midterm Flashcards
the team?
-The patient
-physician
-Physical Therapy
-coaches
-SAT/AT
-psychologist
Levels of communication?
- patient level
-physicians level
-team level
-record keeping
Component of programming
- avoid making it worse
-timing(when things are appropriate)
-plans
-individualization
-Ethical and legal standard
Goals
objective and measurable
-Pain
-R.O.M
-Strength
-Girth
Short-term Goals
-Reduced Edema, swelling, effusion
-Reduce pain
- try to stay reasonable and attainable
Long term goals
-full strength
-full ROM
-fully available to play
Evidence-based practice
-starts w/ a good exam
-HIPS-History, Inspection, Palpation, and Stress
-Involves clinical decision-making
Parts of a good rehab program
-Flexibility and ROM
-Strength and Endurance (Decondition)
-Balance, Coordination, and Agility
-Functional Activity
- sports specific and Performance specific
ROM
-Regain what was lost is very important
-It impact healing greatly
strength and endurance
-avoid atrophy
-Consider fast-twitch and Slow-twitch
B,C, and C
- Balance coordination, and Agility
-start as soon ROM and strength are restore
Functional Training
- Basic skills
-performance skills like catching, throwing, changing direction,
3 stages of Healing
-Inflammatory-response phase
-Fibroblastic-repair Phase
-Maturation- Remodeling phase
Inflammatory- Response Phase
-Day 1-4
-swelling, pain, warmth, and crepitus
-Direct destruction of soft tissue cells
Fibroblastic- Repair Phase
-May last 4-6 weeks
-Scar formation and repair of injured tissue
-Pain & Tenderness to touch
Maturation- Remodeling Phase
-May take several years
-Realignments of collagen fibers along lines of tensile force
-Increase in tensile strength of scar matrix
Characteristics of acute phase
-Redness/ Rubor
-Swelling/ Tumor
-Tenderness/ Dolor
- warmth/ Calor
-Loss of function/ Function lease
What ends Acute or starts stage 2 healing?
Scar formation and Repair of injured tissue (Cell death)
Rule of controlled mobility
Wolff’s law- Bone tissue will respond to the physical demands placed along lines of tensile force
Factors that impede healing
-Edema
-atrophy
-age, health, and nutrition
-poor vascular supply
What is ground substance?
A paste collagen, tried to reduce friction between fibers
What is collagen?
Protein substance
What’s the scar matrix called in bone healing, fibroblastic stage?
soft callus
Newtons 1st law
A body at rest will remain at rest until an outside force acts on it
Newtons 2nd law
Acceleration is when an object is directly proportional to the force causing it to move
Newton’s 3rd law
An object reacts to a force with a force of a equal or greater magnitude in an opposite direction
Center of gravity
A point in which weight is balanced (the base of support)
1st class levers
state of equilibrium (nodding)
w—f—–e
2nd class levers
Tip -toe/ Plantar
3rd class levers
Curl/ Dorsi
Kinetic energy
associated with motion and momentum
Velocity
change of position in mph or feet per second or meters per second
Acceleration
Change in velocity
strength
ability to resist gravity or force
Work
w= fed
Power
Works per unit of time
Energy
capacity to do the work
Potential Energy
capacity to do work stored in the body
elasticity
ability to return to the original state after distorting forces
Stiffness
ability to resist distorting forces
Stress
Stress is a force that changes the shape or form of the body
Strain
the amount of change in size or shape of the body
Creep
Low- level stress/ used in rehab
structural fatigue
Tissue is brought to the point it cannot withstand the force applied
Friction
Resistance between two surface
Goniometry
The act of doing (measuring ROM)
Gonimeter
an instrument to measure ROM
Stationary arm
has the numbers and it doesn’t move
Moveable arm
Fulcrum
Manual muscle testing
testing motor unit (myotin)
Break test
Contraction against resistance
PROM
Passive ROM
- Move by examinator
AROM
Active ROM
- patient moves
AAROM
Active assisted ROM
- assist with any part of their body
RROM
Resistance ROM
loads
Hooke’s law
strain is directly related to resisting stress
