Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

1 Therapeutic Exercise > Lecture 10 > Flashcards

Lecture 10 Flashcards

1
Q

Clinical presentation of a patient with a joint disorder

A

impaired mobility
impaired muscle performance
impaired balance
functional limitations

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

Arthritis

A

inflammation in a joint

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

Arthrosis

A

limitation of a joint w/o inflammation

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

Characteristics of Osteoarthritis

A

Usually after the age of 40
develops slowly over many years
caused by trauma, genetics, disease, mechanical stress
asymmetrical

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

Appearance of OA on radiographs

A

sclerosis
decreased joint space
osteophyte formation
bone cysts

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

Varus OA

A

decreased medial joint space

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

Valgus OA

A

decreased space laterally in joint

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

Most common sites of OA

A

Cervical and lumbar spine
DIP, 1st CMC, shoulder
hip, knee, 1st MTP

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

OA Joint symptoms

A

stiff joints after sleeping or immobility, pain with weight bearing, crepitus, decreased ROM

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

OA Systemic Symptoms

A

none

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

Early Stages of OA Interventions

A

correct body mechanics and movement patterns, focus on proection

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

Late stages of OA interventions

A

assistive devices and splints

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

General interventions of OA

A

resistance exercises, usually isometrics
stretching/joint mob
Balance
cardio (no impact or twisting)

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

Characteristics of Rheumatoid Arthritis

A

chronic, progressive, autoimmune
onset is 16-50 years of age
sudden onset; episodes last months to years
unknown cause

starts as inflammation of synovial joint and then changes the structure of cartilage and bone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Joint symptoms of RA

A

redness, warmth, swelling
nodules
stiffness in the morning, increased pain with activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Systemic symptoms of RA

A

general malaise, fatigue, loss of appetite, weight loss, fever
other symptoms within other systems like ocular, respiratory, etc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Location of RA

A

MCP, PIP, wrists, cervical spine, MTP, talonavicular, ankle, hip, knee, shoulder

can be multiple, bilateral, symmetrical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

RA nodules

A

extra-articular manifestations of RA
25% frequency
extensor surfaces of tendons/joints causes irritation, nodule forms

also can form in subcutaneous tissues, pads of toes/heels, viscera

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Interventions for RA during Active inflammatory period

A

joint protection
energy conservation
exercise, functional training, gentle isometrics to prevent atrophy. Decrease time but increase frequency

NO stretching of joints

20
Q

Precautions of RA

A

steroid use, lead to osteoporosis
ligament laxity
respect fatigue
cardio exercise may be limited with fatigue

21
Q

Contraindication of RA

A

no stretching or mobilization of swollen joints when in a flare up phase

22
Q

RA interventions during subacute/chronic stages

A

joint protection and activity modification
flexibility and strength
cardiovascular endurance
adaptive equipment

23
Q

Risk factors for primary osteoporosis

A

Comes on its own

postmenopausal
caucasian or asian
family history
low body weight
no PA
diet low in vitamin D and calcium
smoking

24
Q

Risk factors for secondary osteoporosis

A

develops due to another problem

GI disease, Crone’s
hyperthyroidism
chronic renal failure
RA

25
Q

Prevention of Osteoporosis

A

diet rich in viramin D and calcium
heavy weight bearing exercise
no smoking, limited alcohol

PA helps to remodel bones

26
Q

Interventions for Osteoporosis

A

Aerobic training, 5x or more a week, moderate
Resistance, 2-3x week, focus on fatiguing
Functional, balance training

27
Q

Precautions Osteoporosis

A

any exercise that produces flexion and rotation of spine
balance exercises if balance is impaired

STAYING SAFE NOT SEDENTARY

28
Q

Contraindications Osteoporosis

A

vertebral compression fracture history must avoid flexion and rotation of spine

29
Q

NEMEX Training program

A

for patients with hip or knee OA
aims to improve senory and motor control, achieving functional stability

improves pain, physical function and PA, increases quality of life

30
Q

GLA:D and NEMEX

A

60 min program
warming up, circuit, cool down

role models are more experienced pts. quality is emphasized

31
Q

Good alignment

A

knee over toe not knee medial to toe

32
Q

Circuit portions

A

core stability
postural orientation
lower extremity muscle strength
functional exercises

1-2 exercises per area, performed 2-3 sets, 10-15 reps

33
Q

How to increase difficulty

A

Progression

varying # of, direction, velocity of movements
increasing load
changing support surface

34
Q

Core stability Level 1

A

Pelvic lift w/flex knees, short lever arm. both legs loaded

Sit-ups, flex knees, both legs on ball, arms at sides, short lever arm

35
Q

Core stability Level 2

A

Pelvic lift w/semi flexed knees, long lever arm, both legs loaded

Sit-ups: flex knees, both legs on ball, arms over chest (medium lever arm)

36
Q

Core Stability Level 3

A

Pelvic-lift as level 2, alternate load

Situps: flexed knees, both legs on ball, hands behind neck (long lever arm)

37
Q

Postural Orientation Level 1

A

Slide forward/backward: standing, one leg
Slide sideways: standing, one leg

38
Q

Postural Orientation Level 2

A

Slide forwards/backwards: as level one, on uneven surface
Slide sideways: same

39
Q

Postural Orientation Level 3

A

Forward lunge: standing, take large step forward and then return
Sideways lunge: standing position, take a large step sideways and then return

40
Q

Lower extremity Level 1

A

Hip ab/adductors: standing on one leg, rubberband other leg. Pull in and out
Knee ext/flexors: Sitting, rubber band around one foot. Pull forward/backwards

41
Q

Lower extremity Level 2

A

As level one, but with increased resistance in rubberband

42
Q

Lower extremity Level 3

A

Hip ab/adductors: Level 2 and uneven surface
Knee ext/flexors: Increasing resistance

43
Q

Functional Exercises Level 1

A

Chair stands: load on both legs, slight hand support. start in seated.
Stair climbingL step up and step down on low step, with or without hand support

44
Q

Functional Exercise Level 2

A

Chair stands: without hand support
Stair: medium step, with or without hand support

45
Q

Functional Exercise Level 3

A

Chair: one foot in front of the other, with/without slight hand support
Stair: high step board

46
Q

Cooling Down

A

walking forward and backwards
mobility exercises in lower extremity
stretching exercises for 10 min

1 Therapeutic Exercise (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions