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1 Therapeutic Exercise > Lecture 3 > Flashcards

Lecture 3 Flashcards

1
Q

Shared Decision Making

A

Allowing the patient to have an opinion in their care while using the best available evidence and practices.

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2
Q

Benefits to SDM

A

enhances patients’ experiences
improves outcomes

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3
Q

Stages of SDM

A

preparing for collab
exchanging info about options
implementing plan

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4
Q

Preparing for Collab

A

Options exist! Patient is the participant.
The needs of the patient cannot be met without them participating

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5
Q

Barriers to collaboration

A

power imbalances
patient believes input is not wanted
time demands
patient’s lack of confidence in health info

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6
Q

Exchange Information

A

Both PT and pt share goals for the treatment
patient is the expert of their body & values
PT is the expert about medical practices

Includes patient education. Prevention, safety, options, meaning.

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7
Q

Affirm and Implement Decision

A

Summarize and confirm understanding
Can the patient repeat/teach me about what we have discussed?

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8
Q

Empathy

A

more effective than reassurance, humor, or counseling.

Verbal and nonverbal. helps to build rapport

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9
Q

What does patient education do?

A

empowers the patient
establishes a partnership

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10
Q

Keys to compliance

A

self-efficacy
meaningful
ease of implementation

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11
Q

Domains of learning

A

cognitive
affective
psychomotor

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12
Q

Cognitive

A

knowledge and development of intellectual skills

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13
Q

Affective

A

manner in which we deal with things emotionally, our attitude

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14
Q

Psychomotor

A

physical movement, coordination, motor-skills

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15
Q

What can improve motor learning?

A

Patient choosing which exercise to do next (choosing the order). Causes active involvement. Possibly a release of dopamine with choices.

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16
Q

Ensuring proper performance

A

after patient education

have the patient perform exercises under your supervision
have pt take notes, photos, videos
involve caregivers or friends
use mirrors

17
Q

Considerations for at home program

A

Stage of healing
Symptoms
Time & willingness
Equipment

18
Q

Early Stage of Healing

A

Appts are frequent
exercise program changes frequently

19
Q

Intermediate to Late stages of healing

A

symptoms and function change more slowly

20
Q

Symptoms

A

important to recognize what exercises or activities will cause more tissue irritability or symptoms to flare up

21
Q

Motor control

A

neural, physical, and behavioral aspects of human movement

22
Q

Movement

A

interaction of 3 elements, none exist without the other
learner
task
environment

23
Q

Motor performance

A

execution of a movement task. Does NOT mean that a pt has learned a skill just because they can complete a task

24
Q

What is required to transition from performance of a task to learning?

A

passage of time
repeatable under different conditions
happens in clinic and outside clinic

25
Q

Motor learning

A

acquisition or modification of movement
retention of a skill
ultimate goal of physical therapy
occurs when movement is done without thought, or effort

26
Q

Motor learning is accomplished through…

A

repetition
modeling
dual tasks
feedback/cues
novel/meaningful
random/blocked practice

27
Q

Novel/meaningful

A

exercise can be new/challenging = novel
exercise can connect to goals = meaningful

28
Q

Random vs blocked practice

A

random: variability to task. better outcomes
blocked: repeat same task over and over. Faster learning

29
Q

Modeling

A

expert (PT or PTA)
non-expert (someone with similar injury)

30
Q

Feedback

A

sensory info that is received and processed by learner during/after performing a motor skill

31
Q

Knowledge of performance

A

feedback received during the performance of a task. understanding how the skill was performed. Parts of the task.

32
Q

Knowledge of Results

A

immediate, post-task feedback about the outcome of motor task. How successfully a skill was performed. Entirety of task.

33
Q

Intrinsic feedback

A

sensory systems. relate to body parts and how they move. Within the body and mind of the patient

34
Q

Extrinsic feedback

A

gives info about the performance of task. Things that the PT says to the pt. Promote greater skill acquisition vs internal

35
Q

Focusing on self vs goal

A

Focusing on the goal increases motor performance and learning

36
Q

Types of cues

A

Tactile
Visual
Auditory
Verbal
Haptic

1 Therapeutic Exercise (16 decks)

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