of the therapy team. It is evidence based practice deeply rooted in science. Goal is to reduce cost of health care
OTR - occupational therapist registered - masters degree
OTD - doctorate of occupational therapy - 2-3 year program
What services do OT provide?
Individualized evaluation, during which the client, family, and occupational therapist determine the persons goals
Custom intervention to improve pt’s ability to perform daily activities and reach the goals
Outcome evaluation to ensure that the goals are being met and or to modify the intervention plan based on pt skills and needs
What type of patients do occupational therapist see?
Pulmonary diseases
Copd
Hip surgeries
Shoulder surgeries
Muscle weaknesses
See in hospital and then work on activities of daily living
Refers by physician arthritis, preventative stuff, and post carpal tunnel surgeries
Population - early childhood, ot service?
Play based activities, rehearsal of social behaviors, oral stimulation,infant massage, improve motor coordination, family centered help, social support
Population mental health, ot services?
Social and life skill programs for children with intellectual impairments and developmental delays
Population sensory integration and procession , ot services?
Cognitive and task based for children; sensory integration of gross motor and motor planning skills for children with learning disabilities
Geriatrics, Ot services?
Improve physical functioning and occupational performance related to health management
Rehabilitation and disability population, Ot services?
Intent rehab to improve ADL status
Adults with serious mental illness, ot services?
Life and social skills training with extended training in natural environments to improve daily interactions ; cognitive skills training to improve job retraining ; lifestyle interventions for obese and metabolic syndrome pts, social cognition d problem solving training to enhance community participation
Work and OT services
Therapeutic conditions and activities to reduce pain and improve functional recovery
What are physical therapist and their credentials?
Movement experts who optimize quality of life through prescribed exercise, hands on care, and patient education.
Credentials: doctor of PT (DPT)
Master of physical therapy (MPT)
Master of science in PT ( MSPT)
- 3 year program after bachelors degree
- Residency and fellowship opportunities available
And techniques are used by PT?
Ultrasound - tendon injuries, pain relief
Phonophoresis - US medication delivery, inflammatory do
Inotrophoresis - electric current, inflammatory conditions
Laser therapy - decreases PGE2
Electric Stimulation - generate AP, neuropathic pain, spasm
Why do doctors refer to pt ?
Infants, children - Development screenings/delay , diagnoses with mobility impairment
Athletes
Growing pains
Weekend warriors with injuries returning to every day function
Elderly - prior level mobility, assessing needs for equipment or modifications to home
Closed kinetic chain - description and use
Proximal segment of extremity moves on fixed distal segment
Use - shoulder and knee rehabilitation, dynamic stability
Open kinetic chain
Distal segment of the extremity moves about the proximal segment
Use - functional improvement in activities of daily living
Core stability
Targets low back , trunk, and abdominal muscles
Use - relief of low back pain or pregnancy related pelvic pain
Eccentric
Muscle contracts as it lengthens
Use - sport specific strengthening to prevent injury
Concentric
Muscle contracts as it shortens
Use - increase muscle mass and strength
Isometric
Muscle contracts but length does not change
Use - Muscle toning and strengthening when joint mobility is not advised
Isotonic
Constant resistance through a joint
Use general muscle toning
Chiropractor and credentials
Categorized as complementary and alternative medicine, which focuses on manipulation of the MSK system especially the spine
Need doctor of chiropractic (D.C.)
4 year program , special training in ortho and sports med
What conditions do chiropractors txt and who is referred to them?
LBP, radiculopathy, whiplash, neck pain, headache, extremity dysfunctions
Recommended for patients who need more frequent txts
- usually 2-3 x a week
- often consists of HVLA “adjustments” as main approach to treatment
Osteopathic neuromusculoskeletal medicine (ONMM)
Fully licensed physician with specialization in prevention, diagnosis, treatment, and rehabilitation of disorders which affect any portion of the MSK or NS including brain, spinal cord, peripheral nerves, and cerebrovascular system ( non surgical)
3-4 year residency after medical school , usually dual boarded in FM, IM, or Peds
ONMM conditions treated
Infants - plagiocephaly, Torticollis, feeding issues
Adults - sports injuries, MS, CP, Post stroke, any pain
Specialize in early diagnosis of spinal conditions (spinal stenosis) , cauda Aquino syndrome, spondylolisthesis
Neurosurgeon
Fully licensed physician with specialization in prevention diagnosis surgical treatment and rehabilitation of disorders which affect any portion of the NS including the brain, spinal cord, peripheral nerves, and cerebrovascular system
MD, DO
7 year residency after medical school and fellowships available in subspecialties
What are some conditions a neurosurgeon treats
Spinal conditions, cauda equina, spondylolisthesis and etc
