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msk2 > other pt interventions > Flashcards

other pt interventions Flashcards

1
Q

discuss aquatic exercise

A

use of water to facilitate therapeutic exercise

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2
Q

purpose of aquatic exercise

A

faci functional recovery by providing an environment that augments pts ability to perform interventions

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3
Q

goals and indic of aquatic exercise

A

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

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4
Q

precautions of aquatic ex

A

fear of water

neurological disorders

respiratory condition

cardiac dysfunction

small, open wound and IV lines

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5
Q

contra of aquatic ex

A

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

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6
Q

discuss buoyancy

A

upward force that works opposite gravity

Archimedes’ Principle - immersed body experiences upward thrust equal to the volumes of liquid displaced

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7
Q

discuss hydrostatic psi

A

pressure exerted by fluid on an immersed object - pascal’s law

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8
Q

discuss viscosity

A

friction occurring between molecules of liquid in resistance to flow.

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9
Q

what happens to hydrostatic psi as density of water and depth of immersion increase

A

increase

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10
Q

Resistance from viscosity is proportional to ______

A

velocity of movement through liquid.

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11
Q

what happens to resistance if you inc velocity and surface area

A

inc resistance

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12
Q

relate work to an extremity that moves through surface vs underwater

A

extremity that moves through the surface performs more work than if under water - d/t surface tension

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13
Q

discuss WB c immersion

A

for pt c WB restrictions - LE surgery, joint pain/replacements

C7 - 10%
xiph - 33%
ASIS - 50%

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14
Q

exercises applicable for 26-35°C

A

Flexibility

Strengthening

Gait Training

Relaxation

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15
Q

exercises applicable for 26-28°C

A

CV training and aerboic ex

22-26°C if >80% HRmax to minimize heat illness

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16
Q

water temp for acute painful MSK injuries

A

33°C - relax, inc pain threshold and dec muscle spasm

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17
Q

what is massage

A

manip of body tissue using hands to affect nervous and muscular system and general circulation

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18
Q

physiological effects of massage

A

reflex effects

mechanical effects

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19
Q

reflex effects of massage

A

sedation

dec in pain - GCT

vasodilation

reflex heating and muscle relaxation

20
Q

mechanical effects of massage

A

assist in return flow of blood and lymph

mob soft tissue

make skin tougher - desensitize for amputees

inc skin temp

21
Q

indications of massage

A

subacute or chronic pain

muscle spasm

adhesion

superficial scar formation

edema

postural drainage

desensitization post-surgery

22
Q

precautions of massage

A

freshly burned skin

23
Q

contraindications of massage

A

infection

skin diseases

hemorrhage

acute inflammation

DVT

malignancy

severe RA

abdominal massage if pregnant

24
Q

limitations of massage

A

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

25
Q

discuss rhythm and rate for massage

A

even and symm

slow - sedative/inhib

fast - stimulation

26
Q

discuss pressure for massage

A

light - reduce pain and for relax

deep - improve circulation and adhesions/scar

27
Q

discuss direction for massage

A

proximal segment of the extremity, move distally and return to the proximal region

pero if drainage - distal to proximal

28
Q

discuss duration in massage

A

UE: 10-15 mins

LE and back: 15-20 mins

entire body: 45 mins to 1 hr

depends on size of pt

29
Q

what is effleurage

A

gliding the palms, fingertips, and/or thumbs over the skin in a rhythmic circular pattern with varying degrees of pressure.

30
Q

uses of effleurage

A

initiates and ends treatment

for transitions

orient pt na touch na

spreading medium

to palpate for spasm/soreness

31
Q

indic of effleurage

A

stim lymphatic drainage

relieve pain

32
Q

discuss superficial effleurage

A

for pain and realxation

inc BF to area

relax slow stroke tas stim if fast

go with hair growth

33
Q

discuss deep effleurage

A

inc BF and stretch adhesions

effects on circulatory and deep myofascial systems

34
Q

discuss compression/petrissage/kneading

A

mga milking actions - little to no lube

sficial - relaxaton

deep - inc venous return, mob fluid and tissue deposits, loosen adhesion and inc tissue pliability

35
Q

discuss friction

A

no lube - to breakdown adhesions, losses lig and disable trigger points

tendonitis, tendinopathy, subacromial bursitis, plantar fasciitis and trigger points

36
Q

discuss tapotement/percussion

A

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

37
Q

what is the role of taping

A

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

38
Q

obj of wrapping/bandaging

A

compression to reduce effusion and swelling

provide supp and reduce unwanted ROM

secure dressings and pads

39
Q

contraindic for taping and bandaging

A

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

40
Q

parts of pt educ

A

body mech

pain relief

HEP

wellness - holistic

risk reduction

41
Q

values of pt educ

A

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

42
Q

discuss environmental mod

A

guide the patient and family in optimizing accessibility

43
Q

what to consider in environmental mod

A

env barriers

pts functional capabilities

cultural bg

financial resources

comm resources

needed AD

44
Q

discuss physical env

A

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

45
Q
A

msk2 (42 decks)

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