Intro to Ther Ex Flashcards

1
Q

Define balance

A

ability to align body segments against gravity yo maintain or move the body (center of mass) within the available base of support without falling.

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2
Q

Define cardiopulmonary fitness

A

ability to perform low level, repetitive total body movements over an extended period of time

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3
Q

Define flexibility

A

ability to move freely without restriction

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4
Q

Define mobility
AND
What is the major difference between passive and active mobility?

A

ability os structures or segments of the body to move to be moved to allow ROM for functional activities

  • Passive mobility is dependent on flexibility
  • Active mobility requires neuromuscular activation
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5
Q

Define stability

A

ability of the neuromuscular system to control a stable base during superimposed movement

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6
Q

Define muscle performance

A

capacity of a muscle to produce tension and so physical work

(encompasses power, strength, and muscular endurance)

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7
Q

Define coordination

A

correct timing and sequencing of muscle contractions leading to effective, smooth and accurate movement that can occur at the conscious or automatic level

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8
Q

List the components of the patient management model and the IFC Model. Where does Ther. Ex. fit into the models?

A

Patient Management Model:

  1. Examination
  2. Evaluation
  3. Diagnosis
  4. Prognosis/POC
  5. Intervention*
  6. Re-Eval
  7. Discharge

*Ther. Ex. fits in Intervention!

IFC Model:

  1. Pathology
  2. Impairment
  3. Functional Limitation
  4. Disability
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9
Q

What are the 3 components of evidence based practice?

A
  1. Best Research Evidence
  2. Clinical Expertise
  3. Patient Values and Preferences
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10
Q

Name at least 4 considerations to keep in mind when introducing patients to their exercise program. (There are 8 to choose from.)

A
  1. Current health, medications, medical hx
  2. Clearance from MD
  3. Current level of function/impairments
  4. Risk factors
  5. Environment
  6. Pt response to activity
  7. Pt education/ability to learn
  8. Protection of yourself (body mechanics)
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11
Q

List and discuss the different types of feedback (know how they are different from each other) (9)

A
  1. Intrinsic feedback*
    - sensory cues INHERENT in execution of motor task
    - arise directly from performing or attempting to perform task
    - may immediately follow completion of task or occur before task is complete
    - usually involves proprioceptive, kinesthetic, tactile, visual, or auditory cues
  2. Augmented (extrinsic) feedback*
    - sensory cues from EXTERNAL source that supplement intrinsic feedback and NOT inherent in execution of task
    - arise from mechanical source or from another person
  3. Concurrent feedback*
    - Occurs during performance of task (real-time feedback)
  4. Postresponse feedback*
    - Occurs after completing or attempting to complete a motor skill
  5. Immediate feedback
    - Info given directly after task completed
  6. Delayed feedback
    - Info given after short time of letting pt think about their performance
  7. Summary Postresponse feedback
    - info given about average performance of several reps of motor skill
  8. Variable feedback
    - irregular, random feedback during practice of motor skill
  9. Constant feedback
    - regular, recurring, continuous feedback during practice of motor skill
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12
Q

Know the difference between blocked, random, and random blocked practice.

A

Blocked-Order Practice: Doing same ex repeatedly (task does not change from 1 rep to the next)
- ie. practice walking in same environment/surface, lifting containers of equal size and weight

Random-Order Practice: Task changes with each rep
- ie. stepping to and from platforms of diff heights, sit to stand from chairs of different heights in random order

Random/Blocked-Order Practice: Random ex but you do several reps before moving on to the next ex
- ie. the different height chairs - sit to stand several times from the same chair and then randomly move to a different height chair and repeat series of sit to stand from that chair

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13
Q

Define Wolff’s Law

A

the body will adapt, react, and develop according to the stresses or strains that ARE or ARE NOT placed upon it

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14
Q

Define the overload principle

A

improved muscle performance requires that “the muscle must be challenged to perform at a level greater than that to which it is accustomed”

strength training = increased resistance
endurance training = increased time of contraction or # of reps

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15
Q

Discuss/Define specificity

A

Ex is most effective in reaching functional goals when it mimics the anticipated function
(the closer you get the ex to the functional activity, the better)

Includes: mode, velocity, position, movement pattern

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16
Q

Discuss/Define reversibility

A

“Use it or lose it” - Incorporate training improvements into ADLs!

Increased strength and endurance will not last unless the program is maintained or the new ROM/strength is used functionally

Detraining (reduction of muscle performance) can start 1 wk after stopping ex

17
Q

What are the components of FIVVDRM in exercise rx and documentation?

A

F: Frequency - # of ex sessions/day or wk
I: Intensity - Amt of resistance (ex load)
V: Volume - total # reps & sets in 1 session
V: Velocity - speed at which ex is performed
D: Duration - total length of ex program
R: Rest - Freq and duration of rest breaks
M: Mode - type (form of ex, type of contraction, manner/position ex is performed in)

18
Q

List common impairments manages by There Ex. (4 Categories with subcategories)

A
  1. Musculoskeletal - pain, weakness, decreased endurance, limited ROM (why?)
    - restriction of joint capsule or periarticular connective tissue, decreased muscle length, joint hypermobility, poor posture, muscle length/strength imbalance
  2. Neuromuscular - pain, impaired control/balance, dystonia, incoordination
  3. Cardiovascular/Pulmonary - decreased aerobic capacity, decreased circulation, pain with sustained pays. activity (intermittent claudication)
  4. Integumentary - hypomobile skin (scarring)
19
Q

List types of therapeutic exercises (10).

A
  1. Aerobic
  2. Anaerobic
  3. Muscle performance
  4. Stretching and ROM
  5. Neuromuscular control
  6. Postural Control/Stabilization/Balance
  7. Coordination/Agility
  8. Relaxation
  9. Breathing
  10. Task Specific (Functional)