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OS IV Exam II SG > Interprofessional Musculoskeletal Management > Flashcards

Interprofessional Musculoskeletal Management Flashcards

1
Q

What allied health profession/service has the vision statement: Transforming society by optimizing movement to improve the human experience?

A

Physical therapy

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2
Q

Roles of PT in pt care

A

Evaluate and manage pts movement system across lifespan to promote optimal development, diagnose impairments, activity limitations, and participation restrictions, and provide interventions targeted at preventing or ameliorating activity limitations/restrictions

Embrace best practice standards in exam, dx/classification, intervention, and outcome measurement

Demonstrate value of collaborations with other providers, consumers, community orgs, and other disciplines

Advocate for pts/clients/consumers

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3
Q

List treatment modalities utilized by PT’s

A 
Ultrasound
Phonopheresis
Iontopheresis
Low level laser therapy
Electrical stimulation
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4
Q

Modality utilized by PTs indicated for tendon injuries and for short-term pain relief; uses high frequency sound waves to warm superficial soft tissues

A

Ultrasound

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5
Q

Modality utilized by PTs indicated for inflammatory conditions such as tendonitis, arthritis, and bursitis; used to deliver medications to tissue under the skin

A

Phonopheresis

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6
Q

Modality utilized by PTs indicated for inflammatory conditions such as tendonitis, arthritis, and bursitis; uses electrical current delivery of substances through skin to deeper tissues

A

Iontopheresis

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7
Q

Modality utilized by PTs indicated for minor MSK pain, carpal tunnel syndrome, OA, RA; uses absorption of photon radiation, altering cell oxidative metabolism and decreases PGE2

A

Low level laser therapy

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8
Q

Modality utilized by PTs indicated for muscle spasm or contusion and/or neuropathic pain; generates an action potential in nerve tissue, causing a muscle contraction or alters sensory input

A

Electrical stimulation

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9
Q

List common exercise types used by PTs

A 
Closed kinetic chain
Open kinetic chain
Core stability
Eccentric
Concentric
Isometric
Isotonic
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10
Q

Type of exercise utilized in PT in which proximal segment of extremity moves on a fixed distal segment (ex: leg press, squates, elliptical); used for shoulder and knee rehab, dynamic stability

A

Closed kinetic chain

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11
Q

Type of exercise utilized in PT in which distal segment of extremity moves about the proximal segment; most UE weight lifting exercises; used for functional improvement in ADLs

A

Open kinetic chain

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12
Q

Type of exercise utilized in PT that targets low back, trunk, and ab muscles (ex: situp, back extension, pilates); used for relief of low back pain or pregnancy related pelvic pain

A

Core stability

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13
Q

Type of exercise utilized in PT in which muscle contracts as it lengthens (e.g., extension phase of biceps or hamstring curl); used for sport-specific strengthening to prevent injury

A

Eccentric

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14
Q

Type of exercise utilized in PT in which muscle contracts as it shortens (e.g., flex bicep); used to increase muscle mass and strength

A

Concentric

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15
Q

Type of exercise utilized in PT in which muscle contracts but its length stays the same (ex: hold weight stationary); used for muscle toning and strengthening when joint mobility is not advised as well as quad exercises to treat patellofemoral pain syndrome

A

Isometric

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16
Q

Type of exercise utilized in PT in which there is constant resistance through a joint ROM (ex: free weights); used for general muscle toning

A

Isotonic

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17
Q

Components included in PT Rx

A

Pt name, DOB, referring physician, and diagnosis

When pt should f/u

Precautions

Frequency/duration

Goals (e.g., ROM, strength, mobility)

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18
Q

Technique developed in China between 2000-4000 years ago in which needles affect various points in the body that are pathways for “Qi” to flow

A

Acupuncture

[medical acupuncture may be based on traditional principles, or on modern concepts such as recruiting neuroanatomical activities in segmental distributions or a combo of both]

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19
Q

Eastern concepts of acupuncture revolve around the universe and what 5 elements?

A 
Fire
Earth
Wood
Water
Metal
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20
Q

Acupuncture of the ______ is based on the idea that there is a homunculus located in that area, based on endodermal (cranial X), mesodermal (cranial V), and ectodermal (C1, C2, C3) locations

A

Ear

21
Q

Acupuncture based technique that utilizes deep pressure with a japanese soup spoon or other device; indicated for TTA that results in very taut, thickened quality of skin or muscle

A

Guasha

22
Q

Acupuncture based technique that utilizes plastic or glass devices used with suction or vacuum using fire or pump; indicated for TTA that results in hypertonic mm recalcitrant to OMT or massage (“evil wind”)

A

Cupping

23
Q

Acupuncture based technique that utilizes deep pressure techniques or circular massage; same indications as acupuncture

A

Acupressure

24
Q

Acupuncture based technique that utilizes absorption of photon radiation, altering oxidative metabolism and decreasing PGE2; utilized for minor MSK pain, carpal tunnel, OA, RA

A

Reflexology

25
Q

Acupuncture based technique that utilizes muscle testing to identify allergies; uses either acupuncture or acupressure; indicated for allergies; idiopathic illnesses, chronic recalcitrant disease

A

NAET

26
Q

Why would a DO refer to an acupuncturist?

A

Pt needs more frequent treatments

Knows based on PE findings that pt has a physically related problem but lab findings are essentially negative and OMT is not lasting as long as expected

27
Q

Frequency and insurance considerations with acupuncture

A

Many acupuncturists see pts 2-3x/week until symptoms abate

Usually not covered by insurance

28
Q

Different types of acupuncturist training

A

Medical acupuncturists = MDs or DOs who have done additional 300 hrs of training

Medical ear acupuncturists = MDs or DOs who have done additional 20 hrs of training

Licensed acupuncturists = 3 yr or 4 yr oriental medicine MS

Chiropractic acupuncturists = 100 hr course; ABCA membership requires 300 hrs of courses

29
Q

Components of Acupuncture Rx

A

Pt name
Referring doc

Evaluate and treat “X” dx

Evaluate and consider: “XYZ” modalities

[Note: does not typically include frequency recommendation]

30
Q

__________ practic a hands-on, drug-free approach to healthcare that includes pt examination, dx, and tx. Have broad diagnostic skills and are trained to recommend therapeutic and rehab exercises as well as provide nutritional, dietary, and lifestyle counseling

A

DCs

31
Q

T/F: Like their MD colleagues, doctors of chiropractic are subject to the boundaries established in state practice acts and are regulated by state licensing boards. Further, their education in four-year doctoral graduate school programs is nationally accredited through an agency that operates under the auspices of the US Department of Education. After graduation, they must pass national board exams before obtaining a license to practice, and then must maintain their license annually by earning continuing education (CE) credits through state-approved CE programs.

A

True

32
Q

Why would a DO refer to a DC?

A

The DO lost skills or feels unskilled in OMT

Feels that the pt needs more frequent tx

Specializes in another area of practice

33
Q

Frequency and insurance considerations when referring to a DC

A

Many DCs see pts 2-3x/week until symptoms abate

Many accept insurance, but there are usually limitations on number of visits per year

34
Q

What OMT technique is most often utilized in chiropractic care?

A

HVLA

35
Q

Components of DC Rx

A

Pt name
Diagnosis
Imaging results
Precautions

Evaluate and treat — indicate manual therapy, therapeutic exercise, modalities, manipulation, and home program

36
Q

The vision statement of ___________ is to improve function while controlling costs

A

OT

37
Q

General services provided by OTs

A

ADLs and work assessment and treatment

Site evaluation

Performance

Equipment

Social support

[focus on wellness, management of chronic disease, improving function, and supporting independence]

38
Q

Components of OT Rx

A 
Pt name and DOB
Doc and dx
F/u date
Precautions
Frequency/duration
Goals

Eval and treat + additional options

39
Q

Developed over 1000 years ago; 80 different styles including swedish, deep tissue, sports, chair, shiatsu, and lymphatic

A

Massage

40
Q

Type of massage that utilizes varied, rhythmic pressure on certain precise points of the body; indications include anything acupuncture may address for blocked Chi

A

Shiatsu

41
Q

Why would a DO refer to a massage therapist?

A

Feels that pt needs more frequent tx

Feels that muscle hypertonicity is so severe that whole-body massage on more frequent basis is needed

For lymphedema

42
Q

Components of massage therapy Rx

A

Pt name, DOB, ID

Provider info + MT info

Diagnosis + frequency and duration or number of visits

43
Q

______ is often considered a deep-tissue approach, actually works with all layers of the body to ease strain patterns in the entire system; series of 10 sessions that applies systematic approach to aligning your structure; each builds upon the last

A

Rolfing

[basic certification requires HS diploma and 731 hours of training in 3 phases; advanced certification requires 3 additional years and 18 intermediate courses (168 add’l hrs)]

44
Q

Group of physical, mental, and spiritual practices or disciplines which originated in ancient india; many consider it a complementary intervention for cancer, schizophrenia, asthma, and heart disease

A

Yoga

45
Q

Why would a DO recommend yoga?

A

Feels that pt needs more frequent approach

Understands that pt is either too tight, weak, or both and that trial of yoga may be beneficial

46
Q

Considerations regarding the “yoga Rx”

A

Its a lifestyle change, meaning it will be difficult

Frequency/duration usually starts with daily practice of 5-15 mins

Key is to start conservative and increase as tolerated

47
Q

Technique that uses gentle movement and directed attention to help people learn new and more effective ways of living with their bodies; based on principles of physics and an empirical understanding of learning and human development; “we move according to our perceived self-image”

A

Feldenkrais

48
Q

Why would a DO recommend feldenkrais?

A

Feels that pt problems are based upon too much focus on their own pain

Observes that pt has significantly ingrained maladaptive patterns of movement and posture

49
Q

Feldenkrais prescription

A

Its a lifestyle change, meaning it will be difficult

Frequency/duration — daily practice depending on pt

Pt may attend weekly classes or individual sessions with practitioner

OS IV Exam II SG (21 decks)

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