Lighthouse Concepts in Orthopedics Flashcards
How do we impact the control and vigor of our musculoskeletal tissues?
By modulating symptoms and improving movement control through individualized treatments following developmental stages and sequences.
What are the steps in the PT Pyramid?
- Therapeutic Alliance,
- Tissue Healing and Symptom Modulation,
- Mobility, Movement, Control,
- Advanced Performance, Motor, Sensory.
How do you classify tissue irritability?
Using a broad classification system to determine the level of tissue irritation and its impact on treatment.
What are the three activation strategies?
Too Much, Not Enough, Just Right.
How do you progress past symptom modulation?
By implementing appropriate activation strategies and progressing through therapeutic stages.
What is the envelope approach in treatment?
Shaping treatment to meet needs using manual therapy and therapeutic exercise.
Which activities limit patient participation?
Activities that exacerbate the patient’s symptoms and impairments, identified during the initial assessment.
How to identify orthopedic impairments?
Assessing range of motion, control, and strength to determine the extent of orthopedic impairments.
How to identify neural impairments?
Evaluating motor, sensory, and autonomic functions to identify the extent of neural impairments.
How to align history and testing with pathoanatomical diagnosis?
Using patient history and test results to support a pathoanatomical diagnosis and guide treatment.
What are the salient aspects of the exam?
Key findings that highlight the primary impairments and guide the treatment plan.
The significance of tissue irritability classification?
Helps determine the appropriate treatment strategies based on the level of tissue irritation.
How to build a therapeutic alliance?
Establishing trust and collaboration between therapist and patient to enhance treatment outcomes.
Conversion of irritability to treatment?
Translating the level of tissue irritability into specific treatment approaches.
Optimal response to injury?
Achieving highly functional motion segments and effective tissue adaptation.
Maladaptive response to injury?
Developing compensatory patterns that impair movement and function.
Functional roles of trunk, shoulder, hip, elbow, knee, wrist/hand, and ankle/foot?
Stability, force generation, force modulation, and force transmission.
The concept of ‘too loose’ and ‘too tight’ areas?
- ‘Too loose’ areas need stability,
- ‘Too tight’ areas need mobility.
Transverse plane tendencies?
Areas of the body that tend to be too loose or tight and need specific interventions.
Functional emphasis for motor control efforts?
Focusing on stability and mobility based on the patient’s specific needs and impairments.
Stability vs. mobility in the body?
Balancing the need for stability and mobility to optimize function and prevent injury.
Developmental stage and sequence of exercises?
Progressing from basic mobility to advanced skill through a structured developmental sequence.
Exercise progressions and regressions?
Adjusting exercise difficulty to match the patient’s current capabilities and progress over time.
How to select specific exercises for mobility and stability?
Choosing exercises based on the patient’s impairments and goals, focusing on appropriate mobility and stability.
The importance of task, position, and repetition?
Task-specific training in various positions with appropriate repetition to enhance motor learning.
Strategies to boost motor learning and performance?
Using techniques like frequent demonstrations, external focus, variability, and contextual interference.
Principles of tissue adaptation?
Applying appropriate load, volume, intensity, and rest to promote tissue remodeling and adaptation.
Tendon remodeling techniques?
Using isometrics, eccentric training, and progressive loading to remodel tendons.
Principles of stretching?
Long-duration stretching, hold/relax techniques, and considering both muscle and fascia.
Techniques for nerve glides?
Performing nerve glides with appropriate dosage to modulate symptoms and improve function.
Motor pattern retraining?
Focusing on movement control with timed practice sessions instead of traditional sets and reps.
Exercise order and intensity?
Prioritizing hard exercises first, with appropriate load and intensity to maximize adaptation.
Importance of load and volume?
Ensuring the correct load and volume to stimulate tissue adaptation without causing injury.
Repetition duration and rest interval?
Optimizing repetition duration and rest intervals to balance training effect and recovery.
Exercise selection criteria?
Choosing exercises based on their complexity, joint involvement, and patient-specific needs.
Example progressions for different types of injuries?
Adjusting exercises and progressions based on the specific injury and patient’s recovery stage.
Examples of manual therapy vs. therapeutic exercise?
Using manual therapy for immediate symptom relief and therapeutic exercise for long-term adaptation.
Specific exercises for various body parts?
Targeted exercises for areas like deep neck flexors, knee, and ankle to address specific weaknesses.
Case study examples?
Real-world scenarios to illustrate the application of PT concepts and treatment strategies.
How to assess and address specific conditions like spondylolisthesis?
Using targeted assessments and interventions to manage specific conditions effectively.
Strategies for treating acute injuries?
Immediate interventions and progressive exercises to manage acute injuries and facilitate recovery.
Adjusting treatment based on patient feedback?
Modifying exercises and interventions in response to patient progress and feedback.
Practical application of PT concepts in real-world scenarios?
Applying theoretical concepts to practical treatment situations to enhance patient outcomes.
Role of core control in preventing injuries?
Enhancing core stability to prevent injuries and improve overall movement efficiency.
Examples of functional tasks and their relevance?
Incorporating functional tasks into therapy to improve real-world performance and patient engagement.
Importance of developmental sequence in exercise prescription?
Following a structured developmental sequence to ensure safe and effective exercise progression.
