Kinesiotherapy Flashcards
TRACTION CI's include SPINAL Stuff
What is the DEFINITION for KINESIOTHERAPY?
- Therapeutic / Corrective application of PASSIVE / ACTIVE Movements
What’s the RECOMMENDATION for PHYSICAL ACTIVITY?
- At least 150 mins of Moderate-Intensity Physical Activity
- For a week
What are the EFFECTS of PHYSICAL ACTIVITY?
- CNS = Improves mood / cognition
- CVS = INCREASES HR / SV / DECREASES Varicose Veins
- Resp System = Improves minute ventilation / Breath Rate
- Musculoskeletal = Improves MM Metabolism / INCREASES MM Fibre Size / Improves Bone Density + Elasticity of Joint Capsules
What is the CLASSIFICATION of KINESIOTHERAPY?
1) ACTIVE Kinesiotherapy
- Medical Exercises
- Occupational Therapy
- Terrain Treatment = Walking on special pathsin nature
- Suspension / Pulley Therapy
- Specialised Systems for Neuromuscular Re-education
2) PASSIVE Kinesiotherapy
- Massage
- Traction Therapy
- Manual Therapy
- Mechano-therapy
What are the Types of Medical Exercises for AK?
1) General Strength
2) Analytical Exercises
- Osteoarthritis of Knee / Hip Joint
- Peripheral Muscle Paralysis of Radial Nerve = For Extensors of Wrist / Fingers
3) Breathing Exercises
- For Hypostatic Pneumonia (Bed-ridden)
- Airway Obstruction
- Pulmonary Fibrosis
- COPD
- Pneumonia + Bronchitis
4) Corrective Gymnastics = For Scoliosis
5) Underwater Gymnastics
- Paralysis POST-Fracture of LOWER Extremities
- Obesity
6) Balance & Coordination
- Parkinson’s
- Post-Stroke Patient
- Children with Cerebral Palsy
What are the Types of Occupational Therapy for AK?
1) Functional
2) Professional
3) Entertaining = For Severe Disorders
4) Training in activities of Daily Living = Feeding Ourselves / Bathing / Grooming / Homemaking
What does DOSE of TERRAIN TREATMENT, depend on, and what MUST BE MONITORED?
- Surface / Terrain INCLINE
- Distance COVERED
- N.O of Steps
- N.O of Rests
- Duration of Rests
Monitoring = Heart Rate and Blood Pressure
- Both must NOT be MORE than»_space; 20 bpm / mmHg
- Patients w/ CVS & Respiratory Disorders
What are SUSPENSION & PULLEY Therapy?
- Therapeutic Exercises given to INCREASE Range of Motion / MM Strength
- By hanging parts of body to CAGE OF ROCHER via Ropes / Swings
What is SUSPENSION?
- Used to INCREASED Range of Motion of Joints
- Tested by GONOMETRY, measured in Angles
What is PULLEY?
- Used to INCREASED MM Strength
- Evaluated by Manual Muscle Testing (MMT), to test for Muscle Weakness
What are the TYPES of SPECIALISED Neuro-educational / Neurodevelopment TECHNIQUES?
1) System of BOBATH = Suppresses Pathological Synergies / Reducing Spasticity / Educating px
- CNS Disorders
- Stroke
- Traumatic Brain Injuries
- Cerebral Palsy
2) System of KABAT = *Proprioceptive** NM-Facilitation by IRRITATING Proprioceptors Via, Scratching / Stretching of Muscles / Strong Contractions
- Disorders of **PNS*
3) System of VOJTA
- Disorders of **CNS*
- Children with Cerebral Palsy
- Reflex Creeping + Rolling
4) System of PROF GANCHEVA =
- Disorders of **PNS*
- Children with Birth Trauma of Brachial Plexus
What TYPE of Kinesiotherapy is BOTH Active AND Passive?
POSTISOMETRIC RELAXATION
- Relaxation of the MM AFTER Contraction in Isometric Mode
What is the DEFINITION of MASSAGE?
- Mechanical Stimulation by Rhythmic Pressure / Stretching
What are the EFFECTS of MASSAGE?
DECREASES:
- BP / HR
- Pressure + Pulse in Vessels
- Pain + Oedema
- Lactic Acid
- M. Spasm + Cramps / M. Tension
- Scar Tissue / M. Atrophy
INCREASES:
- Endorphins
- Drainage of Lymphatics
- Flexibility + RoM
- Flow of 02
IMPROVES = Stiffness + Tone
What are the 5 MASSAGE Techniques?
1) EFFLEURAGE / GLIDING = Direction of Venous / Lymph Flow
2) RUBBING / FRICTION = Subcutaneous
3) PETRISSAGE / Kneading = Muscles
4) VIBRATIONS = Relaxation
5) TAPOTEMENT / Percussion = Stimulation
6) MANUAL Lymph Drainage
- Breast Cancer = IMPAIRED Drainage, after LN RESECTION
What are the INDICATIONS of Massage?
1) Diseases of Musculoskeletal
- Osteoarthritis
- POST-Stroke
- Traumatic / Degenerative
- M. Spasm / Sprain / Strain
- Lymphoedema
2) NS
- Anxiety
- Peripheral Nerve Injuries
- POST-Stroke
- Radiculitis
- Muscular Dystrophy
- Sleep Disorders
3) CVS = Hypertension
4) GIT
5) Metabolic Diseases = Obesity
What are the CONTRAINDICATIONS of Massage?
- Cancer
- Thrombophlebitis / Emboli / Atherosclerosis
- Skin Infection / Open Wounds
- Varicose Veins
- Phlebitis
- Osteoporosis
RELATIVE = UNHEALED Scar Tissue / Anti-coagulants / Skin GRAFTS
What are the 3 TYPES of Classic / Therapeutic Massage?
1) REFLECTIVE
2) HUMERAL
3) MECHANICAL
What is the DEFINITION of TRACTION Therapy?
- Method which MECHANICAL Traction is used to PULL the LONGITUDINAL AXIS of the Spine
- Thereby STRETCHING the PARAVERTEBRAL Ligaments
- Resulting in SEPARATION of Vertebrae / Intervertebral Spaces
What are the TYPES of TRACTION Therapy?
1) MANUAL = Using hands
2) MACHINES = Using Pulley Systems aka GLISSON’S LOOP
What are the EFFECTS of TRACTION Therapy?
- REDUCES Compression of the HERNIATED / PROTRUDED Intervertebral Disc
- Relieves pain / paraesthesia
- REHYDRATION of the Nucleus Pulposus
What are the INDICATIONS of TRACTION Therapy?
- Disc Protrusions / Herniation / Bulge
- Spinal Stenosis
- Degenerative Disorders
What are the CONTRAINDICATIONS of TRACTION Therapy?
- Spinal Fracture
- Osteoporosis
- Spinal Instability
- Cancer / Tumours of the Spine
- Spinal Osteomyelitis
- Meningitis
- Pregnancy
What are the METHODS of TRACTION?
1) CERVICAL Region = Using GLISSON’S LOOP
- Loop on the neck
- Based on feeling of patient
2) LUMBAR Region = Using PERL
- Lying on back, with knees + hip Flexed at 90
- ALSO Use INTERFERENTIAL Currents, Massage / Thermal Therapy
What is MANUAL Therapy?
- Therapy used for detecting / removing functional blockages BTW Joints
- Cracking Sound occurs, AFTER Blockage Removal
What are the INDICATIONS and CONTRAINDICATIONS of Manual Therapy?
INDICATIONS
- Functional Blockage of Joints
- Restoration of Joint Play
CONTRAINDICATIONS - SAME as TRACTION
- Spinal Fracture
- Osteoporosis
- Spinal Instability
- Cancer / Tumours of the Spine
- Spinal Osteomyelitis
- Meningitis
- Pregnancy
- ALSO Disc Herniations
What is MECHANO-THERAPY?
- Therapies relying on DEVICES to produce repetitive movements for N.O of times
- CPM = Continuous Passive Motion Devices
