Musculoskeletal Flashcards
What PAM could be utilized during pre-prothetic stage for wound healing?
Whirlpools and Massage
Desensitization for residual limb techniques includes…
weight bearing, massage, taping, rubbing
For a client with a LE amputation, what are key elements of a WC?
- residual limb support
- wheels should be placed further back to counterbalance missing limbs
- antitippers
T/F: a hook terminal device is considered MORE functional than the hand
True
- greater precision, less weight, lower cost, more reliability
Initial wearing time for prothesis should be
15-30 mins
- stump is examined after time is up, if no redness is visible, then the wearing time is increased in 15-30 min incriminates
The interior of a prothesis should be cleaned with…
mild soap and water
What is prehension training for UE prothesis training?
grasp control
- the most functional position is elbow at 90 degrees with forearm in neutral
What is prepositioning training for UE prothesis training?
the identification of the optimal positioning to perform an activity
What is functional training for UE prothesis training?
control and use of prothesis in functional activity,
- focus on problem solving approach
-the terminal device should be a functional assistance to the person
What are the 5 steps to treat contractures?
1) superficial/deep heat
2) slow stretch
3) static splints
4) serial splints
5) dynamic splints
Anti-deformity burn splint positioning
- can be used for soft-tissue contractures
- wrist 20 degrees extension
- MCP’s 90 degrees flexion
- IP’s extension
thumb ABDuction splint
prevents thumb adduction contracture
- forms “C” bar between thumb and index web space
Resting hand splint
reduce tone in the hand and UE
Wrist extension splint
to prevent wrist drop
- wrist in 45 degrees extension
Lumbrical Bar splint
blocks MCP hyperextension
Foot drop splint
BK AFO
Firbomyalgia
defined as widespread pain effecting entire musculoskeletal system
OT Evaluation of Fibromyalgia
1) activity logs
2) COPM
3) pain assessments
Posterior hip precautions
No hip
- flexion past 90
- adduction
- IR
Anterior hip precautions
No hip
- extension
- adduction
- ER
Osteoarthritis
- breakdown in articular cartilage
- bone on bone contact
TKR precautions
- no pillows under knee
- no kneeling, squatting, or twisting of knee
- rest feet on the floor while sitting
- wear immobilizer
PAMs for osteoarthritis
heat
T/F: perform pinching activities for someone with osteoarthritis
False, contraindicated due to CMC joint instability
CMC splint for osteoarthritis
thumb spica to stabilize CMC
Osteoporosis
low bone mass or density leading to fragile bones
OT intervention for osteoporosis
- low impact weight bearing (e.g., walking)
- occupation retraining w/ adaptations/mods
- environmental modification
- good positioning and posture/body mechanics
Rheumatoid Arthritis
chronic, inflammatory, progressiv synovitis
- can lead to destruction of ligaments, tendons, cartilage, bone, etc
Boutonniere deformity
PIP flexion
DIP hyper extension
Swan neck deformity
PIP hyperextension
DIP flexion
Mallet finger
DIP flexion
Ulnar Drift
radial deviation of wrist, ulnar deviation of MCPs
ROM exercises for rheumatoid arthritis
AROM in pain free range
- PROM during acute flare ups
Strengthening exercise for rheumatoid arthritis
Isometric with pain free exertions
Splinting for RA to reduce inflammation and pain
- resting hand splint
