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Part 2 Flashcards

1
Q

who is buerger allen exercises meant for?

A

patients with buerger’s, raynauds, elderly, bedridden, or early stages of diabetes

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2
Q

what are the exercises for buerger allen

A
  1. support legs in an elevated position at 60-90 degrees for 30-180 seconds or until you produce blanching of the extremity. dorsiflex and plantar flex during procedure
  2. allow feet to hang over the edge of the bed for 2-3 minutes or as long as it takes to prodcue hyperemia, then add 1 minute. this shouldn’t be more than 5 minutes
  3. place legs in a horizontal position for 3-5 minutes
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3
Q

who is william’s exercises fofr?

A

low back pain patients

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4
Q

what are the flexion exercises in the william’s exercises?

A

ab crunches in 90/90 or goucher’s position
flut max (pelvic rocks or tilts
stretch hams, knee to chest

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5
Q

what is the intension of the william’s exerises?

A

reduce LBP by strengthening the spineal muscles of lfexion and extension as well as abs and glut max

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6
Q

how is a patient instructed to do sit ups?

A

knees flexed, hands in front of chest while head and shoulders are lifted off the floor up to 6 inches so that the iliopsoas muscle is not used. position is held for 5 seconds or as long a possible

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7
Q

McKenzie’s exercises are used for? what type of exercise is it?

A

extension exercises
LBP
acute low back problems (ex: disc)

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8
Q

what do you do during codman (pendular) exercises?

A

strengthen shoulder girdle while eliminating the use of the supraspinatus

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9
Q

what is the codman (pendular) used for?

A

frozen shoulder (adhesive capsulitis), rotator cuff rehabilitation

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10
Q

DeLorme’s eercises

A

systematic approach to muscle strengthening by increasing the resistance placed on the muscle

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11
Q

example of DeLorme’s exercises

A

weight lifting

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12
Q

what exercise is used for pragnant females and patients with urinary incontinence?

A

Kegel’s

pelvic floor exercises

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13
Q

jacobson’s exercises is used to?

A

relax muscles by using stress exercises

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14
Q

clayton’s exercises

A

crawling exercises to mobilize the spine

exercise muscles in scoliosis (cross-crawl)

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15
Q

frenkel’s exercises

A

ataxic motion and to develop coordination (wobble board)

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16
Q

what is the brace used for thoracolumbar support?

A

milwaukee brace

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17
Q

when should we use the milwaukee brace?

A

when there is a scoliosis that is between 20-40 degrees

worn 23 hours a day

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18
Q

what is an example of a lumbar/SI support?

A 
sacroiliac girdle (trochanteric belt)
goes around the hip
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19
Q

what is the trochanteric belt used for?

A

SI hypermobility

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20
Q

what are the different extremity braces? what are they for?

A 
figure 8 (louisiana strap)-inversion ankle sprain
lennox-hill (derotational brace)- knee
cockup splint- wrist (carpal tunne syndrome)
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21
Q

which hand do you use a cane or 1 crutch in?

A

opposite hand

22
Q

describe how to fit a crutch

A

2-10-30
measure 2 inches from axilla
tip of crutch 10 inches from malleolus
be at 30 degrees when placed correctly

23
Q

contraindications to all modalities of passive caare

A

hemorrhage
infection with suppuration (except with UV superficially)
***malignancy

24
Q

contraindications to all heating modalities

A 
decreased thermal sensation
active TB
low back and abdomen during pregnancy
encapsulated swellings (herpes simplex, non-draining sinusitis)
late stages of diabetes mellitus
25
Q

contraindications for all electrical modalities

A 
pacemakers
low back and abdomen during pregnancy
decreased sensation (LVG only)
brain (transcerebral)
eyes
heart (transthoracic)
carotid sinuses
26
Q

describe the effect of massage

A

mechanical (kinetic and friction)

greatest effect on vascular system

27
Q

physiologic effects of massage

A 
increases blood and lymph flow
heart rate
blood pressure
breaks adhesions
removes lactic acid
decreases edema, congestion and nerve activity (sedation)
28
Q

indications for massage

A 
strains
sprains
bruises
tendonitis
bursitis
29
Q

contraindications for massage

A 
VASCULAR PROBLEMS
phlebitis
thrombosis
varicosities
ulcerations
local acute conditions
30
Q

types of massage

A 
effleurage
petrissage
tapotment
friction
vibration
deep pressure
31
Q

effleurage

A

stroking (begin and end of every massage and stroke toward the heart- centripital force)

32
Q

petrissage

A

deep kneading for muscle tissue

33
Q

tapotment

A

perussion

  1. flat hand, slapping
  2. fist pounding
  3. finger tips tapping for young kids
  4. ulnar side, hacking
  5. cupping (cystic fibrosis)
34
Q

friction

A

deep rubbing (powder)(Transverse Friction Massage)

35
Q

vibration

A

shaking (extremities only)
henie rub
G5
thumper

36
Q

deep pressure

A

nimmo acupressure

37
Q

describe transverse friction massage (TFM)

A

breaks adhesions in muscles, ligaments and joint capsule

decreases chemical cross linking

38
Q

indications for TFM

A

sprain
strain
tendonitis
bursitis

39
Q

TFM is not recommended for?

A

calcific tendonitis
bursitis
it would inflamme the tissue more

40
Q

types of traction

A 
constant
intermittent (pumping, gliding, disc problems)
41
Q

physiologic efffects of traction

A

decrease intradiscal pressure
increase IVF space
gliding of facet joints

42
Q

other physiologic effects of intermittent tration

A

break adhesions

breaks muscle spasms

43
Q

other physiologicl effects of constant traction

A

straightens curves

44
Q

indications for traction

A 
disc syndromes
foraminal encroachement
hyperlordosis
chronic muscle spasms
fibrotic adhesions
45
Q

contraindications for tractions

A

bone weakening conditions (osteoporosis, rickets, osteomalacia)
pregnancy
RA, Down’s (unless you have looked at their transverse ligament with flex/ext views)
acute muscle spasms
fractures
hypertensive disorders

46
Q

describe how to do traction for the cervicals

A

begin at 5% body weight and increase 2lbs max each treatment
never exceed 50 lbs
never exceed patient tolerance

47
Q

describe where to position patient for each vertebra in the cervicals

A

C2-7- 25-28 degrees

occ-C1- 0 degrees

48
Q

what should you note of or traction of the cervicals?

A

it takes 10 lbs to overcome the weight of the skull

49
Q

describe how to do traction for lumbars

A

begin at 25% of body weight and increase 5 lbs max with each treatment to max of 150 lbs
never exceed patient tolerance

50
Q

describe where to position patient for each vertera in the lumbars

A

supine with legs flexed and knees flexed
90 90 traction
goucher’s position

51
Q

what are the benefits of goucher’s position?

A

relaxes muscles

flattens lumbar curve

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