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NBCOT Domain 2 > Phys dys > Flashcards

Phys dys Flashcards

1
Q

Measurement instrument for evaluating joint range of motion; accuracy is ensured through following standardized procedures including:
• client position
• positioning of the instrument

A

Goniometer

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2
Q

Normal range of motion for the cervical spine

A 
Degrees of measurement include:
• flexion: 0-45
• extension: 0-45
• lateral flexion: 0-45
• rotation: 0-60
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3
Q

Normal range of motion for the thoracic and lumbar spine

A 
Degrees of measurement include:
• flexion: 0-80
• extension: 0-30
• lateral flexion: 0-40
• rotation: 0-45
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4
Q

Normal range of motion for the shoulder

A 
Degrees of measurement include:
• flexion: 0-170
• extension: 0-60
• horizontal abduction: 0-40
• horizontal adduction: 0-130
• internal rotation: 0-70
• external rotation: 0-90
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5
Q

Normal range of motion for the elbow and forearm

A

Degrees of measurement include:
• flexion: 0 to 135-150
• supination: 0 to 80-90
• pronation: 0 to 80-90

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6
Q

Normal range of motion for the wrist

A 
Degrees of measurement include:
• flexion: 0-80
• extension: 0-70
• ulnar deviation: 0-30
• radial deviation: 0-20
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7
Q

Normal range of motion for the thumb

A

Degrees of measurement include:
• MP flexion: 0-90
• IP flexion: 0 to 80-90
• abduction: 0-50

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8
Q

Normal range of motion for fingers

A 
Degrees of measurement include:
• MP flexion: 0-90
• MP hyperextension: 0 to 15-45
• PIP flexion: 0-110
• DIP flexion: 0-80
• abduction: 0-25
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9
Q

Normal range of motion for the hip

A 
Degrees of measurement include:
• flexion: 0-120
• extension: 0-30
• abduction: 0-40
• adduction: 0-35
• internal rotation: 0-45
• external rotation: 0-45
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10
Q

Normal range of motion for the knee

A

Degree of measurement include:

• flexion: 0-135

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11
Q

Normal range of motion for the ankle and foot

A 
Degrees of measurement include:
• plantar flexion: 0-50
• dorsiflexion: 0-15
• inversion: 0-35
• eversion: 0-20
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12
Q

Structured approach to measure muscle strength and apply a muscle grade to the maximal effort put forth

Grading scale range: Zero (0/5) to Normal (5/5)

A

Manual muscle testing

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13
Q

Muscle grade assigned for:
• no active movement noted
• no muscle contraction observed or palpated

A

Muscle grade 0/5

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14
Q

Muscle grade assigned for:
• trace movement observed and palpated
• no active movement noted, but muscle contraction is observed or palpated

A

Muscle grade 1/5

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15
Q

Muscle grade assigned for:
• poor strength observed where movement is noted only in a gravity-minimized plane

Score may range from:
• ___ (-): able to initiate movement in gravity-minimized plane
• ___: incomplete ROM in gravity-minimized plane
• ___ (+): complete ROM in gravity-minimized plane

A

Muscle grade 2/5

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16
Q

Muscle grade assigned for:
• fair strength observed where movement is noted against gravity

Score may range from:
• ___(-): incomplete ROM against gravity
• ___: full ROM against gravity with no resistance applied
• ___(+): full ROM against gravity and slight resistance

A

Muscle grade 3/5

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17
Q

Muscle grade assigned for:

• good strength observed with full ROM against gravity and moderate resistance

A

Muscle Grade 4/5

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18
Q

Muscle grade assigned for:

• normal strength observed with full ROM against gravity and maximal resistance

A

Muscle grade 5/5

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19
Q

Level of assistance where a client needs >75% verbal or physical assistance to complete a task or is unable to perform any component of the task

A

Dependent

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20
Q

Level of assistance where a client needs 50-75% verbal or physical assistance to complete a task

A

Maximal assistance

21
Q

Level of assistance where a client needs 25-50% verbal or physical assistance to complete a task

A

Moderate assistance

22
Q

Level of assistance where a client needs <25% verbal or physical assistance to complete a task

A

Minimal assistance

23
Q

Level of assistance where a client requires caregiver or practitioner assistance to be within arm’s reach to safely complete a task

A

Stand-by assistance

24
Q

Level of assistance where a client requires zero physical or verbal assistance to safely complete a task

A

Independent

25
Q

Level of assistance where a client requires occasional verbal assistance to safely complete a task

A

Supervised

26
Q

Level of assistance where a client requires use of adaptive equipment or increased time to complete a task

A

Modified independence

27
Q

American Spinal Cord Injury Association neurological classification system used to determine level of impairment to the spinal cord after an injury.

Results are based on:
• sensory testing of each dermatome for right and left sides
• manual muscle testing for right and left sides

A

ASIA impairment scale (AIS)

28
Q

Neurological classification for the level of impairment to the spinal cord after injury, characterized by:
• complete lesion with no motor or sensory function preserved in the sacral segments S4-S5

A

ASIA impairment scale (AIS A)

29
Q

Neurological classification for the level of impairment to the spinal cord after injury, characterized by:
• incomplete lesion with sensory but no motor function preserved below the neurological level; includes the sacral segments S4-S5

A

ASIA impairment scale (AIS B)

30
Q

Neurological classification for the level of impairment to the spinal cord after injury, characterized by:
• incomplete lesion with motor function preserved below the neurological level
• more than half of key muscles below the neurological level have a muscle grade less than 3 (fair)

A

ASIA impairment scale (AIS C)

31
Q

Neurological classification for the level of impairment to the spinal cord after injury, characterized by:
• incomplete lesion with motor function preserved below the neurological level
• at least half of key muscles below the neurological level have a muscle grade of 3 (fair) or more strength

A

ASIA impairment scale (AIS D)

32
Q

Neurological classification for the level of impairment to the spinal cord after injury, characterized by:
• normal motor and sensory function

A

ASIA impairment scale (AIS E)

33
Q

Classification for this level of recovery after a traumatic brain injury:
No response: Total assistance
Characterized by:
• No change in behavior when presented with any form of stimuli

A

Rancho Los Amigos Level of Cognitive

Functioning: Level I

34
Q

Classification for this level of recovery after a traumatic brain injury:
Generalized response: Total assistance
Characterized by:
• generalized reflex response to painful stimuli
• responses may be delayed
• responds to repeated auditory stimuli with increased or decreased activity

A

Rancho Los Amigos Level of Cognitive

Functioning: Level II

35
Q

Classification for this level of recovery after a traumatic brain injury:
Localized response: Total assistance
Characterized by:
• response to discomfort by pulling tubes or drains
• blinks when bright light crosses visual field
• inconsistent response to simple commands

A

Rancho Los Amigos Level of Cognitive

Functioning: Level III

36
Q

Classification for this level of recovery after a traumatic brain injury:
Confused/agitated: Maximal assistance
Characterized by:
• alert and in a heightened state of activity
• absent short-term memory
• purposeful attempt to remove restraints or tubes
• may exhibit aggressive behavior

A

Rancho Los Amigos Level of Cognitive

Functioning: Level IV

37
Q

Classification for this level of recovery after a traumatic brain injury:
Confused, inappropriate nonagitated: Maximal assistance
Characterized by:
• not oriented to person, place, or time
• may wander
• unable to learn new information
• inappropriate use of objects without redirection

A

Rancho Los Amigos Level of Cognitive

Functioning: Level V

38
Q

Classification for this level of recovery after a traumatic brain injury:
Confused, appropriate: Moderate assistance
Characterized by:
• inconsistent orientation to person, place, and time
• supervision needed for old learning (e.g. self-care tasks)
• may attend to a familiar task in a distraction-free environment for up to 30 minutes with moderate redirection

A

Rancho Los Amigos Level of Cognitive

Functioning: Level VI

39
Q

Classification for this level of recovery after a traumatic brain injury:
Automatic, appropriate: Minimal assistance for daily living skills
Characterized by:
• minimal supervision for new learning
• may attend to a familiar task in a distraction-free environment for up to 30 minutes with minimal redirection
• overestimates abilities
• minimal supervision for safety in home and community routines

Classification for this level of recovery after a traumatic brain injury:
Automatic, appropriate: Minimal assistance for daily living skills
Characterized by:
• minimal supervision for new learning
• may attend to a familiar task in a distraction-free environment for up to 30 minutes with minimal redirection
• overestimates abilities
• minimal supervision for safety in home and community routines

A

Rancho Los Amigos Level of Cognitive

Functioning: Level VII

40
Q

Classification for this level of recovery after a traumatic brain injury:
Purposeful, appropriate: Stand-by assistance
Characterized by:
• stand-by assistance for daily living skills to take corrective action when impairments interfere with task completion
• independently attends to and completes familiar tasks for one hour
• independent once a new activity is learned

A

Rancho Los Amigos Level of Cognitive

Functioning: Level VIII

41
Q

Classification for this level of recovery after a traumatic brain injury:
Purposeful, appropriate: Stand-by assistance on request
Characterized by:
• stand-by assistance on request when impairments interfere with task completion
• can shift between tasks and can attend for a minimum of 2 hours
• uses assistive memory devices
• able to monitor appropriateness of social interactions with stand-by assistance

A

Rancho Los Amigos Level of Cognitive

Functioning: Level IX

42
Q

Classification for this level of recovery after a traumatic brain injury:
Purposeful, appropriate: Modified independent
Characterized by:
• can independently handle multiple tasks simultaneously, but may require occasional breaks
• accurately estimates skills and abilities and independently adjusts task demands
• social behaviors are consistently appropriate

A

Rancho Los Amigos Level of Cognitive

Functioning: Level X

43
Q 
Allen Cognitive Level characterized by:
• reflexive responses
• responsive to internal stimuli
• impaired awareness of time and place
• global cognition impaired
• maximum assistance for ADL
A

Allen Cognitive Level 1

Automatic actions

44
Q 
Allen Cognitive Level characterized by:
• awareness of gross motor movements
• global cognition impaired
• may benefit from 1-step verbal instructions
• requires 24-hour nursing care
A

Allen Cognitive Level 2

Postural actions

45
Q

Allen Cognitive Level characterized by:
• ability to manipulate objects with hands
• responsive to tactile cues
• repetitive actions that are not goal directed
• short attention span and unpredictable behaviors

A

Allen Cognitive Level 3

Manual actions

46
Q 
Allen Cognitive Level characterized by:
• global cognition moderately impaired
• responds to tangible, visual motor cues
• some goal-directed behaviors
• can pay attention for up to 1 hour
A

Allen Cognitive Level 4

Goal-directed actions

47
Q

Allen Cognitive Level characterized by:
• global cognition mildly impaired
• trial-and-error method used during activities
• decreased ability to plan ahead and anticipate errors
• poor judgement and occasionally impulsive

A

Allen Cognitive Level 5

Exploratory actions

48
Q

Allen Cognitive Level characterized by:
• abstract thinking is intact
• carry-over of learning from one session to another
• anticipates errors and demonstrates ability to plan ahead
• judgement and problem-solving is intact

A

Allen Cognitive Level 6

Planned actions

NBCOT Domain 2 (3 decks)

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