Lab Equipments Flashcards
What are the 5 components of adaptive therapeutic exercise? (list them in order)
- Flexibility and ROM
- Muscuslar strength and endurance
- Cardiovascular endurance
- Balance and Proprioception
- Functional motor skills (FMS) - Fine motor skills and gross motor skills
What is the purpose of flexibility and ROM?
Improve ROM
What is the purpose of muscular strength and endurance?
Increase EFFECIANCY in performing ADLs
What is the purpose of cardiovascualar endurance?
Increase resistance to fatigue
What is the purpose of balance and proprioception?
Reduce fall risk
What is the purpose of funtional motor skills (FMS)?
To increase INDEPENDANCE in performing ADLs
(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) 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
Identify the component(s), goal (if applicable), and briefly describe how to use the following equipment:
Total machine
- 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
Identify the component(s), goal (if applicable), and briefly describe how to use the following equipment:
Uppertone
- 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
What can you use/do to monitor clients while using cardiovascualr equipments?
Use HR, RPE (6-20), or facial expressions/talk test to monitor clients
How long can a client exercise on cardiovascular equipments?
No longer than 15 minutes
What is the heart rate protocol at the center?
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
Identify the component(s), goal (if applicable), and briefly describe how to use the following equipment:
Arm ergometer
- 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.
Identify the component(s), goal (if applicable), and briefly describe how to use the following equipment:
Motomed
- 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.
Identify the component(s), goal (if applicable), and briefly describe how to use the following equipment:
Nu-step
- 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
Identify the component(s), goal (if applicable), and briefly describe how to use the following equipment:
Parallel Bars
- 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
What are the three types of exercises client’s can perform on the parallel bars and describe what to do.
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
How can you challenge clients and manipulate their systems on the parallel bars?
- 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)
Identify the component(s), goal (if applicable), and briefly describe how to use the following equipment:
Biodex Balance Master
- 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
How can you challenge clients and manipulate their systems on the Biodex Balance system?
- Proprioceptive system - Change the starting position or don’t hold onto the railing
- Vestibular system - Tilt or turn head while playing a game
- (Probably best to avoid this) Oculomotor system - Closing one eye
Identify the component(s), goal (if applicable), and briefly describe how to use the following equipment:
Kinetron
- 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
Identify the component(s), goal (if applicable), and briefly describe how to use the following equipment:
Standing Protocol/ Standing Tilt table
- 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
Identify the component(s), goal (if applicable), and briefly describe how to use the following equipment:
EZ-Glider/Easy Stand
- 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”
Identify the component(s), goal (if applicable), and briefly describe how to use the following equipment:
Fine motor skills cart
- Component: FMS (fine motor skills)
- Activities performed:
i. Shoulder ladder
- Activities performed:
- 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
