Other Flashcards
List the components of the musculoskeletal screening
- Posture
- Active shoulder ROM
- Anterior shoulder flexility
- Cervical ROM
- Resisted internal/external rotation
- Full knee extension
- Resisted knee extension and flexion
- Knee to chest
- Hamstring flexibility
- Balance
List the MET insurance reimbursement criteria.
- Client has sustained major trauma, undergone surgery, or has a chronic condition
- Client is not covered by Medicare, Medicaid, or any gov-based insurance
- Client has a referral from MD or DO
- Client has received max benefit from PT/DC
- Client has residual functional deficits
List the three major MET service options.
1 on 1
condition-based group training
medical memberships
Describe what
to do once a referral is received.
- Schedule the client
- Communicate with the medical professional
- Review the condition of the clients
- Assess the client
- Send a thank you fax within 24 hours
- Establish goals
- Design the program
- Send assessment summary within 72 hours to Dr.
Describe three written reports you must submit to referral sources.
Progress report
Assessment report
Discharge report
List the four responsibilities of medical exercise professionals.
- Manage the client effectively
- Communicate with med pros
- Document each session
- Outcome based
List the components of a MET marketing packet.
- Brochure
- Introductory letter
- Business cards
- Sample flowchart
- Sample exercise sheet
- Referral pad
- Programming solutions
List the pillars of a strong and successful MET practice.
- Practice management systems
- Multiple streams of income
- Medical referrals
- Marketing plan
List the “Functional Assessment Scales” and the indications for each.
- Cervical Oswestry Scale-cervical disc herniation
- Functional Scale for Ankle Assessment-ankle sprain
- Functional Status Index- Parkinson’s
- Harris Hip Function Scale-hip replacement
- Lysholm’s Knee Scale-ACL repair
- Oswestry Lumbar Scale-lumbar disc herniation
- Functional Shoulder Strength Scale-total shoulder replacement
- Tinetti Gait/Balance Scale-Seniors
List the 7 keys to building a successful MET practice.
- A passion for medical exercise sciences and working with medical exercise clients
- Seek out medical exercise education
- Establish a marketing plan
- Become a part of the local medical community
- Establish referral relationships
- Become the go-to fitness expert
- Establish multiple streams of income
Describe the medical exercise professional’s scope of practice and role.
The role of the medical exercise professional is to develop and implement safe and effective exercise and conditioning programs for client’s with medical conditions.
The scope of practice of the MET includes fitness assessments, strength training, flexibility training, cardiovascular training, functional conditioning, speciality training, aquatic exercise, weight reduction programming, wellness/fitness education, and group training.
Define the term “pathology”
The science of the causes and effects of diseases.
List and describe the medical exercise red flags
Radiating pain-pain that travels a length of the body
Numbness/tingling-numbness or tingling sensations in any area of the body
Loss of range of motion-a joint or joints that no longer have the degree of motion they once had Loss of function-no longer being able to do something you once could
Swelling-increase of size and inflation of an area
Nite pain-pain experienced at night within the torso or pelvis
Chest pain/shortness of breath-pain in the chest area and difficulty breathing
Open wounds-wounds that are still healing
Abnormal vital signs- changes in blood pressure or heart rate
List and describe the five medical exercise sciences.
- Anatomy-the foundation of all MET
- Pathology-necessary to understand the application of MET to conditions
- Exercise Physiology-the reaction to exercise
- Kinesiology-selection of exercise
- Biomechanics-understanding the distribution and result of forces generated during exercise
List the 6 keys to MET program design.
- Clear understanding of anatomy and pathology.
- Immediately recognize contraindicated exercise and activities
- Assess key areas using key techniques
- Incorporate indicated exercise and activities into the program
- Understand progression guidelines and functional goals leading to a positive outcome
- Use a protocol-based approach
What are the 4 joint receptors and where are they found?
Type I-found in joint capsule. Postural reactions, slow adapting.
Type II-located deep in capsule, mid range of movement
Type III-found in ligaments. fire at the end ROM.
Type IV-found in capsule, fat pad, and ligaments. These are the nociceptors
Explain the side effects of prolonged NSAID usage.
The side effects of prolonged NSAID usage includes GI problems, renal failure, hemorrhage, and nausea. They cause GI problems because of the fact that they reduce all type of inflammation, even the good types. One of these good types is involved with lining the GI with mucus. Without that, the GI can form ulcers. This is why it is important to take NSAIDS on a full stomach.
The renal failure can occur because the large molecules can get lodged in your kidneys and liver.
Hemorrhage and nausea can occur because of the damage that occurs from the loss of mucus in the GI.
Explain Wolff’s Law and how is pertains to post rehab training
Wolff’s Law states that an application of stress to connective tissue will result in an increase of strength, an elimination of that stress reduces strength, and every tissue has a physiologic limit. This pertains to post rehab training because this is exactly what we are doing with exercise. We are subjecting the body to a form of stress, so that it can adapt and become stronger (or better). This is also important for the post rehab professional as we want to be mindful of the physiologic limit of the tissues so we do not exceed that can cause injury.
What are the different types of connective tissue? Please describe each one
Fascia-fibrous tissue that encloses muscles or organs
Cartilage-smooth rubber-like elastic tissue
Ligaments-tough, flexible tissue that connects two bones or cartilage
Adipose tissue-fat tissue
Tendon-attaches a muscle to a bone
Blood vessels-carries blood through tissues and organs
Dermis-thick layer of tissue below epidermis that forms the true skin
Bone-hard tissue forming the skeleton of the body
Joint capsule-a ligamentous sac that surrounds the articular cavity of a moveable joint
Please explain the concept of joint inflammation and the order of related events after injury.
It starts with trauma or degeneration. The trauma causes vessel damage resulting in hemorrhaging of those vessels. This increases the permeability of the blood vessels which causes protein to be released into the interstitial space. This protein brings GAG molecules which cause an increase in water brought to the area. This water is what causes edema or swelling. Histamine, prostaglandins, and bradykinin are released and this causes a quick vasoconstriction followed by vasodilation, triggering the inflammatory response. White blood cells are brought in to help clean up the area. The interstitial edema causes pain. By day 3, the primary and secondary connective tissue begin to heal and there is a reduction in white blood cells. By days 3-5, fibrin, a precursor to collagen fibers, appears. By day 3 or 4, light exercise can be introduced to help collagen lay in a uniform manor into dense connective tissue. If no movement occurs, the connective tissue can become mobile due to scarring by day 5.
What are the 9 components of function?
ROM/Flexibility
Power
Muscle Recruitment
Strength
Coordination
Joint Stability
Endurance
Proprioception
Balance
List the 3 components of joint stability from the inside out.
- Boney congruency
- Ligamentous integrity
- Muscle recruitment/strength
What is the hierarchy of conditions in MET?
- Cardiovascular disorders
- Surgical procedures
- Neurological disorders
- Soft tissue disorders with radiating pain
- Soft tissue disorders with no radiating pain
What are the 5 principles of assessment?
- Understand anatomy and pathology
- Get a good history
- Think and assess function
- Select appropriate activities
- Listen-they will tell you whats wrong and needs attention
