Intro to Physical Medicine Flashcards
t/f physical medicine uses physical agents like heat, cold, electricity, etc
true
t/f pm&r is the one of the specialties that special training in emg and ncv is done
true, in electrodiagnostic medicine
what is altered body function
“impairment”
- at level of organ of functional system
- structural, functional, physical, or psychological loss or abnormality
what is activity limitation
“disability”
- level of person
- restriction or lack of ability in the range considered normal
what is participation limitation
“handicap”
- level of community and society
- disadvantage from impairment or disability
- limits/prevents fulfillment of a role that is normal
what is a physiatrist
- md, team leader, coordinator
- focus on medical management
what is physical therapisy
- degree in physical therapy
- focus on remediation of impairment and disabilities
- uses physical modalities and therapeutic exercise
what is occupational therapist
- degree in occupational therapy
- focus on remediation of disability or handicap
- exercise, environment modificaiton, etc
what is speech and language pathologist
- focus on disorders of communication and swallowing
components of physical exam
- gait evaluation
- range of motion (goniometer)
causes of limitations in rom
read
manual muscle testing grading
read
dip flexion grading
read
0 or 1
wrist flexion grading
- 2/5 = poor, ability to move to the joint’s rom with gravity eliminated
shoulder abduction grading
- 3 = full rom vs gravity without manual resistance
- 4 full rom vs gravity with moderate resistance
- 5 full rom against gravity with max resistance
mmt limitations
- pain
- contracture
- deformity
- spasticity / rigidity
- inability to follow commands
what are therapeutic exercises
- passive to active assitive exercises or activities
- endurance and aerobic capacity = aerobic exercise, strength and balance, rom and flexibility
functional retraining that facilitates transfers and upright mobility
- cardiac conditioning
- graded weight bearing
- osteoporosis prevention
- sensory enhancement
functional retraining: transfer and mobility training
- transfer exercises and techniques
- sitting and standing balance/tolerance
effects of heat
- inc tissue elasticity
- produce contracture and stretching
- tissue stimulation (deep healing, laser therapy)
significance of orthoses
- position extremities (immobilization) in good positions
- pain relief, rest, stabilization
3 point pressure application for __
alignment, traction, stability
significance of adaptive and assistive devices
- relieve pressure in weak muscle and inflamed joints
- maximize function even w residual disabilities
- weight bearing
- protected stabilization
- energy conservation
components of maistreaming
- prevocational exploration
- vocational counseling
- task stimulation and work hardening exercises
- home modification
- group therapy and counseling
