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NBCOT Exam > Musculoskeletal > Flashcards

Musculoskeletal Flashcards

1
Q

What PAM could be utilized during pre-prothetic stage for wound healing?

A

Whirlpools and Massage

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2
Q

Desensitization for residual limb techniques includes…

A

weight bearing, massage, taping, rubbing

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3
Q

For a client with a LE amputation, what are key elements of a WC?

A
  • residual limb support
  • wheels should be placed further back to counterbalance missing limbs
  • antitippers
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4
Q

T/F: a hook terminal device is considered MORE functional than the hand

A

True
- greater precision, less weight, lower cost, more reliability

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5
Q

Initial wearing time for prothesis should be

A

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

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6
Q

The interior of a prothesis should be cleaned with…

A

mild soap and water

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7
Q

What is prehension training for UE prothesis training?

A

grasp control
- the most functional position is elbow at 90 degrees with forearm in neutral

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8
Q

What is prepositioning training for UE prothesis training?

A

the identification of the optimal positioning to perform an activity

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9
Q

What is functional training for UE prothesis training?

A

control and use of prothesis in functional activity,
- focus on problem solving approach
-the terminal device should be a functional assistance to the person

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10
Q

What are the 5 steps to treat contractures?

A

1) superficial/deep heat
2) slow stretch
3) static splints
4) serial splints
5) dynamic splints

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11
Q

Anti-deformity burn splint positioning

A
  • can be used for soft-tissue contractures
  • wrist 20 degrees extension
  • MCP’s 90 degrees flexion
  • IP’s extension
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12
Q

thumb ABDuction splint

A

prevents thumb adduction contracture
- forms “C” bar between thumb and index web space

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13
Q

Resting hand splint

A

reduce tone in the hand and UE

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14
Q

Wrist extension splint

A

to prevent wrist drop
- wrist in 45 degrees extension

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15
Q

Lumbrical Bar splint

A

blocks MCP hyperextension

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16
Q

Foot drop splint

A

BK AFO

17
Q

Firbomyalgia

A

defined as widespread pain effecting entire musculoskeletal system

18
Q

OT Evaluation of Fibromyalgia

A

1) activity logs
2) COPM
3) pain assessments

19
Q

Posterior hip precautions

A

No hip
- flexion past 90
- adduction
- IR

20
Q

Anterior hip precautions

A

No hip
- extension
- adduction
- ER

21
Q

Osteoarthritis

A
  • breakdown in articular cartilage
  • bone on bone contact
22
Q

TKR precautions

A
  • no pillows under knee
  • no kneeling, squatting, or twisting of knee
  • rest feet on the floor while sitting
  • wear immobilizer
23
Q

PAMs for osteoarthritis

A

heat

24
Q

T/F: perform pinching activities for someone with osteoarthritis

A

False, contraindicated due to CMC joint instability

25
Q

CMC splint for osteoarthritis

A

thumb spica to stabilize CMC

26
Q

Osteoporosis

A

low bone mass or density leading to fragile bones

27
Q

OT intervention for osteoporosis

A
  • low impact weight bearing (e.g., walking)
  • occupation retraining w/ adaptations/mods
  • environmental modification
  • good positioning and posture/body mechanics
28
Q

Rheumatoid Arthritis

A

chronic, inflammatory, progressiv synovitis
- can lead to destruction of ligaments, tendons, cartilage, bone, etc

29
Q

Boutonniere deformity

A

PIP flexion
DIP hyper extension

30
Q

Swan neck deformity

A

PIP hyperextension
DIP flexion

31
Q

Mallet finger

A

DIP flexion

32
Q

Ulnar Drift

A

radial deviation of wrist, ulnar deviation of MCPs

33
Q

ROM exercises for rheumatoid arthritis

A

AROM in pain free range
- PROM during acute flare ups

34
Q

Strengthening exercise for rheumatoid arthritis

A

Isometric with pain free exertions

35
Q

Splinting for RA to reduce inflammation and pain

A
  • resting hand splint

NBCOT Exam (14 decks)

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