PT/OT (Zucker) Flashcards
Feel free to delete cards...I know I overdid it, but I have no idea what was important.
What’s the difference between an OT and a PT?
PT = REMEDIATION; Prevent the onset, symptoms, and progression of impairments that may result from disease or injuries
OT = FUNCTION; Restore, maintain, and promote participation in functional tasks (self-care activities)
What are the goals of Phase 1 (acute) of shoulder dislocation treatment?
- decrease pain
- restore stability
- reduce effects of immobilization
- prevent further damage
What are the goals of Phase 2 (subacute) of shoulder dislocation treatment?
- decrease pain
- restore stability
- 90-degree pain free ROM
- neuromuscular control
What are the goals of Phase 3 (advanced strengthening) of shoulder dislocation treatment?
- decrease pain
- restore stability
- normal pain free ROM
- neuromuscular control
- endurance
- plyometrics
What are the goals of Phase 4 of shoulder dislocation treatment?
return to activity
What are possible bad outcomes of hip frx?
- increased mortality (20% over 1st yr)
2. decreased functional status (30% d/c to skilled nursing)
What are the benefits of PT immediately after hip frx?
per protocol, better locomotion 2 months later and a 6 month shorter recovery (?)
What are the benefits of OT immediately after hip frx?
not protocol based; focus on functional activities with maintenance of hip precautions (goal = desired level of independence)
60-90% of adults experience ____ at some point
low back pain
What’s the leading cause of disability between ages 19-45?
low back pain
ACL injuries occur more commonly in young (M/F)
F, 3:1
What are some factors that must be considered when rehab-ing an ACL injury?
age, history, activity level, graft source and associated injuries
What are the goals of Phase 1 (immediately post-srx) of ACL rehab?
- Control pain and post-op swelling
2. begin to restore ROM
How is ROM defined, in terms of an ACL injury?
pre-op level of hyperextension
What are some methods to control inflammation following ACL srx?
cryotherapy, elevation, electrical stimulation, compression, limitation of activities.
Following ACL srx, patients must wear a brace (locked in extension) at all times for how many weeks?
1st week
What are the PT goals of Phase 2 (2-6 wks post-srx) of ACL rehab?
Restore full knee ROM (early strengthening exercises) in either a Supervised or Home rehab program
What are some strengthening exercised used in weeks 2-6?
- Light weights
- low load prolonged stretches (creep?)
- manual overpressure
- stationary bicycle (half moon)
- lunges/squats
What are the PT goals of Phase 3 (6-10 wks post-srx) of ACL rehab?
build on limb strength gained in phase 2 using traditional exercises + challenges to the nervous system
(i.e. activities which force the center of gravity away from the base of support)
What form of rehab is superior to standard strength training for ACL injuries?
neuromuscular retraining
What are the PT goals of Phase 4 (10 wks - 6 mo post-srx) of ACL rehab?
Prepare return to sport (Running, cutting, and jumping)
What are important phase 5 criteria for returning to sports following ACL injuries?
- pain-free during performance
- no limp or guarding
- no effusion after rehab
- athlete confidence
- no more than 10% asymmetry in strength testing (single leg vertical jump and time/distance hop)
What does effusion after rehabilitation or functional testing signify?
neuromuscular system is not adequately countering the high stresses experienced within the joint
A cane is always used on the (same/opposite) side as the injury.
opposite
