Midterm Flashcards
Biomechanical Practice Model
applied to people with LROM, decreased muscle strength and/or endurance, intact CNS
Focus is on performance skills in motor and sensory areas and regaining skills in areas of occupation
Biomechanical Treatment
Prevention and maintenance- body mechanics, joint protection techniques, splints, positioning.
Restoration-increase ROM, muscle strength, endurance and stability.
Compensation
Rehabilitation Model
Using compensation to regain independence
Rehabilitation Treatment
Use of adaptive equipment Home/work modifications Positioning or use of wheelchair Use of splints Energy conservation techniques Joint/body protection techniques Ergonomics
Sensorimotor Model
Uses Neurophysiological mechanisms to normalize muscle tone and elicit more normal motor responses.
Considers: Reflex Integration, Recapitulation of otogenic development
Levels of Assistance
Dependent 100
Max Assist 75
Mod Assist 50
Min Assist 25
Posterolateral Hip Precautions
NO Hip Flexion greater than 90 degrees
NO Internal Rotation
NO Adduction (crossing legs or feet)
Anterolateral Hip Precautions
NO External rotation
NO Abduction
NO Extension
Golden Period for UE Prosthetic Fitting What are the benefits?
First 30 days of amputation
Decreased edema and post-op and phantom pain
Accelerated wound healing
Decrease hospital stay
Increase prosthetic use and acceptance
Improved psychological adjustment and rehabilitation
Treatment Interventions for LE Amputees
ADL’s Positioning,Dynamic balance, and UE strengthening Driving Prevocational and vocational activities Leisure education Community reintegration Family education Home assesment and program Durable medical equipment for the home
Pursed Lip Breathing
Used during the difficult part of any activity, such as bending, lifting or stair climbing
Prolongs exhalation to slow the breathing rate
Relieves shortness of breath
Causes general relaxation
Diaphragmatic Breathing
Intended for pts with pulmonary disease who may have trouble using the diaphragm effectively during breathing
Strengthen the diaphragm
Decrease the work of breathing by slowing your breathing rate
Decrease oxygen demand
Use less effort and energy to breathe
4 Ps of Energy Conservation
Planning
Pacing
Prioritizing
Positioning
Initial Precautions/Contraindications for Pulmonary Disease
Watch for dyspnea and or tachycardia and cyanosis
Avoid chills and drafts
Avoid exposure to fumes, smoke or other irritants
Avoid excessive fatigue
Administer oxygen as prescribed
Be aware of the side effects of drugs
Changeable Cardiac Risk Factors
cholesterol lvls, cigarette smoking, inactive lifestyle, b/p
Unchangeable Cardiac Risk Factors
heredity, gender, age
Contributing Cardiac Risk Factors
diabetes, stress, obesity
Superficial Epidermis
1st degree burn
1-5 days healing
No therapy consult
Superficial Dermis
2nd degree burn
superficial partial-thickness burn
7-14 days healing
OT: ROM, mobility
Deep Reticular Dermis
2nd degree burn
deep partial-thickness
21 days healing
OT: swelling, ROM, mobility, participation in ADLs
Subcutaneous Tissue
3rd degree burn
full thickness
healing time varies
OT: ROM, wound healing, survival
Muscle, Tendon, Bone
formerly 4th degree burn
full thickness burn
healing time varies
OT Priorities for Burn Pt in Acute Phase
first 72 hours ROM exercise Active, active-assist, or prolonged stretching Edema management Splinting Surgical/Post-op treatments
OT Priorities for Burn Pt in Rehabilitation Phase
ROM exercises Active and composite stretches Active exercises involving multiple joints (stretching overhead while ambulating) Edema management Fitting for vascular garments Splinting to prevent scar contracture Burn prevention education Assessment of physical tolerance and work skills
