Lecture 1 Flashcards

1
Q

Salience of activity

A

The activity needs to matter to the patient, they may not want to certain things so activity must be relevant and easily perceived

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Those with high ____/____ have better outcomes in physical therapy

A

self esteem self efficacy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Useful education techniques (5)

A
  • pace information provided (one improvement at a time)
  • provide feedback
  • perform activities in as realistic setting as possible
  • encourage patient’s questions and comments
  • practice recall of information
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

_____ replaces compliance

A

adherence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

A push/pull that creates an action of one body upon another

A

force

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Goal of PT

A

create enough of the right kinds of forces to accomplish a task in the safest, most effective, and most efficient manner possible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Center of mass =

location on body?

what can affect center of mass

A

balance point

just anterior to S2

lack of limb, heavy cast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Force couple act together to …..

A

move an object about a pivot point

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Tension is pulling ….

A

pulling on each end of a surface or attempting to stretch/ lengthen a tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Compression

A

pushing two surfaces together

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Axial compression

A

compressive force that is directed along the long axis of a structre

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Distraction

A

pulling that tries to seperate two forces

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Shear

A

two forces opposite in direction that are parallel to contacting surfaces (ex femur and tibia)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Torsion

A

Twisting force about a structures long axis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Bending

A

pushing a load forward that bends around a pivot point creating tension and compression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Combined loading

A

a combination of more that one type of loading

15
Q

Too little load is often due to
or possibly

A
  • Immobilization or decreased activity
  • muscle atrophy, bone loss
16
Q

Too much load can be due to (2)

A
  • single episode in which force exceeds tissue ability to accommodate it
  • small repeated force that damages tissue
17
Q

For promotion of STABILITY
-BOS
-line of gravity
-distance between COM and BOS is:
-COM is

A

-BOS: greater in area
-line of gravity acting on the object’s COM is at or near the center of the BOS
- distance between COM and BOS is shortened
-COM is lower and closer to BOS

18
Q

For promotion of MOBILITY
-BOS
-line of gravity
-distance between COM and BOS is:

A

-BOS: smaller in area
-line of gravity is allowed to move beyond the center of the BOS
-distance of the COM above the BOS is greater

19
Q

Newton’s 1st law

what is inertia

A

(intertia: the resistance to initiation of or change to motion)
- object at rest stays at rest, object in motion stays in motion unless acted on

20
Q

Newton’s 2nd law (3)

A

-Force = mass x acceleration
-use momentum to decrease force required to accomplish a motion
-increasing time to lesson the effect of stopping a force (gymnast landing w knees bent)

20
Q

Class 1 lever

A

the pivot lies between (middle) the load and the effort
(head and neck or see saw)

21
Q

Newton’s 3rd law

A

for every action there is an equal and opposite reaction

22
Class 2 lever
the load is between the pivot and the effort mechanical advantage: less effort to move load (foot, calf, heel joint)
23
Class 3 lever
the load is further away from the pivot than the effort (elbow joint)
24
Torque
a measure of the force that can cause an object to rotate about an axis (bicep example) - as lever arm lengthens torque increases as lever arm shortens torque decreases (struggle as elbow approaches 90 degrees higher torque acting on elbow)
25
Avoid twisting of the trunk especially when Push rather than pull ... ___ during exertion
it is flexed an object over a distance (can safely generate more force) exhale
26
FIM 7 Complete independence 6 Modified independence 5 Supervision/standby assistance/setup 4 Minimal assistance 3 Moderate assistance 2 Maximal assistance 1 Complete dependence / assistance of 2
7 Patient does 100% of work 6 Patient uses a device 5 Cognitive issues: cannot be left alone, close guard (no touch), set up things like meals 4 75% patient, 25% PT 3 50% patient, 50% PT 2 75% PT, 25% patient 1 PT does 100% of work
27
Indications for a tilt table (3) Contraindications (2)
facilitate weight bearing improve pulmonary ventilation prevent development of osteoporosis bilteral LE WBing limitation unstable spinal cord injuries
28
Stages of grief
denial, anger, bargaining, depression, acceptance