Management Skills (11-17) Flashcards

1
Q

What are the lengths of rehabilitation

A

short term < 4 weeks
long term > 4 weeks
chronic - reccuring
terminating - career ending

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

what are 3 reactive phases to injury

A

reaction to injury
reaction to rehab
reaction to return to comp (or career ending)

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

what is cognitive appraisal

A

interpreation of injury, determines emotional and behavioural response, influences recovery outcome

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

What is ATs role in providing social support?

A
  • good listener
  • find out what problem is
  • be aware of body language
  • project caring image
  • explain injury to athlete
  • help return to comp
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what are some characteristics of injury-prone athletes

A

risk takers

can also be reserved, detached, apprehensive, tender-minded, easily distracted, lack ability to cope w/ stress

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

what is difference of positive and negative stress

A

eustress (positive) beneficial response

distress (negative) detriementral response

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

what are the physiologic responses to stress

A

autonomic, immunologic, neuroregulatory

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

what is acute stress

A

increase of epinephrine and norepinephrine from adrenal medulla
threat is immediate, response is instant

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

what is chronic stress

A

increase in cortisol from adrenal cortex

causes hormone fluctuations

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

What can staleness cause?

What is it caused by?

A

increase risk of injury

- caused by emotional problems from daily worries/fears

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

What are signs/symptoms of staleness

A
dec performance
difficulty falling asleep
loss of appetite or weight
indigestion
difficulty concentrating
nausea
allergies
irritable, upset
incr HR and BP
muscle pains
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are signs of Sudden Exercise Abstinence Syndrome

A

depression
irregular heartbeat
heart palpitations
sleep disorders

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

What is burnout related to?

A

physical and emotional exhaustion - leads to negative self worth, attitudes

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

What are signs/symptoms of burnout?

A
frequent headaches
GI disorder
sleeplessness
chronic fatigue
incr emotional exhaustion
reduced sense of accomplishment
depressed mood
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are psychological factors in rehab process

A
  • establish rapport
  • cooperation
  • use exercise rehab as educational process
  • competitive confidence
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are psychological approaches during stages of rehab?

A

Immediate - build cooperation, educate, reduce fear, denial
Acute Post-Op - athlete= disabled, educate all rehab steps
Advanced Post-Op - movt patterns, confidnece, milestones
Return to Activity- use progressions, + rewards

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

what are 2 ways to reduce tension and anxiety

A
  1. meditation

2. progressive relaxation - recognize & consciously relax muscles

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

What are techniques for Cognitive Restructuring?

A
  1. Refute Irrational thoughts - stop negative self talk

2. Thought stopping - stop undesired thoughts

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

What are techniques to cope with pain?

A
  1. tension reduction - reduce muscle tension
  2. attention diversion
  3. alter pain sensation (use imagery)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what are components of EAP?

A
  • ID personell (head, call, control)
  • eqt available
  • activation protocol
  • directions to venue
  • phone location
  • contact #s
  • nearby hospital
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what are components of secondary survey

A
  • LOC
  • breathing
  • pulse
  • blood pressure
  • pupils
  • skin
  • temperature
  • movement
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what are situations that require CPR

A
  • obstructed airway
  • no breathing
  • no circulation
  • profuse bleeding/shock
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what are CPR rules

A

30 compressions, 2 breaths 5 cycles
5cm deep
100-120 bpm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

when is OPA used

how to measure

A

unconscious, no gag reflex

measure from corner of mouth to angle of jaw

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
when is NPA used? | how to measure
responsive | measure from nostril to earlobe
26
When do you deliver rescue breathing? | how many?
when there is no breathing but there is a pulse | ventilate 1 breath every 5-10s
27
What are ways to control bleeding
1. direct pressure 2. elevate 3. pressure points (brachial artery, femoral artery)
28
What are Signs and symptoms of shock?
- low BP (systolic <90) - rapid, weak pulse - cool, pale, clammy skin - drowsy, sluggish - shallow breathing
29
How to manage shock
1. maintain normal body temp | 2. elevate feet 8-12"
30
name the 8 types of shock
1. hypovolemic - blood loss 2. respiratory - pneumothorax 3. neurogenic - dilated vessels 4. pyschogenic - fainting, temp dilation vessels to brain 5. cardiogenic - heart cant pump 6. septic - infection 7. anaphylatic - allergic 8. metabolic - diabetes, severe loss of fluid (vomit)
31
When is SMR (spinal motion restriction) indicated?
- spinal pain / tenderness - sensory loss - motor weakness - spinal deformity - altered LOC
32
How to fit for crutches
- place 6" away from shoe, 2" in front - top of crutch is 1" below axilla - hand brace line up with wrist crease
33
Difference between sign and symptom?
Sign - objective, indicator of a condition | Symptom - subjective, change in body/function
34
What is sequela?
additional condition developed bc complication of existing (secondary complication)
35
Name the normal end feels
Soft tissue approximation capsular - hard, firm Bone on bone Muscular - springy w/ discomfort
36
Name abnormal end feels
Empty Spasm - mm contraction prevent motion, pain Loose - hypermobility Springy - rebounds at end point
37
Name 12 Cranial Nerves and functions
1. Optic - vision 2. Olfactory - smell 3. Oculumotor - eye tracking 4. Trochlear - eye movt (lateral) 5. Trigeminal - face sensation 6. Abducens - lat movt eye 7. Facial - taste, salivary, facial mm 8. Vestibucochlear - equilibrium, hearing 9. Glossopharyngeal - swallowing, gag 10. Vagus - swallowing, speech 11. Accessory - swallowing 12. Hypoglossal - tongue movt, swallowing, speech
38
what is sensitivity of a test
Ability to rule out condition (finding True positive)
39
what is specificity of a test
Ability to rule in condition (finding true negative)
40
Practice Myotomes
``` C1 - neck flex/ext C2 - Neck SB C3 - Neck rotn C4 - Shoulder shrug C5 - Shoulder Abd C6 - Elbow Flx, Wrist Ext C7 - Elbow Ext, Wrist Flx C8 - Thumbs up T1 - Finger Abd L2 - Hip flx L3 - Knee Ext L4 - Ankle DF L5 - Hallux Ext S1 - Knee Flx S2 - PF ```
41
What are the reflex grades
``` 0 - absent 1 - diminished 2 - normal 3 - hyper but not pathological 4 - hyperactive (clonus) ```
42
What are 3 ways of direct transmission of infection
1 - contact bw body surface 2 - droplet spread 3 - fecal-oral
43
what are 3 ways of indirect transmission of infection
1 - inanimate object (food, water, utensils) 2 - vectors (birds, insects, animals) 3 - airborne (airplanes)
44
What are the 5 steps when pathogen infects host
``` Incubation Prodromal - signs, symptoms Acute - highest contagious Decline - signs of recovery Recovery ```
45
When cleaning contamined surfaces, what disinfectant should you clean with
solution with 1 part bleach, 10 parts water
46
What are physiological effects of thermotherapy?
- dec mm spasm - dec pain - incr circulation - incr collagen elasticity - incr metabolic rate - dec jt stiffness - incr capillary permability - incr edema
47
Name ways thermal energy is transmitted
conduction - heat transfer from warm to cool object convection - movt of fluids or fas radiation - heat transfer between objects through space conversion - heat from another energy source
48
How does thermotherapy relieve pain
Gate control theory
49
What are physiological effects of cryotherapy?
- dec mm guarding - dec pain - dec circulation - dec metabolic rate - dec collagen elasticity - dec metabolic rate - incr jt stiffness - edema ? questionable
50
How is cold transfered to tissue
Conduction
51
What is hunting response
slight incr in temperature during cooling - this is a reaction against tissue damage from cold exposure
52
What are skin response and timing to cold?
1 cold 0-3 min 2 burn, achy 2-7 min 3 numb 5-12 min
53
what are the adverse reactions to cold?
Raynauds - vasospasm of digital arteries can cause tissue death Nerve palsy
54
What is protocol for cryokinetics?
Immerse until numb 5-12 min Exercise w/in pain limits 3-5 min Repeat 3-4x
55
What are 3 types of current
1) Monophasic - direct, from + to - - pain modulation, muscle contraction 2) Biphasic - alternating, reverses direction - pain, mm contraction 3) Pulsatile - 3+ pulses grouped, interrupted pulses - Russian
56
What are parameters of current?
- modulation - change magnitude and duration - intensity - voltage output - duration - frequency - # waveforms/sec - polarity - direction +/- - electrode set up
57
What are indications of electrial modalities?
Depolarize of sensory nerves for pain Depolarize motor nerves for mm contraction stimulate healing process on cellular level
58
What is gate control theory?
Stimulate sensory nerves to close gate, decrease painful stimuli awareness
59
What is Descending Pain Control?
Stimulate small pain fibers cause stimulation of descending neurons, close gate at spinal level 80 pps
60
What is Opiate Pain control theory
Stimulate sensory nerves release enkephalin, release B-endorphins to decrease pain 1-5 pps
61
What does muscle contraction do? | what currents are required for each
Muscle pump - circulation - monophasic, 20-40 pps, 20-30 min Muscle Strength - biphasic, 50-60pps Stop Atrophy - biphasic, 30-60 pps 15-20 min Muscle Reducation - pulsatile, 30-50 pps 15-20 min
62
What does LASER stand for
Light Amplification by Stimulated Emission of Radiation
63
what are indications of laser?
incr vascularity collagen synthesis dec pain, inflammation
64
At what MHz is required for diff tissue depth?
1 MHz - deep, 3-5 cm | 3 MHz - superficial, 1-2 cm
65
What is attenuation
Energy decreases as it gets absorbed by tissue
66
What is piezoelectric effect
Ultrasound head - expansion/contraction of crystals in ultrasound head produces oscillation volatage
67
What is piezoelectric effect
expansion/contraction of crystals in ultrasound head produces oscillation volatage
68
What is piezoelectric effect
expansion/contraction of crystals in ultrasound head produces oscillation volatage
69
what is BNR
beam nonuniformity ratio - amount of variability of intensity in the beam, should be 1:1
70
what is ERA
effective radiating area - portion of ultrasound transducer that produce sound wave
71
What are nonthermal effects of ultrasound
Cavitation - gas bubbles incr circulation Microstreaming - unidirection of flow. alter cell membrane structure incr cell permeability and cell proliferation
72
What are different intensity of ultrasound
Low 0.1-0.3 W/cm2 Med 0.4-1.5 W/cm2 High 1.5-3 W/cm2
73
What are indications for Traction
nerve impingement, disc herniation, muscle guarding
74
What does intermittent compression do?
Facilaite lymph movement Eliminate waste product Decrease swelling
75
What are mechanical, physiological and psychological effects of massage
Mechanical - stretch tissue, encourage venous and lymph drainage Physiological - incr circulation, metabolism, remove lactic acid Psychological - relax
76
Name 5 categories of massage
1. Effleurage 2. Petrissage (kneading) 3. Friction 4. Tapotement (precussive) 5. Vibration