Rehab Questions

Question 1

Four main fields of health sciences

Answer 1

1)prevention
2)treatment
3)rehabilitation
4)chronic care

Question 2

Definition of rehabilitation

Answer 2

Organised services provided by the society to disabled people so they can take place in the society again

Question 3

Components of the comprehensive rehabilitation

Answer 3

“MESV”
Medical, Educational, Social measurements, Vocational
Active participation of the disabled person in this process is essential

Question 4

Definition and most frequent types of disability

Answer 4

Definition= a condition when the abilities of a person do not meet the average society and it results in limitations and participation restrictions.

Types= vision, movement, hearing, thinking, remembering, learning, communicating, mental health, social relationship

Question 5

What are the main differences between acute care and rehabilitation

Answer 5

Acute care= short time, passive patients, saves life, emergency dept/hospital
Rehab=longer periods, active patients, improve quality of life, rehab center

Question 6

What does functional approach mean

Answer 6

A certain condition can be caused by multiple reasons, for rehabilitation what is important is the condition itself not the reason.
Example= hemiparesis by stoke, brain trauma, tumor, ms

Question 7

Teamwork in rehabilitation

Answer 7

Medical doctor
Pyschologist
Neuropsychologist
Social worker
Hydrotherapist
physiotherapist
Occupational therapist
Orthopedic technician
Music therapist
Speech therapist
Relatives
Nurse

Question 8

Types of rehabilitation depending on their implementation

Answer 8

1) acute-at the active care ex-stroke center, traumatology dept
2)post acute- rehabilitation center
3) rehabilitation in chronic conditions -rheumatological disease

Question 9

Criteria of admission to a rehabilitation programme

Answer 9

-indication
-performability of the program
-current status
-achievable goal
-the achievements

Question 10

What is functioning and disability and how can it be influenced?

Answer 10

Disability= includes those who have long term physical mental intellectual or sensory impairments which in interaction with various barriers may hinder their full and effective participation in society on equal basis with others.
Impairments, activity limitations and participation restrictions

Functioning= integrity of body funtions and structures including the realisation of activities and social participation

Functioning and disability are the result of both interaction between health condition of a person and both personal and environmental factors

Question 11

When is a rehabilitation assessment needed, what are its goals, and who is doing it?

Answer 11

When there is a disability affecting the quality of life of the patient and its self care
The goal is to incorporate the person in the society again, improve its activity, diminish its physical limitations or reduce environmental obstecals for him or her
Rehabilitation centers and multidisciplinary teams

Question 12

Levels of mobility and mobilization

Answer 12

FAC Functional ambulation category
2 minute walk test
Timed up and go test
Standing balance
Barthel index
Functional independence measure
International classifiction of functioning disability and health ICF

Question 13

What do we examine during rehabilitation assessment besides body structures

Answer 13

Clinical history
Clinical examination
Functional status
Quality of life

Question 14

Methods for measuring muscle strength

Answer 14

Hand squeeze test
Pronator
Group muscle resistance activity (british medical research council 0-5)
Mingazzini test
Barte test
Stand on the heels and toes
Dtrs

Question 15

What is ICF and what do we use it for?

Answer 15

International classification of functioning
Classification of health related states and a tool for making a portrait of the persons overall state of health

Question 16

What do we mean by self-care in rehabilitation medicine? What factors are we looking at?

Answer 16

Eating
Showering
Mobilisation
Family life
Social activities
Leisure
Working
Financial care

ADL activities of daily living
Bathing ambulation toilet eating dressing transfers

Question 17

What do we mean by social participation

Answer 17

Family
Work place
Sexual activity
Learning activity
Interaction with others

Question 18

What kind of factors affect disability

Answer 18

Dynamic i teractions btw health condition of the patient and both personal and environmental factors
Age motivation etc

Question 19

What do we mean by quality of life?

Answer 19

Broad concepts that affect global life satisfaction, good health, adequete housing, employment, personal and family safety,interpersonal relationships, education, education and leisure pursuits
In relation to health care the term is applied specifically to those life concerns affected by illness and health

Question 20

What are the most common places for pressure ulcers (bedsores, decubitus ulcers)?

Answer 20

Localised areas of damage to the skin and or soft tissue usually over the boney prominences as a result of pressure / pressure in combination with shear
Ex=sacrum calceneous ischium
Lesions are related to immobility

Question 21

Most common consequences of spinal cord injury

Answer 21

Flaccid areflexix paralysis
Paraplegia tetraplegia
Areflexia
Bilateral diaphragm paralysis
Anesthesia
Autonomic dysfunction
Neurogenic shock
Loss of bladder control
Loss of bowel control
Bulbocavernous reflex
Priapism

Question 22

Alternatives for urethral catheterisation

Answer 22

Intermitten catheterisation
Bed side bladder us
External condom catheter
Suprapubic catheter

Question 23

Methods of thrombosis prophylaxis

Answer 23

Mechanical methods- intermitten pneumatic compression, graduated compression stockings, veneous foot pump
Pharmacotherapy-lmwh fondaparinux , oral agents

Question 24

What is monoparesis, hemiparesis, paraparesis, tetraparesis/plegia

Answer 24

Mono - One limb Motor Insufficiency
Hemi - One side ( arm and leg) Motor Insufficiency
Pa ra - Both arms / legs motor insufficiency
Te t r a - All 4 limbs paralysis .

Question 25

What are the differences between a standard and an active wheelchair

Answer 25

Active Wheelchair Is designed to be an extension of the body ( for good upper body a trunk strength)
- It Is also lighter than the St . Manual Wheelchair
- Setup to allow an energy effluent date - Can go further and faster

Question 26

Most common causes of spinal cord injury?

Answer 26

48% Motor vehicle accidents
14%Other causes
16% falls
12% Violence
10% Sport accidents

Question 27

What is occupational therapy (ergotherapy

Answer 27

Focuses on fine motor skill activities to develop , recover / maintain meaningful activities
In ppl with mental health Problems , disabilities , Injuries / Impairment .

Question 28

What are orthoses? What are their characteristic

Answer 28

Correction , fixing , supporting , offloading , limiting range of motion , repairing / Improving function of remaining body part .
• Application is temporary / Permanent
. Traditional substances : steel , aluminum , tether , Wood > UP to date substances : Special metal alloys , carbon , fiberglass , etc .

Question 29

What are prostheses? What are their characteristics

Answer 29

*Amputated limbs or other body Parts replacement devices
VL: manipulation and tactile requirements are less met by the prosthesis)
LL : Standing , Walking
* Modern raw materials ( lightweight metals , Silicon , heat stable materials , hydraulic joints )
* consists of a socket and prefabricated component
*Low dynamics Vs high dynamics

Question 30

What are the different types of rehabilitation services?

Answer 30

Basic rehabilitation
Traumatic brain injury and spinal cord (neuromuscular rehab)
Pulmonological rehabilitation
Cardiac rehab
Children rehab

Question 31

What characterizes proper rehabilitation care and what conditions are necessary for it?

Answer 31

Rehabilitation center with proper facilities
Trained and professional rehabilitation team
Cooperating parents
Family support
Targetted rehabilitation plan
Proper follow up

Question 32

Consequences of stroke

Answer 32

Lack of motivation mental slowness
Cognitive disorders
Hemineglect (tactile visual space)
Speech disorder
Emotional and behavioral distress

Question 33

Why do we have to rehabilitate someone after stroke

Answer 33

1) Helping the spontaneous recovery
2)Adaptation to disability ( Physical , Psychological , social )
3) Reach the Max . possible Independence
4) Prevent 2ndary complications
5) Improve quality of life

Question 34

What are secondary complications, and how do we prevent them?

Answer 34

Contractures
Pressure ulcers
Infections

Question 35

Team members involved in stroke rehabilitation and their tasks?

Answer 35

Patient
Nurse
Physio therapist and assistant
Egotherspist
Conductor
Doctor
Pyschologist
Speech therapist
Rhythm therapist
Social worker
Othopedic technician
Caring family member

Question 36

What are the characteristics of an arthrosis, and what kind of functional limitations do they cause?

Answer 36

Degeneration , degradation and destruction of articular cartilage , accompanied by an inflammatory and reparative process (osteophyte formation , Subchondralbonb Sclerosis )
Causing : Painful joint stiffness , local inflammation , dysfunction (range of motion of the joint decreases, joint instability, difficulty moving)

**standing ability decreases , walking speed and distance decreases , dexterity deteriorates , sleep disorder (night pain)

Question 37

What is the importance and the task of rehabilitation in arthrosis

Answer 37

Pain relief medication or non medical
Physiotherapy program mobility development stretching strengthening hands on and hands off threapy
Toolbar of physiotherapy wraps cryotherapy thermotherapy balneotherapy electrotherapy us etc
Education teaching energy saving movements pain management diet
Rehabilitation surgeries in arthrosis
- joint retaining surgeries , implantation of joint prosthesis, soft tissue surgeries, arthrodesis, decompression surgeries

Question 38

What is mono-, poly- and multitrauma? What are their rehabilitation needs?

Answer 38

Mono- injury to one region of body, rehabilitation when multimorbidity, disabled patient, complications
Multi-injury to more than one body regions , wout sirs , often recommended rehab
Poly- life threatening, injury to at least 2 body regions, rehab is obligatory

Question 39

Musculoskeletal complications in a polytraumatized patient

Answer 39

Muscle atrophy
Contracture
Refracture
Delayed union Nonunion fractures (pseudo arthrosis)
Mechanical complications
Septical complications

Question 40

How is the rehabilitation of a total hip arthroplasty and a fractured hip different

Answer 40

Rehabilitation principles are similar but in total hip replacement we have the opportunity to carry out prehab
Pt guided exercise before the hip replacement for pain and functional outcomes