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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
Q

What are isotonic exercises?

A

Muscles move joint thought ROM.

26
Q

What is good for patients with few impairments or who’s impairments are expected to improve?

A

Remediation for weakness

27
Q

What is grip strength necessary for ADLs?

A

35lb

28
Q

What are 3 factors that break test focuses on ?

A

1) Evidence of contraction
2) Gravity as a resistance
3) Amount of manual resistance

29
Q

Which one is higher, intra-rater or inter-rater ?

A

Intra-rater

30
Q

Not sensitive to change in what grades?

A

4 & 5

31
Q

What is content validity?

A

How well the test measure what is intended to measure

32
Q

Which test is most common?

A

Break test

33
Q

5 / normal

A

Moves through full ROM against gravity and takes max resistance

34
Q

4 / good

A

Moves through full ROM against gravity and takes mod resistance

35
Q

4- / good -

A

Moves through full ROM against gravity and takes less than mod resistance

36
Q

3+ / fair +

A

Moves through full ROM against gravity and takes min resistance

37
Q

3/ fair

A

Moves through full ROM against gravity, unable to take resistance

38
Q

3-/ fair -

A

Moves less than full ROM against gravity

39
Q

2+/ poor +

A

Moves through full ROM in gravity-eliminated plane, takes min resistance

40
Q

2/ poor

A

Moves through full ROM in gravity-eliminated plane, takes no added resistance

41
Q

2-/ poor -

A

Moves through less than full ROM in gravity-eliminated plane, takes no added resistance

42
Q

1 / trace

A

Tension is palpated, no motion occurs

43
Q

0 / zero

A

No tension is palpated, no motion occurs

44
Q

What is an example of Alter Method?

A

Learn to dress the affected side first to compensate for hemiplegia

45
Q

What is an example of Alter Task Object?

A

Use sock aid

46
Q

What is Modify the Task Environment?

A

Lower clothing racks to increase access to clothes

47
Q

When is Therapeutic Exercise most affective

A

 Most effective when used for orthopedic disorders or lower motor neuron disorders

48
Q

Contraindications for measuring ROM include :

A
  • 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
Q

PALPATION

A
  • 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
Q

THERAPIST POSTURE

A
  • 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
Q

what is hard/bony normal end feel?

A

Painless, hard stop to motion. Bone meets bone

52
Q

what is hard/bony normal end feel? example

A

PROM elbow ext

Phys dis module 4 (1 decks)

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