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Phys dis module 4 > Iwona > Flashcards

Iwona Flashcards

1
Q

What is 1.0-2.5 METs

A

Dusting, bathing (sitting),waking at slow pack, light office work (sitting), making
bed

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2
Q

What is 2.6-4.0 METs

A

Moderate (walk, run, play), raking lawn, walking downstairs, motorcycle riding,
water aerobics, very light stationary biking

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3
Q

What is 4.0-6.0 METs

A

Major house cleaning, weeding, carpentry on house, dance aerobics, walk/jog
(jogging less than 10 min), Elliptical (mod effort)

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4
Q

What is 6.0-10 METs

A

Shoveling, carrying object 50-74 lbs, carrying groceries upstairs, running 10-12 min
mile, moving furniture, high-impact aerobics

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5
Q

What is Measuring Muscular Endurance?

A

Measured by the amount of lactic acid build up in the blood

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6
Q

What is Dynamic assessment ? Provide examples

A

reps /unit of time (Box and Block Test)(Functional

Capacity Evaluation, BTE work simulation)

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7
Q

What is Static assessment?

A

time contraction is held

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8
Q

How to Increase Endurance?

A

Low intensity with high reps and Graded by intensity or time

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9
Q

what is example of increasing endurance #1 ?

A

Progressing from picking tomatoes in a garden to weeding

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10
Q

what is example of increasing endurance #2 ?

A

Increased about of time spent engaging in occupations independently

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11
Q

What is endurance?

A

is a reflection of cardiovascular state and fitness level

physiological

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12
Q

What is fatigue?

A

is a subjective feeling of being exhausted. It is multi-dimensional

 Includes cognitive, behavioral, physical and emotional components
 Often not relived by rest
 Can interfere with sleep
 Fatigue can affect patients memory, attention and learning abilities
 Associated with increased pain, depression, decreased functional ability
 Fluctuating diagnosis (fibromyalgia) difficult to predict levels of fatigue day to
day
 Fatigue can be increased by fitness level and/or decreased cardiovascular state

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13
Q

What is Multidimensional Assessment of Fatigue?

A

16 item scale that measures fatigue across to four dimensions: degree and severity, distress that it causes, timing of fatigue, and its impact on various activities of daily living

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14
Q

What is Fatigue Severity Scale?

A

9-item self report scale that measures the severity of fatigue and its effect on a person’s activities

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15
Q

What is max heart rate?

A

Age - 220= HR

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16
Q

What is rate of perceived exertion ( PRE) ( Borg scale)?

A

Patient rated, 15 point scale from 6-20 (20 max exertion).

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17
Q

What is metabolic equivalent level?

A

One MET = basal metabolic rate
( amount of O2 consumption necessary to maintain metabolic process of the body at rest) 3.5 mL of O2 per kg of the body weight/min)

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18
Q

What is muscular endurance?

A

Muscles engaged during the task can continue to work without fatigue.

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19
Q

What is cardiovascular endurance ?

A

During continues physical activity both the circulatory and respiratory systems must supply adequate O2 to continue the task.

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20
Q

What do you need to do to increase endurance?

A

Lower resistance, higher reps

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21
Q

What are isometric exercises?

A

Static muscle contraction with no change n muscle length

22
Q

What are eccentric exercises?

A

Muscle lengthens as it develops tension.

23
Q

What are concentric exercises?

A

Muscle shorthens as it develops tension.

24
Q

What is remediation for weakness?

A

Interventions include:

* strengthening * ROM * endurance * areobic exercise

25
What are isotonic exercises?
Muscles move joint thought ROM.
26
What is good for patients with few impairments or who’s impairments are expected to improve?
Remediation for weakness
27
What is grip strength necessary for ADLs?
35lb
28
What are 3 factors that break test focuses on ?
1) Evidence of contraction 2) Gravity as a resistance 3) Amount of manual resistance
29
Which one is higher, intra-rater or inter-rater ?
Intra-rater
30
Not sensitive to change in what grades?
4 & 5
31
What is content validity?
How well the test measure what is intended to measure
32
Which test is most common?
Break test
33
5 / normal
Moves through full ROM against gravity and takes max resistance
34
4 / good
Moves through full ROM against gravity and takes mod resistance
35
4- / good -
Moves through full ROM against gravity and takes less than mod resistance
36
3+ / fair +
Moves through full ROM against gravity and takes min resistance
37
3/ fair
Moves through full ROM against gravity, unable to take resistance
38
3-/ fair -
Moves less than full ROM against gravity
39
2+/ poor +
Moves through full ROM in gravity-eliminated plane, takes min resistance
40
2/ poor
Moves through full ROM in gravity-eliminated plane, takes no added resistance
41
2-/ poor -
Moves through less than full ROM in gravity-eliminated plane, takes no added resistance
42
1 / trace
Tension is palpated, no motion occurs
43
0 / zero
No tension is palpated, no motion occurs
44
What is an example of Alter Method?
Learn to dress the affected side first to compensate for hemiplegia
45
What is an example of Alter Task Object?
Use sock aid
46
What is Modify the Task Environment?
Lower clothing racks to increase access to clothes
47
When is Therapeutic Exercise most affective
 Most effective when used for orthopedic disorders or lower motor neuron disorders
48
Contraindications for measuring ROM include :
* Motion will cause damage or interrupt the healing process (measuring active fisting after flexor tendon repair) * You suspect fracture, subluxation or dislocation * Myositis ossificans/Ectopic ossification/Heterotopic ossification
49
PALPATION
* Practice! • Use IF and MF (not thumb) * Sensitive but firm touch needed * Find bony landmarks for measurement tool placement • Used to assess muscle contraction * Assess soft tissue status * Temperature * Blanching, edema, nodules * Identify structures that require direct treatment
50
THERAPIST POSTURE
* Stand with feet shoulder width apart, knees slightly flexed, one foot in front of the other, stance inline with direction of movement. Shift weight from one foot to the other * Keep close to patient * Avoid spinal rotation * Use leg muscles * Adjust height of the mat to keep neutral posture
51
what is hard/bony normal end feel?
Painless, hard stop to motion. Bone meets bone
52
what is hard/bony normal end feel? example
PROM elbow ext

Phys dis module 4 (1 decks)

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