Intro to Physical Medicine Flashcards

1
Q

t/f physical medicine uses physical agents like heat, cold, electricity, etc

A

true

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2
Q

t/f pm&r is the one of the specialties that special training in emg and ncv is done

A

true, in electrodiagnostic medicine

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3
Q

what is altered body function

A

“impairment”

  • at level of organ of functional system
  • structural, functional, physical, or psychological loss or abnormality
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4
Q

what is activity limitation

A

“disability”

  • level of person
  • restriction or lack of ability in the range considered normal
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5
Q

what is participation limitation

A

“handicap”

  • level of community and society
  • disadvantage from impairment or disability
  • limits/prevents fulfillment of a role that is normal
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6
Q

what is a physiatrist

A
  • md, team leader, coordinator

- focus on medical management

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7
Q

what is physical therapisy

A
  • degree in physical therapy
  • focus on remediation of impairment and disabilities
  • uses physical modalities and therapeutic exercise
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8
Q

what is occupational therapist

A
  • degree in occupational therapy
  • focus on remediation of disability or handicap
  • exercise, environment modificaiton, etc
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9
Q

what is speech and language pathologist

A
  • focus on disorders of communication and swallowing
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10
Q

components of physical exam

A
  • gait evaluation

- range of motion (goniometer)

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11
Q

causes of limitations in rom

A

read

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12
Q

manual muscle testing grading

A

read

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13
Q

dip flexion grading

A

read

0 or 1

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14
Q

wrist flexion grading

A
  • 2/5 = poor, ability to move to the joint’s rom with gravity eliminated
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15
Q

shoulder abduction grading

A
  • 3 = full rom vs gravity without manual resistance
  • 4 full rom vs gravity with moderate resistance
  • 5 full rom against gravity with max resistance
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16
Q

mmt limitations

A
  • pain
  • contracture
  • deformity
  • spasticity / rigidity
  • inability to follow commands
17
Q

what are therapeutic exercises

A
  • passive to active assitive exercises or activities

- endurance and aerobic capacity = aerobic exercise, strength and balance, rom and flexibility

18
Q

functional retraining that facilitates transfers and upright mobility

A
  • cardiac conditioning
  • graded weight bearing
  • osteoporosis prevention
  • sensory enhancement
19
Q

functional retraining: transfer and mobility training

A
  • transfer exercises and techniques

- sitting and standing balance/tolerance

20
Q

effects of heat

A
  • inc tissue elasticity
  • produce contracture and stretching
  • tissue stimulation (deep healing, laser therapy)
21
Q

significance of orthoses

A
  • position extremities (immobilization) in good positions

- pain relief, rest, stabilization

22
Q

3 point pressure application for __

A

alignment, traction, stability

23
Q

significance of adaptive and assistive devices

A
  • relieve pressure in weak muscle and inflamed joints
  • maximize function even w residual disabilities
  • weight bearing
  • protected stabilization
  • energy conservation
24
Q

components of maistreaming

A
  • prevocational exploration
  • vocational counseling
  • task stimulation and work hardening exercises
  • home modification
  • group therapy and counseling