Mobility Flashcards

1
Q

What 2 things maintain mobility?

A

Bones/joints (structural support)

Muscles/ nervous system (coordinated movement)

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2
Q

Moving a joint toward the midline

A

adduction

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3
Q

Moving a joint away from the midline

A

abduction

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4
Q

decreasing the angle b/w two bones

A

flexion

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5
Q

straightening a joint

A

extension

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6
Q

turning the body/part to face upward

A

supination

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7
Q

turning the body/part to face downward

A

pronation

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8
Q

What constitutes strenuous aerobic exercise?

A

30 min- 3x week

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9
Q

What electrolytes or minerals are important for musculoskeletal system?

A

Ca, Vit D, phosphorous

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10
Q

What is a disruption of a motor and sensory skills/ability?

A

plegia

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11
Q

4 factors that impact mobility

A
  • Circulation (02)
  • Energy (anemia, thyroid, sleep apnea)
  • Congenital conditions (palsy)
  • Affective disorders (depression decrease desire to move)
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12
Q

3 important principles of body mechanics

A
  1. adjust height of work area when possible
  2. hold objects close to the body when lifting
  3. use mechanical devices when appropriate
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13
Q

What is usually an indication of muscle strain during a physical activity?

A

holding one’s breath

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14
Q

How do you prevent injury at work place?

A

proper body mechanics

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15
Q

Static exercise by which the patient tenses the muscle holding it stationary while maintaining tension

A

isometric movement

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16
Q

dynamic form of exercise with constant muscle tension/contraction and active movement

A

isotonic movement

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17
Q

Type of exercise useful for athletic training

A

anaerobic

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18
Q

exercise that requires oxygen occurs during vigorous and continuous muscle movement

A

aerobic

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19
Q

What is decreased muscle tone?

A

hypotonicity or flaccidity

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20
Q

What is increased or rapid muscle tone?

A

spasticity

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21
Q

What is rhythmic repetitive motion that can occur at rest and make interfere with fine motor control?

A

tremor

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22
Q

What is spontaneous, brief involuntary muscle twitching of the limbs or facial muscles?

A

chorea

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23
Q

what gait is like a duck, spread wide apart?

A

waddle

24
Q

What is the progressive shortening of a muscle and loss of joint mobility resulting from fibrotic chanes in tissues surrounding joint?

A

contracture

25
Q

What is the largest reportable problem related to mobility?

A

Fall

26
Q

4 problems associated with immobility

A
  1. Pain (renal calculi, atrophy, contracture, PU)
  2. Cardiovascular (orthostatic hypotension)
  3. Injury (PU)
  4. Infection (urinary stasis)
27
Q

_____ formation increased with immobility

A

Thrombus

28
Q

3 things to prevent DVT in hospital

A
  1. ambulation
  2. low molecular heparin (anticoag)
  3. compression
29
Q

How does thrombus form from immobolity?

A

-longer the blood pools, the longer the platelets, fibrin, or cellular elements have to attach to the wall of the vessel

30
Q

What is atelectasis?

A

alveoli collapse due to decreased breathing/underinflation of lungs

31
Q

Does Nitrogen increase or decrease with immobility?

A

increase

32
Q

Why do we care about nitrogen and immobility? What happens when excretion of nitrogen exceeds the intake?

A
  • increase muscle breakdown causes excess nitrogen
  • when excess nitrogen: inadequate protein synth, delayed healing of wounds, slow muscle restoration when mobility returns
33
Q

Surgical procedure where scope is inserted into the joint to inspect for abnormalities

A

Arthroscopy

34
Q

5 examples of activities or programs to recommend for physical fitness/health promotion

A
  • tai chi
  • group activities
  • health club membership
  • strength training
  • physical therapy
35
Q

Condition with decrease bone mass, and disruption of bone architecture

A

osteoporosis

36
Q

Recommendations for treating/preventing osteoporosis

A
  • smoking cessation
  • limit alcohol/caffeine
  • Vit D/ Ca
  • weight bearing exercises
  • bone density check
  • medications
37
Q

Position: head is 30-45 degrees

A

semifowler

38
Q

Position: patient lies on side with weight on hip and shoulder with use of pillows

A

lateral

39
Q

position: head is elevated 80-90 degrees

A

fowlers or high fowlers

40
Q

position: patient lies supine with hips flexed and calves/heels parellel to floor, used for examinations

A

lithotomy

41
Q

Foot boot vs heel protector

A

foot boot- keep foot in ceratin position/ hard

heel protector- reduce matress pressure on heel

42
Q

How many bed rails is considered restraint?

A

4

43
Q

What activity is encouraged after surgery?

A

Ambulation

44
Q

When would you stop performing ROM?

A

paint, resistance

45
Q

Preliminary step to ambulation?

A

dangling

46
Q

Signs or symptoms that indicate patient is struggling to sit or stand?

A

dizziness, weakness, SOB, weakness, hypotension, lgihtheadedness

47
Q

How many points of support to maintain with cane?

A

2

48
Q

what side do you put cane on?

A

stronger side

49
Q

What do you move forward first with cane? cane or foot?

A

cane

50
Q

What leg do you move after you move the cane forward? How far do you move that leg forward?

A

weak leg, same distance as cane

51
Q

What leg do you move after the cane and weaker leg anf how far forward?

A

Stronger leg, past cane and weaker leg

52
Q

Which crutch styles can you use with PWB?

A

4 point, 2 point

53
Q

What crutch style do you use with NWB?

A

3 point gait

54
Q

Which requires more shoulder and arm strength? Swing thru or swing to?

A

Swing thru

55
Q

How far from axilla should crutch be?

A

2 inches

56
Q

How far away from body are crutches? “Crutch stance”

A

6” out and forward from foot