Quiz 1 Flashcards

1
Q

Where is COM located

A

anterior to S2

if weight is added COM moves towards weight

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2
Q

What forces can tissue experience?

A

-Tension: pulling on each end
-COmpression: pushing two surfaces together
-axial compression: compressive F acting along axis of object
-distraction: pulling that seperates two surfaced from each other
-Shear: two F, opp in direction, that are parallel to contact
-bending
-torsion: twisitn
-combined
-pressure

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3
Q

Too little of load managment

A

immobiliazation/ decreased activity levels

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4
Q

too much load

A

tissue failure

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5
Q

Total assistance

A

less than 25 effort

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6
Q

Max assist

A

less than 50 effort, more than 25

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7
Q

Mod assist

A

50-75 %effort

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8
Q

Min assist

A

greater than 75 per effort

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9
Q

contact guard

A

pt. needs to be in contact with PT

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10
Q

Close supervision

A

within arms reach

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11
Q

Distant supervision

A

in room

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12
Q

independent

A

independent

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13
Q

verbal cueing

A

independent but needs cueing

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14
Q

What are the guidelines for long term positioning

A

DO: extend knees
minimize sitting on flexed knee

DO NOT: cross legs
lie with flexed knees
put pillow under lower back
put pillow inder knee or thigh
let limbs hang off

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15
Q

Checklist for short term positioning

A

patient is safe
good spinal alignment
accessibilty to necessary areas of the body
trunk and extremeties are supported for comfort

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16
Q

Principles of Positioning

A

always explain what you are going to do
patient participates
correct spinal alignment
smart body mechanics
attention to surrounding

17
Q

Quadriplegia

A

paralysis of all 4 extremeties and trunk

18
Q

paralegia

A

paralysis of both trunk and LE

19
Q

hemiplegia

A

paralysis/weakness in UE and LE on same side

CVA

20
Q

Unilateral orthopedic

A

fractures or joint replacement

21
Q

Multiple joint dysfunction

A

diseases of connective tissue

like RA and scleroderma

22
Q

Goals of positioning in a static posture?

A

increase stability and facilitate mobility

23
Q

What can we do to increase patient comfort?

A

maintain normal spinal curvatures

provide adequate support, cushioning , draping , and manage enviorment

24
Q

Objectives for short term positioning?

A

safety
comfort
therapist access

25
Q

Long term positioning objectives

A

safety
prevention( pressure ulcers, edema, contractures)
comfort

26
Q

long term positioning checklist

A

-clear airway
-good spinal alignment
-minimize pressure over boney prominence
-minimize shear forces
-cushion
-immobile extremities should be elevated
-position to prevent contractures
-support and stability for trunk and extremities
-allow long term function
-optimize interaction with enviorment
-special needs have been accomodated

27
Q

Contraindications for Total hip

A

IR, Adduction, flex