Intro Flashcards
question
answer
process of helping a persont o reach the fullest physical, psychological, social, vocatioinal, avocational and educational potential consistent with his or her physiologic or anatomic impairment, environmental limitation and desires and life plans
. Activity . Disability . Handicap . Impairment . Participation . Rehabilitation . Rehabilitation Medicine
. Rehabilitation
any loss of abnormality of psychological, physiological or anatomical structure or function
. Activity . Disability . Handicap . Impairment . Participation . Rehabilitation . Rehabilitation Medicine
. Impairment
any restriction of lack resulting from an impairment of ability to perform an activity in the manner or within the range considered normal for a human being
. Activity . Disability . Handicap . Impairment . Participation . Rehabilitation . Rehabilitation Medicine
. Disability
disadvantage for an individual resulting from an impairment or disability that limits or prevents the fulfillment of a role that is normal for that individual
. Activity . Disability . Handicap . Impairment . Participation . Rehabilitation . Rehabilitation Medicine
. Handicap
the nature and extent of functioning at the level of the person
. Activity . Disability . Handicap . Impairment . Participation . Rehabilitation . Rehabilitation Medicine
. Activity
the nature and extent of a person’s involvement in life situations in relationship to impairments, activities, health conditions and contextual factors
. Activity . Disability . Handicap . Impairment . Participation . Rehabilitation . Rehabilitation Medicine
. Participation
branch of medical science concerned with the comprehensive evaluation and management of patients with impairment and disability arising from neuromuscular, musculoskelatal, cardiovascular, and pulmonary disorders; also concerned with the medical, social, vocational and psychological aspects arising from them
. Activity . Disability . Handicap . Impairment . Participation . Rehabilitation . Rehabilitation Medicine
. Rehabilitation Medicine
members of rehabilityation team (9)
Physiatrist Physical Therapist Occupational Therapist Rehabilitation Nurse Psychologist Speech and language therapist Orthotist/prosthetist Social Worker Patient
team leader; coordinates the various members to achieve the goal set; manages the medical aspects and medical complications that arise during rehabilitation
. Occupational Therapist . Orthotist/Prosthetist . Patient . Physiatrist . Physical Therapist . Psychologist . Rehabilitation Nurse . Social Worker . Speech and language therapist
. Physiatrist
evaluate and train patients in ADL’s and IADL’s; explore vocational and avocational interests; evaluates the patient’ skill within the community
. Occupational Therapist . Orthotist/Prosthetist . Patient . Physiatrist . Physical Therapist . Psychologist . Rehabilitation Nurse . Social Worker . Speech and language therapist
. Occupational Therapist
train patients in use of modified environment, assistive devices and UE prostheses; educate the patient’s faminly to maintain independence
. Occupational Therapist . Orthotist/Prosthetist . Patient . Physiatrist . Physical Therapist . Psychologist . Rehabilitation Nurse . Social Worker . Speech and language therapist
. Occupational Therapist
Physical Therapist trains LE prostheses
use of physical agents for treatment; assist patient in functional restoration especially for gross motor functions
. Occupational Therapist . Orthotist/Prosthetist . Patient . Physiatrist . Physical Therapist . Psychologist . Rehabilitation Nurse . Social Worker . Speech and language therapist
. Physical Therapist
trains use of LE prosteses
. Occupational Therapist . Orthotist/Prosthetist . Patient . Physiatrist . Physical Therapist . Psychologist . Rehabilitation Nurse . Social Worker . Speech and language therapist
. Physical Therapist
Occupational therapist train UE prostheses
helps patient and significant others to prepare psychologically for full participation; testing for intelligence personality, psychological status; counseling
. Occupational Therapist . Orthotist/Prosthetist . Patient . Physiatrist . Physical Therapist . Psychologist . Rehabilitation Nurse . Social Worker . Speech and language therapist
. Psychologist
direct personal care of patients; addresses the ADL’s assist in medication management;
educate families on the related disabilities; assist in use of adaptive devices
. Occupational Therapist . Orthotist/Prosthetist . Patient . Physiatrist . Physical Therapist . Psychologist . Rehabilitation Nurse . Social Worker . Speech and language therapist
. Rehabilitation Nurse
evaluates and treats patients with neurologic disorders such as aphasia, dysarthria, apraxia, cognitive-communication impairments, dysphagia
educates patients/families on care of tracheostomy tubes, dysphagia, alternative communication
. Occupational Therapist . Orthotist/Prosthetist . Patient . Physiatrist . Physical Therapist . Psychologist . Rehabilitation Nurse . Social Worker . Speech and language therapist
. Speech and language therapist
evaluates the patient’s total living condition; assess the impact of disability with the above mentioned factors; facilitate assistance to cope with such impact
. Occupational Therapist . Orthotist/Prosthetist . Patient . Physiatrist . Physical Therapist . Psychologist . Rehabilitation Nurse . Social Worker . Speech and language therapist
. Social Worker
evaluates, designs and fabricates orthoses and/or prostheses; follow up and educate osers of care and maintenance of such devices
. Occupational Therapist . Orthotist/Prosthetist . Patient . Physiatrist . Physical Therapist . Psychologist . Rehabilitation Nurse . Social Worker . Speech and language therapist
. Orthotist/Prosthetist
activities requred for personal care
. ADL
. I-ADL
. ADL
feeding, dressing, grooming, bathing, toileting
. ADL
. I-ADL
. ADL
complex tasks required for independent living in the immediate environment
. ADL
. I-ADL
. I-ADL
care of other in the household, telephone use, meal preparation, house cleaning, laundry, public transportation
. ADL
. I-ADL
. I-ADL
lesisions involving the CNS
. UMN
. LMN
. UMN
hypertonia, hyperreflexia
. UMN
. LMN
. UMN
no significant muscle atrophy
. UMN
. LMN
. UMN
hemiparetic, parapetic, and tetraperetic pattern
. UMN
. LMN
. UMN
hypotonia, hyporeflexia
. UMN
. LMN
. LMN
significant muscle atrophy
. UMN
. LMN
. LMN
electromyographic changes
. UMN
. LMN
. LMN
affected nerve root
. UMN
. LMN
. LMN
eyes are closed with absence of sleep-wake cycles and no evidence of a contingent relationship between the patient’s behavior and the environment
. Coma
. Minimally conscious state
. Vegetative state
. Coma
characterized by the presence of sleep-wake cycles but still no contingent relationship
. Coma
. Minimally conscious state
. Vegetative state
. Vegetative state
patient who remains severely disabled but demonstrates sleep-wake cycles and even inconsistent, nonreflexive, contingent behaviors in response to a specific environmental stimulation
. Coma
. Minimally conscious state
. Vegetative state
. Minimally conscious state
Spontaneous eye opening
1-6
. 4
eye opening to speech
1-6
. 3
eye opening to pain (1-6)
. 2
no eye opening (1-6)
. 1
obeys cues for motor response (1-6)
. 6
localizes motor response (1-6)
. 5
withdrawal motor response (1-6)
. 4
abnormal flexion in motor response (1-6)
. 3
extensor response in motor respons (1-6)
. 2
no motor response (1-6)
. 1
oriented verbal response (1-6)
. 5
confused conversation (1-6)
. 4
inappropriate words (1-6)
. 3
incomprehensible sounds (1-6)
. 2
no verbal response (1-6)
. 1
eye opening
a. 1-4
b. 1-5
c. 1-6
a. 1-4
best motor response
a. 1-4
b. 1-5
c. 1-6
c. 1-6
verbal response
a. 1-4
b. 1-5
c. 1-6
b. 1-5
resistance of muscle to stretch or passive elongation
. Spasticity
. Strength
. Tone
. Tone
velocity-dependent increase in the stretch reflex
. Spasticity
. Strength
. Tone
. Spasticity
5 parameters of gait evaluation
. Ease of arising from a seated position . Balance . Walking speed . Stride and step length . Attitude of arms and legs
linear distance between successive corresponding points of heel contact of the same foot
. Stride length
. Step length
. Stride length
distance between corresponding successive contact points of opposite feet
. Stride length
. Step length
. Step length
2 feet for women and 2.5 feet for men
. Stride length
. Step length
. Step length
patient spending more time in stance phase on one leg and is usually due to pain in the other leg
. Antalgic gait
. Trendelenburg gait
. Antalgic gait
sway toward the leg in stance phase because of abductor weakness
. Antalgic gait
. Trendelenburg gait
. Trendelenburg gait
Full available ROM is achieved against gravity and is able to demonstrate maximal resistance.
0-5
. 5
Full available ROM is achieved against gravity and
is able to demonstrate moderate resistance.
0-5
. 4
Full available ROM is achieved only with gravity
eliminated.
0-5
. 2
Full available ROM is achieved against gravity but
is not able to demonstrate resistance.
0-5
. 3
A visible or palpable contraction is noted, with
no joint movement.
0-5
. 1
No contraction is identified.
0-5
. 0
No increase in muscle tone (0-4)
. 0
Slight increase in muscle tone, manifested by a catch and release or by minimal resistance at the end of the range of motion when the affected part(s) is moved in flexion or extension (0-4)
. 1
Slight increase in muscle tone, manifested by a catch, followed by minimal resistance throughout the remainder (less than half) of the ROM (0-4)
. 1+
6 determinants of gait
. Pelvic rotation . Pelvic tilt . Knee flexion in stance phase . Ankle mechanism . Lateral displacement of body
initial contact
. Stance phase
. Swing phase
. Stance phase
loading response
. Stance phase
. Swing phase
. Stance phase
midstance
. Stance phase
. Swing phase
. Stance phase
terminal stance
. Stance phase
. Swing phase
. Stance phase
heel strike
. Stance phase
. Swing phase
. Stance phase
foot flat
. Stance phase
. Swing phase
. Stance phase
heel off
. Stance phase
. Swing phase
. Stance phase
pre-swing
. Stance phase
. Swing phase
. Swing phase
initial swing
. Stance phase
. Swing phase
. Swing phase
mid-swing
. Stance phase
. Swing phase
. Swing phase
terminal swing
. Stance phase
. Swing phase
. Swing phase