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Adapted Therapeutic Exercise: Principles and Applications > Lab Equipments > Flashcards

Lab Equipments Flashcards

1
Q

What are the 5 components of adaptive therapeutic exercise? (list them in order)

A
  1. Flexibility and ROM
  2. Muscuslar strength and endurance
  3. Cardiovascular endurance
  4. Balance and Proprioception
  5. Functional motor skills (FMS) - Fine motor skills and gross motor skills
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2
Q

What is the purpose of flexibility and ROM?

A

Improve ROM

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3
Q

What is the purpose of muscular strength and endurance?

A

Increase EFFECIANCY in performing ADLs

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4
Q

What is the purpose of cardiovascualar endurance?

A

Increase resistance to fatigue

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5
Q

What is the purpose of balance and proprioception?

A

Reduce fall risk

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6
Q

What is the purpose of funtional motor skills (FMS)?

A

To increase INDEPENDANCE in performing ADLs

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7
Q

(a) What type of resistance are machine that ends in “-tron”
(b) What are hydraulic machines and give an example?
(c) What are the resistance in typical strength machines? In other words, what is the easiest and hardest between 1-10
(d) How many sets and reps should you typically do with strength equipements?

A

(a) Resistance is backwards (0 = harder, 10 = easier)
(b) Have resistance going in each direction (EX: Total machine)
(c) 1= easier, 10 = harder
(d) 1-3 sets , 8-12 reps

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8
Q

Identify the component(s), goal (if applicable), and briefly describe how to use the following equipment:
Total machine

A
  • Component: Muscular strength and endurance
  • 1-3 sets of 8-12 repetitions
  • 1 = easy , 6 = hard
  • 8 Exercises performed:
    1) Shoulder flexion and extension
    2) Shoulder horizontal flexion and extension
    3) Trunk flexion and extension
    4) Knee flexion and extension
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9
Q

Identify the component(s), goal (if applicable), and briefly describe how to use the following equipment:
Uppertone

A
  • Accessible for those in wheelchairs (make sure it’s on brake prior to exercise)
  • Adjust machine to appropriate height
  • Adjust resistance/weight and its placement
  • 8 Exercises performed:
    1) Chest press
    2) Rows
    3) Triceps extension
    4) Rickshaw
    5) Lateral raises
    6) Lateral pull-downs
    7) Bicep curls
    8) Shoulder external rotation
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10
Q

What can you use/do to monitor clients while using cardiovascualr equipments?

A

Use HR, RPE (6-20), or facial expressions/talk test to monitor clients

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11
Q

How long can a client exercise on cardiovascular equipments?

A

No longer than 15 minutes

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12
Q

What is the heart rate protocol at the center?

A

i. Before exercise (Resting HR)
ii. Immediately after exercise (Working HR)
iii. One minute after the completion of exercise (Recovery HR)
- Recovers quickly = more challenge
- Recovers slowly = need less of a challenge

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13
Q

Identify the component(s), goal (if applicable), and briefly describe how to use the following equipment:
Arm ergometer

A
  • Component: Cardiovascular endurance
  • How to use: Change the height of the machine by aligning the axis of rotation on the machine to the client’s shoulder, and the client should have a slight bend at full extension.
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14
Q

Identify the component(s), goal (if applicable), and briefly describe how to use the following equipment:
Motomed

A
  • Component: Cardiovascular endurance
  • How to use: Change the height of the machine by aligning the axis of rotation on the machine to the client’s shoulder, and the client should have a slight bend at full extension.
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15
Q

Identify the component(s), goal (if applicable), and briefly describe how to use the following equipment:
Nu-step

A
  • Component: Cardiovascular endurance
  • How to use: Make sure the client’s legs have a slight bend at full extension and the same for arms. Use leg stabilizers if needed. Make sure client does full ROM
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16
Q

Identify the component(s), goal (if applicable), and briefly describe how to use the following equipment:
Parallel Bars

A
  • Component: Balance and propriocpetion
  • How to use:
  • Manipulates the client’s oculomotor, vestibular, proprioception system
  • Can have the bars narrow/wide (in or out button) or high/low (up or down button)
  • Have parallel bars leveled at client’s wrist
  • HOWEVER, if client is unsteady, have the bars narrower
  • CAN challenge the client but have the bars wider
  • Be in the parallel bars with your client, facing in front of them
  • IF client is at risk of falling, have an assistant behind client
  • Exercises performed:
    1. Static balance exercises
    2. Reactive balance exercises
    3. Seated balance exercises
17
Q

What are the three types of exercises client’s can perform on the parallel bars and describe what to do.

A

I. Static Balance Exercise
- Wide stance
- Narrow stance
- Tandem stance (heel to toe)
- Single leg stance
II. Reactive Balance Exercise: Apply external force to client and see how well your client can react by going back to their normal position
- NUDGE your clients from the front, back, and side to side
- Go through each stance as listed above
III. Seated Balance Exercise
- Tell client to scoot to the front of their chair (client’s back is off from the back support of chair)
- Position bars to about client’s shoulders height
- Can still do the same set of stances and reactive balance
- Weight shifting

18
Q

How can you challenge clients and manipulate their systems on the parallel bars?

A
  • To CHALLENGE clients, tell them to gradually take one hand off the bar, and the other.
  • To MANIPULATE their balance systems, tell client to close one and to track your hand (side to side, up and down, rotational)
19
Q

Identify the component(s), goal (if applicable), and briefly describe how to use the following equipment:
Biodex Balance Master

A
  • Component: Balance and propriocpetion
  • How to use:
  • Make sure force plate is secured and locked before getting on equipment
  • Position client’s feet centered on the force plate, hip-width apart
  • Turn on equipment by pressing the “ON” button. Then select “TRAINING” and select game. Input the client’s height
    • Left area of the screen shows how to manipulate the game, middle shows the game, right side is the static scale with score and time of game
  • IF NO NUMBERS are highlighted RED = Force plate is in static setting
  • IF ANY NUMBERS ARE HIGHLIGHTED, DO NOT START THE GAME and MAKE SURE YOU’RE STATIC
  • Hit “START” and fulfill the requirements of the game
  • When done using the equipment, press “STOP”, make sure the force plate is fully locked, then press “ON” button to turn off the system
20
Q

How can you challenge clients and manipulate their systems on the Biodex Balance system?

A
  1. Proprioceptive system - Change the starting position or don’t hold onto the railing
  2. Vestibular system - Tilt or turn head while playing a game
  3. (Probably best to avoid this) Oculomotor system - Closing one eye
21
Q

Identify the component(s), goal (if applicable), and briefly describe how to use the following equipment:
Kinetron

A
  • Component: FMS (gross motor skill - standing)
  • Goal: Client to reach weight bearing of their total body weight (different when seated vs. standing)
  • How to use:
  • Push the seat to the front by unlocking and locking it
  • Make sure seat and footplates are lowered all the way
  • Transfer the client onto the seat and put seabelt on client if neccessary
  • Unlock the seat again and tell clients to lift their feet before pushing the chair back and locking it
  • Adjust the footplates and seat so the clients hip and knee is at 90 degrees; make sure it is high enough so it won’t be obstruct by the floor
  • Adjust the resistance (loacated in the back); 90 = easiest , 10 = hardest
  • Tell client to push down with their feet = simulates weight bearing
  • Can have client stand by extending the arm rest
  • When done, make sure client is seated, lower foot plate and seat, push in the arm rest
22
Q

Identify the component(s), goal (if applicable), and briefly describe how to use the following equipment:
Standing Protocol/ Standing Tilt table

A
  • Component: FMS
  • Goal: Monitor and attain clients BP before protocol and every 30 degrees during the “tilt”
  • MAKE SURE to secure straps: Right Above Knees, ASIS, & Sternum
23
Q

Identify the component(s), goal (if applicable), and briefly describe how to use the following equipment:
EZ-Glider/Easy Stand

A
  • Component: FMS (gross motor skill - standing and gait)
  • Goal: Allow for client to passively, active-passive, or resistance their own limb movements
  • How to use: Client’s BP should be monitored before protocol and every 30 degrees during the “tilt”
24
Q

Identify the component(s), goal (if applicable), and briefly describe how to use the following equipment:
Fine motor skills cart

A
  • Component: FMS (fine motor skills)
    • Activities performed:
      i. Shoulder ladder
  • Shoulder flexion - fingers go UP the ladder
  • Shoulder extension - finger go DOWN the ladder
  • Shoulder abduction - Client sits at a 90 degree angle to the equipment and fingers go UP the ladder
  • Shoulder adduction - Client sits at a 90 degree angle to the equipment and fingers go DOWN the ladder
  • Shoulder horizontal flexion - Assistant holds the ladder horizontally, with client sitting at 90 degrees anad move their finger FORWARDS
  • Shoulder horizontal extension - Assistant holds the ladder horizontally, with client sitting at 90 degrees anad move their finger BACKWARDS
    ii. Graded ROM Arc
  • Instruct the client to grasp/hold onto one ring
    iii. Cone stacking - For grasping, grasping, pronation, and supination
  • Color coordination of cones
  • Stack cones to higher height
  • Changing the coordination and location of where you are stacking the cones
25
Q

What are some ways to modify the shoulder ladder exercise from the fine motor skills cart?

A
  1. Changing the distance between the client and the ladder
  2. Increase the reps. performed
  3. Skip spaces with their fingers
26
Q

What are some ways to modify the Graded ROM Arc exercise from the fine motor skills cart?

A

Simply elongating the arc by adding an extra tube

27
Q

Distinguish what the component and how to use this equipement according ot client’s program:
Hyrdaulic machines - hydrogym resistance exercise: hip abduction/adduction

A

Component: Muscular strength and endurance
How to use: Level 1 (easiest) - 6 (hardest)

28
Q

Distinguish what the component and how to use this equipement according ot client’s program:
Total machine

A

Component: Muscualr strength and endurance
How to use: 1-3 sets of 8-12 repetitions
- Make sure client is seated properly and safely
- Ankles are placed in the foot support where feet don’t touch when dorsiflexing and low enough that pressure is off the calf muscle; Older machines allow change by twisting knob, new machines don’t
- 8 exercises (knee flexion/extension, shoulder flexion/extension, shoulder horizontal flexion/extension, trunk flexion/extension)

29
Q

Distinguish what the component and how to use this equipement according ot client’s program:
Ankle machine

A
30
Q

Distinguish what the component and how to use this equipement according ot client’s program:
Nu-step

A
31
Q

Distinguish what the component and how to use this equipement according ot client’s program:
Parallel bars

A
32
Q

Distinguish what the component and how to use this equipement according ot client’s program:
Biodex balance master

A
33
Q

Distinguish what the component and how to use this equipement according ot client’s program:
Plyoback rebounder

A
34
Q

Distinguish what the component and how to use this equipement according ot client’s program:
Fine motor skills cart

A
35
Q
A

Adapted Therapeutic Exercise: Principles and Applications (2 decks)

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