patient history taking and assesments Flashcards

1
Q

ways of history taking and assessment

A

subjective
objective
analysis
plan

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2
Q

this involves gathering of data from patient both from the past and present related to why they seek for PT, it involves appearance observation, posture and gait evaluation

A

Subjective

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3
Q

what makes a successful therapist-patient interaction

A

history taking [for effective clinical decision making]
empathy [for patient satisfaction]

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4
Q

what are the frameworks for history taking

A

main complaints
symptoms
functional history
past medical and family hist
system review
social history
occupation and recreational
psychological hist
cardiovascular and disease related risk factors

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5
Q

what are the evaluations to be determined in objective assessment

A

neurological
MS system, soft tissue and joints
cardiac and pulmonary system
skin [trophic changes]
bladder and bowel fnx
pain
functional
daily living activities evaluation

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6
Q

neurological evaluation touches which aspects

A

mental status
motor system
sensory
reflexes
speech and language
gait and ambulation

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7
Q

loss of ability to read or write

A

aphasia

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8
Q

disorder of speech

A

dyarthria

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9
Q

disorder of speech

A

dysarthria

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10
Q

dysphasia

A

language impairment

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11
Q

what is different between dysphonia and aphonia

A

raspy or breathy Noice while aphonia is no voice at all

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12
Q

how do we evaluate MS system, joint and soft tissues

A

by palpation
passive and active ROM
muscle strength test
joint stability

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13
Q

what can be defined as a common visual reference

A

anatomical position

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14
Q

how to evaluate anatomical position

A

standing erect
face forward
arms by side
palm forward
leg straight
feet flat

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15
Q

what are the cardinal planes

A

sagittal [left and right]
frontal aka coronal [front and back]
transverse aka horizontal [ top bottom]

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16
Q

define axis of rotation

A

an imaginary line that passes through a joint or body to describe movement

17
Q

1] runs from side to side, involved in flexion/extension and dorsi/plantar flexion and is perpendicular to sagittal plane.
2] runs from back to front, involves Abd/add and ulna/radial deviation and is perpendicular to horizontal plane.
3] head to toe, involves int/ext rot, horizontal abd/add and pronation/supination and is perpendicular to transverse plane.

A

1] horizontal [medio-lateral]
2] sagittal [antero-posterior]
3] longitudinal [vertical]

18
Q

types of contraction and sub-types

A

isometric [static]
isotonic [concentric [shorten] and eccentric [elongate]]

19
Q

muscle lever system

A

1st lever [head neck movement= the fulcrum is at the center head forward as load and neck muscles pushing downward as force to make head straight]
2nd lever [when walking on heel lifting fingers as fulcrum, heel as load and gastrocnemius as upward force]
3rd lever [biceps flexing as upward force, elbow as fulcrum and palm as load]

20
Q

these muscles are primary movers during exercises, they provide major force

A

agonistics

21
Q

they oppose the agonists, and they relax while agonists contracts

A

antiagonists

22
Q

they help creating movement and stabilize joint around the movement

A

synergist