Principles of Rehabilitation Flashcards

1
Q

What is Flexibility?

A

mobility of muscles & the length to which they can extend.

  • immobilization of muscle can lead to loss of flexibility or length
  • inflexibility often means the muscles & joints have limited mobility
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2
Q

What is Range of Motion (ROM)?

A
  • amount of movement possible for a joint
  • ROM is affected by flexibility of the muscle groups surrounding the joint
  • if a muscle lacks flexibility the joint may not have full ROM
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3
Q

What factors can affect ROM?

A
  • muscle flexibility
  • joint capsule restriction
  • ligament trauma
  • fascial restraints
  • scar tissue
  • muscle strength
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4
Q

What is Muscular Strength?

A
  • refers to the maximum force that a muscle or group of muscle can exert
  • can be determined by measuring 1 rep max.
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5
Q

What is Muscular Endurance?

A
  • muscles ability to sustain a sub-maximal force in either a static activity/repetitive activity over a period of time
  • need to consider the relationship btwn muscular strength & endurance. (gain in strength can also create gains in endurance & vice-versa)
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6
Q

What is Proprioception?

A
  • impaired balance, proprioception or coordination from injury to structures controlling these parameters or from lack of practice in specific sports skill = increases risk of injury
  • to develop appropriate proprioception, you must have enough flexibility, ROM & strength
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7
Q

What is Passive range of Motion (PROM)

A
  • activity that requires no active work on the part of the muscle.
  • Motion is produced by an outside force (i.e. therapist).
  • The intent is to maintain range of motion in situations in which either the muscle is incapable of moving voluntarily or it is desirable that the muscle not perform actively.
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8
Q

What is Active Assistive Range of Motion (AAROM):

A
  • performed either when the muscle is incapable of producing the full motion without assistance
  • when it is desirable for the individual to perform limited voluntary activity with assistance from an outside source to achieve the objective of the exercise.
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9
Q

What is Active Range of Motion (AROM):

A
  • occurs when the athlete is able to produce full range of motion of the segment
  • with no assistance
  • No resistance is applied
  • These types of exercises are sometimes referred to as range-of-motion (ROM) exercises.
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10
Q

What is Resisted Range of Motion (RROM):

A
  • falls into the broad category of dynamic exercises. -Motion with resistance applied to the muscles is permitted.
  • These types of exercises are commonly referred to as strengthening or progressive resistive exercises.
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11
Q

What is an Aerobic or oxygen dependent system?

A

This is a long-term energy system, which relies on the continuous use of oxygen for the oxidation of glycogen or fatty acids.

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12
Q

What is an Anaerobic Lactic or oxygen-independent system?

A

This is the energy system in which glycolysis takes place in the formation of energy and pyruvic acid. Example, shift in a hockey game

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13
Q

How does an Anaerobic Alactic or high-energy phosphate or ATP-CP System work?

A

This is the energy system in which energy is produced from the high-energy phosphate compounds ATP and CP.
-Example-100m dash

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14
Q

What methods can be used to achieve ROM?

A

a. AROM
b. AAROM (Active Assisted Range of Motion)
c. PROM: show examples using broomstick, tubing, other hand and arm
d. Joint mobilizations: (physiological and accessory movements)
e. PNF: proprioceptive neuromuscular facilitation. How does this differ from stretching
f. Various types of stretching methods-ballistic, static, dynamic

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15
Q

How can you achieve flexibility?

A

a. Patient: static, contract relax, hold-relax, slow-reversal-hold
b. Partner assisted:
c. Static: why, pros and cons
d. Dynamic: why, pros and cons

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16
Q

How can you Stimulate the neuro-pathway?

A

a. keep the neural pathway activated (especially during healing) voluntarily and involuntarily (isometrics/opposite side/EMS/pain free arc)
b. use low resistance and high repetitions but do not do it to failure
c. utilize different means of facilitating a contraction (temp, pressure, pain, touch) to help with the contraction

17
Q

How can you Maintain the neuro-pathway as a joint heals?

A

a. isometrics (at one or more ranges)

b. usually working from inner to outer range of motion