Lecture 3

Question 1

4 psychological conditions which come from getting old and being in a hospital
the longer people are in __________ the larger risk they are of these conditions

Answer 1

anxiety, depression, icu acquired delirium, medication delerium
bedresta

Question 2

name 5 cardiovascular complications which come about from hospital stays

Answer 2

increased HR
decreased cardiac reserve
orthostatic hypotension
DVT
vascular insuffiency

Question 3

how much does the heart beat decrease every 2 days?

Answer 3

1 Bpm

Question 4

after 20 days of bedrest how much has max O2 uptake decreased?
SV?
CO?
HR?

Answer 4

27%
25%
26%
20%

Question 5

orthostatic hypotension is defined as a systolic and diastolic drop in BP by how much?

Answer 5

20mm/Hg for systolic

10mm/Hg for diastolic

Question 6

how much muscle is lost at complete rest per week?
what percent after 3-5 weeks?
which muscles are lost first? (2)

Answer 6

10-15%
50% (@ closer to 5)
posture mm. and mm. close to 2 joints

Question 7

disuse osteoporosis occurs more in what muscle condition?

what type of bone loss occurs?

Answer 7

flaccid

trabecular bone loss greater than cortical

Question 8

bone begins to stabilize between what percent of the original bone mass?

Answer 8

40%-70%

Question 9

during hospital acquired pneumonia what 3 things decrease?

Answer 9

lung expansion
lung volume
intercostal and chest wall strength

Question 10

what is a good way to test for DVTs?

Answer 10

Dopplers

Question 11

the highest pressure is where on a DVT compression stocking?

Answer 11

the ankle

Question 12

what is critical illness polyneuropathy?
how does it occur? (2)
how is it diagnosed?

Answer 12

condition of significant muscular wasting and neurological deficits when in the ICU
occurs due to combo of nm blocking agents and prolonged inactivity
EMG studies

Question 13

how can disuse atrophy be reversed?

muscle can be maintained with ____%/day max tension training

Answer 13

it can be reversed at 6%/wk training at submax intensity

20%

Question 14

6 exercises which can be performed supine

Answer 14

ankle pumps
quad sets
slr
hid abd/add
short arc quads
rolling

Question 15

7 exercises which can be performed seated

Answer 15

multilevel reaching
balloon taps
rhythmic stabilization/initiation
hip flexion
long arc quads
trunk flex/ext

Question 16

5 exercises which can be done standing

Answer 16

weight shifting
mini-squats
hip series
heel raises
tandem walking

Question 17

6 parts of the initial eval

Answer 17

social hx
pmg/sx history
objective assessment
written assessment
goals
DC plan

Question 18

what are the 3 purposes of the assessment?

Answer 18

patients condition
physical therapy presentation
plan moving forward

Question 19

What is the Nagi model of Disablement? (4)

Answer 19

pathology => impairment => functional limitation => disability

Question 20

3 types of impairments

example?

Answer 20

physiological, anatomical, or cognitive

voice, ocular, emotional

Question 21

examples of functional limitations

Answer 21

lifting
standing
walking
sitting
carrying