rehabilitation in MSK disorders Flashcards
differentiate Interdisciplinary vs Multidisciplinary
i: Rehab med + allied med
M: For mainstream/ reintegration
tx for PRoximsl Focal Femoral deficiency
VAN NESS ROTATION PLASTY (leg is rotated so that the heel is upfront)
differntiate /impairment, Disability, Handicap
I: Organ tissue (disease condition)
D: Person (physical)
H: Community (decreased work efficiency)
3 most common MSk Complaints
- Pain
- Swelling
- Limitation of movement
Evslustion of ROM is done through
goniometer
basic ADLs
- Transfer/Mobility
- Ambulstion
- Frrding
- Grooming
Instrumental ADLs
Ability to Use Telephone,shopping, food prep, housekeep, laundry, mode of transportation, finances, own medication
Nomenclature of Gait
- Initial contact
- Loading response
- Midstance
- Terminal stance
- PreSwing
- Initial swing
- Midswing 8. Terminal swing
responsible group of muscles in ankle dorsiflexion snd toe extensors
Pretibial group
for stance and push-off, responsible nerve
Calf group, posterior tibial nerve
Quadriceps: _______: Femoral Nerve
______: Knee extension: ______
- Knee flexion
- Hamsting
- sciatic nerve
prevents pelvic drop
gluteus maximus
/center of gravity in the sagittal Plane
5 cm in front of 2nd sacral vertebra
5 degrees at horizontal axis during midstance (on the resting limb)
downward pelvic tilt
Prevents downward vertical displacement of center of mass
transverse pelvic rotation
4 degrees along vertical axis stance limb
Transverse pelvic rotation
This gait parameter causes the pelvis to sway side to side in a 1.7 inch radiusm.
Lateral Pelivc Rotation
enumerate stance phase and swing phase
Stance phase (62%) 1. Initial contact 2. Loading response 3. Midstance 4. Terminal Stance 5. PreSwing Sing Phase (38%) 6. Initial Swing 7. Midswing 8. Terminal Swing
Explain what KNEE FLEXION does during Stance and during Swing, e
D.Stance: dec. VERTICAL DISPLACEMENT of COM when body passes over stance limb
D. Swing: minimizes Vertical displacement of COM as body advances forward when clearing foot of the ground
consecutive heel strikes of contralateral limbs
Step length
number of steps per minute
Cadence
First muscle to weaken as we age
Quadriceps
Static ORthoses
CTS, de Quervain
Spinal ORthoses
Pott’s disease, BAck pain
distance covered in with one gait cycle
stride length
gait mechanism that increases stride length
Transverse pelvic rotation
manual muscle grading is characterized by
- Full ROM
- Gravity resisted
- W/o resistance