Kahoot 11/8 Flashcards
signs & symptoms of OA
impaired mobility
capsular pattern
mechanoreceptors impacted
impaired mm performance
which spinal movement should be avoided in pts with osteoporosis
flexion
or combined flexion + rotation
- more stress in the vertebral body in the front
What is the best exercise for someone who wants to reduce their risk for the development of osteoporosis
hiking
which would likely not be a component of post-op management for a pts s/p hip arthoroscopy.
fwb
pt edu
edu on avoidance of symptom provoking positions
from exercises
FWB -
you pull the covers off your pt in a SNF setting & see their RLE shortened & in ER. what is the best next step
inform the PT of findings to ensure pt is safe to treat
- hip fracture
contraindication to the acute phase of healing for injury
stretching & resistance training
pt demos tightness of their TFL when testing the Ober’s test. what are they most at risk for?
trochanteric bursitis
which type of fx occurs d/t straight pulling or traction force
avulsion
ganglions are most commonly seen with which condition?
Rumatoidarthritis
pt fell & fractured their hip, they now see PT & what surgery do you anticipate they underwent?
ORIF
- open reduction internal fixation
control WB & developing balance in hip mm length/strength are goals of which phase for hip mm strain?
controlled motion phase
3 wks post R THA what movements should be avoided? x3
deep lunge w RLE posterior
standing hip ABD RT
turning L with R foot planted
- extension
- hip ER
- hip ABD
severe hip pain, failure of hemiarthroplasty & XR evidence of joint changes indicated which surgery?
total hip arthroplasty
a pt should attempt to be progressed off of an AD asap following THA
false
- gait deviations must be good to take AD away
which intervention would be LEAST important for pre-op management of a pt about to undergo THA?
stretching exercise to improve hip ROM
which would not be appropriate during the acute stage after a ST injury
compression, grade 1/2 & muscle setting all good for pain in early stages
selective stretching
pt sustained an ankle sprain w some tearing of the deltoid ligament which grade of sprain?
2
signs that show you have progressed interventions too quickly x5
increased inflammation, weakness, pain
muscle spasm
resting fatigue
Achilles pain of that tendon area after running 10K from a long period of not running
strain
pt has mid-buttock pain % 3/5 strength in glute max/med what condition do you anticipate occurring?
piriformis syndrome
- inmiges sciatic nerve
- 3/5 pain = compression affects strength of glutes & piriformis
(fai syndrome - pinching)
- femoral deformity
coxa valga
large angle of inclination over 125
preparing to work w a pt 1 day s/p routine THA. what WB status should you expect to see?
WBAT - weight bearing as tolerated
most common location of a hip fracture
intertrochanteric - most narrow
NOT SUB!!
how many months foes it typically take fro a fx to heal
10 - 18 weeks or 2-4 months
what is not the BET intervention during the return to function phase of hip OA
grade 1 & 2 mobs - more for main
pt in subacute phase of healing after soft tissue injury. when will they likely 1st experience pain with movement?
tissue resistance
- chronic = overpressure
- midrange = acute
which would not be an indication for hip arthroscopy.
- clean up inside and remove fragments, tighten capsules, of debris cartilage, lesions
severe hip OA - need a hip replacement instead
What is the last priority to work on a pt with the rehab progression pyramid as your guide
- balance & gait
- pain/inflammation
- rom/mm length
- mm performance
What is not a goal immediately hip fx or ORIF at maximum protection phase?
improved aerobic capacity d/t want max protection for healing
- prioritize balance, strengthen BUE, & prevent DVT formation
pt has worsening swelling in arm, you notice tightening of the skin & redness what are the next steps
compartment syndrome
- discuss w PT immediately prior to initiating next step
replacement of only femoral head/stem
hemiarthroplasty
tha - acetabulum
pt is 8- y/o smokes a pack a day 90lbs and is female what is she most at risk of also Asian
osteoporosis
T-score indicates normal bone quality is
-1.0 or higher
osteopenia -
osteoporisis
most common hypomobility d/o of hip results in articular cartilage breakdown & osteophyte formation
OA
which is not a sign/symptom of someone with RA x 3
seen in LS/hips
gradually develops over time
onset age 40+
