other pt interventions Flashcards
discuss aquatic exercise
use of water to facilitate therapeutic exercise
purpose of aquatic exercise
faci functional recovery by providing an environment that augments pts ability to perform interventions
goals and indic of aquatic exercise
faci ROM
initiate resistance training
faci WB activities
enhance delivery of manual techniques
3D assessment of pt
faci CV ex
initiate functional activity replication
min injury and re-injury
relaxation
precautions of aquatic ex
fear of water
neurological disorders
respiratory condition
cardiac dysfunction
small, open wound and IV lines
contra of aquatic ex
cardiac failure and unstable angina
respiratory dysfunction - VC < 1L
bleeding/hemorrhage
open wounds s occlusive dressing
uncontrolled bowel and bladder
menstruation s internal protection
water and airborne infections
uncontrolled seizures
discuss buoyancy
upward force that works opposite gravity
Archimedes’ Principle - immersed body experiences upward thrust equal to the volumes of liquid displaced
discuss hydrostatic psi
pressure exerted by fluid on an immersed object - pascal’s law
discuss viscosity
friction occurring between molecules of liquid in resistance to flow.
what happens to hydrostatic psi as density of water and depth of immersion increase
increase
Resistance from viscosity is proportional to ______
velocity of movement through liquid.
what happens to resistance if you inc velocity and surface area
inc resistance
relate work to an extremity that moves through surface vs underwater
extremity that moves through the surface performs more work than if under water - d/t surface tension
discuss WB c immersion
for pt c WB restrictions - LE surgery, joint pain/replacements
C7 - 10%
xiph - 33%
ASIS - 50%
exercises applicable for 26-35°C
Flexibility
Strengthening
Gait Training
Relaxation
exercises applicable for 26-28°C
CV training and aerboic ex
22-26°C if >80% HRmax to minimize heat illness
water temp for acute painful MSK injuries
33°C - relax, inc pain threshold and dec muscle spasm
what is massage
manip of body tissue using hands to affect nervous and muscular system and general circulation
physiological effects of massage
reflex effects
mechanical effects
reflex effects of massage
sedation
dec in pain - GCT
vasodilation
reflex heating and muscle relaxation
mechanical effects of massage
assist in return flow of blood and lymph
mob soft tissue
make skin tougher - desensitize for amputees
inc skin temp
indications of massage
subacute or chronic pain
muscle spasm
adhesion
superficial scar formation
edema
postural drainage
desensitization post-surgery
precautions of massage
freshly burned skin
contraindications of massage
infection
skin diseases
hemorrhage
acute inflammation
DVT
malignancy
severe RA
abdominal massage if pregnant
limitations of massage
does not develop muscle strength/tone
cannot affect metabolism significantly
ineffective for weight reduction
ineffective in preventing atrophy 2ndary to nerve damage
dapat active ex
discuss rhythm and rate for massage
even and symm
slow - sedative/inhib
fast - stimulation
discuss pressure for massage
light - reduce pain and for relax
deep - improve circulation and adhesions/scar
discuss direction for massage
proximal segment of the extremity, move distally and return to the proximal region
pero if drainage - distal to proximal
discuss duration in massage
UE: 10-15 mins
LE and back: 15-20 mins
entire body: 45 mins to 1 hr
depends on size of pt
what is effleurage
gliding the palms, fingertips, and/or thumbs over the skin in a rhythmic circular pattern with varying degrees of pressure.
uses of effleurage
initiates and ends treatment
for transitions
orient pt na touch na
spreading medium
to palpate for spasm/soreness
indic of effleurage
stim lymphatic drainage
relieve pain
discuss superficial effleurage
for pain and realxation
inc BF to area
relax slow stroke tas stim if fast
go with hair growth
discuss deep effleurage
inc BF and stretch adhesions
effects on circulatory and deep myofascial systems
discuss compression/petrissage/kneading
mga milking actions - little to no lube
sficial - relaxaton
deep - inc venous return, mob fluid and tissue deposits, loosen adhesion and inc tissue pliability
discuss friction
no lube - to breakdown adhesions, losses lig and disable trigger points
tendonitis, tendinopathy, subacromial bursitis, plantar fasciitis and trigger points
discuss tapotement/percussion
rhythmic alternating contact of varying pressure between hands and the body’s soft tissue
for stimulation of movement
cupping on chest during exhalation on phlegm
what is the role of taping
protect injured area
hold dressings or pads in place
compress recent injury for bleeding and swelling - smaller areas
protect from further injury as support
limit unwanted movement
allow optimal healing s stressing injured
obj of wrapping/bandaging
compression to reduce effusion and swelling
provide supp and reduce unwanted ROM
secure dressings and pads
contraindic for taping and bandaging
allergy to amterial
suspected fracture or total teat - grade 3 dapat splints na
acute swelling if tape; bandaging oks lng
pain after applicaton - change parameters
parts of pt educ
body mech
pain relief
HEP
wellness - holistic
risk reduction
values of pt educ
improved adherence
better understanding of their condition
more efficient comms
realistic expectations and timelines
easing of fear or apprehension
safer therapy env
inc satisfaction c treatment
stronger rela
improved outcomes for pt
discuss environmental mod
guide the patient and family in optimizing accessibility
what to consider in environmental mod
env barriers
pts functional capabilities
cultural bg
financial resources
comm resources
needed AD
discuss physical env
built objects - man made structures
natural objects - other humans, nature
home, community, workplace, school, lahat
barriers - factors that through their presence or absence, prevent optimal function and create disability
