Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Veterinärmedicinsk rehabilitering > Rehabilitering för den ortopediska patienten > Flashcards

Rehabilitering för den ortopediska patienten Flashcards

1
Q

Ge exempel på ortopediska tillstånd som involverar ben och/eller led

A
  • Elbow dysplasia
  • Patellar luxation
  • Hip dysplasia
  • Osteoarthritis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Ge exempel på ortopediska tillstånd pga trauma

A
  • Fractures
  • Carpal hyperextension
  • Hip dislocation
  • Multi-trauma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Ge exempel på ortopediska tillstånd som involverar mjukdelar

A
  • Tendinopathy & tendon injuries
  • Muscle strains
  • Ligament injuries
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Ge exempel på tillstånd som sekundärt kan ge ortopediska problem

A

Primarily endocrine/metabolic, autoimmune, inflammatory issues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Vad är viktigt att ha i åtanke (frågor som är viktiga att ställa/ta reda på) vid rehab av ortopediska tillstånd?

A

• What “structure” is involved?
• What is its action/purpose?
• What are other structures that…
- Do the same (agonists)?
- Support the involved structure?
- Are under more stress/strain due to the injury to the involved structure?
• In what phase of healing (or degeneration) is the structure? How strong is it? What stresses can it tolerate?
• Does it need to be protected? Is there inflammation? Is there pain? Is the structure ready to be strengthened? Can it tolerate gravity or an applied load?
• How will the body be oriented during rehabilitation? What stresses/strains will be on the body (or on the involved structure)? What variables can be altered—& when they are altered, how does the body (or involved structure) respond?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

vad är elbow dysplasia?

A

• Malformation/abnormal development of elbow joint resulting in “medial compartment disease”

  • Fragmented coronoid process (FCP)
  • Osteochondrosis (OCD)
  • Joint incongruity
  • Cartilage anomaly
  • Ununited anconeal process (UAP)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Ge exempel på rehabövning vid elbow dysplasia och vilken effekt det kan ge

A

walking through cavalettis will increase active ROM, promote weight bearing & more symmetrical stepping

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Vad är patellaluxation och vad innebär de 3 graderna?

A

Kneecap slides or pops out of the trochlear groove

  • Grade1: A knee cap that can beluxating with manual pressure but is otherwise is within the groove.
  • Grade2: The knee cap spontaneously luxates, is typically associated with a skipping lameness when the knee cap moves
  • Grade3: The knee cap is permanently luxated but can be manually replaced in the groove.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Ge exempel på rehabövning vid patellaluxation och vilken effekt det kan ge

A

standing weight shifting exercises with a balance board will encourage co-contractions of muscles at the hip & stifle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Vad innebär höftdysplasi?

A

A developmental disease in which the hip joint(s) fail to develop normally, gradually deteriorating, & leading to loss of function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Ge exempel på rehabövning att göra vid höftdysplasi och vad det kan ge för effekt

A

standing with support of a PhysioRollor “peanut” with incremental weight shifting to the hind limbs can build strength in the core musculature & glutealsin a hip-extendeposture.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Vad innebär osteoartit och vad kan det ge för symptom?

A
  • Osteoarthritis is a joint disease that results from breakdown of cartilage & underlying bone
  • Signs
  • Primary: joint pain & stiffness
  • Secondary: weakness, reduced mobility/activity, restricted ROM
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Ge exempel på rehabövning att göra vid osteoartit och vad det kan ge för effekt

A

swimming will allow tolerable range of motion against resistance with no impact/stress to joints.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Ge exempel på rehabövningar att göra vid fraktur och vad det kan ge för effekt

A

• Unweight limb to reduce stress on fracture

  • Sling (bärsele/band) or harness
  • Promoting healing of bony (& other) tissues

For example: gentle sit to stand exercises with manual correction (& with sling assist) will move all hind limb joints through a full, functional ROM.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Vad är carpal hyperextension och vad kan orsaka det?

A

Breakdown of carpal ligaments

Can be caused by repetitive jumping, connective tissue disorders, painful hind limb conditions (causing weight to be shifted to forelimbs)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Ge exempel på rehabövning att göra vid carpal hyperextension och vad det kan ge för effekt

A

Unweight limb to reduce stress on injury/surgical site, mha sling (bärsele/band) or harness

For example: digging exercises will strengthen inter-carpal/inter-digital muscles.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Vad innebär hip dislocation (höftledsluxation) och vad kan det ge för symptom?

A
  • Femoral head dislocates from shallow acetabulum (tearing the joint capsule) & is positioned cranio-dorsally
  • Signs
  • Unable to weight bear
  • Reduced limb length
  • Hip rotation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Ge exempel på rehabövning att göra vid höftledsluxation och vad det kan ge för effekt

A

NMES of the gluteal musculature will help to support the hip joint.

19
Q

Vad innebär multitrauma?

A

Injuries caused by an accident, involving >2 “systems”

20
Q

Ge exempel på rehabövning att göra vid multitrauman och vad det kan ge för effekt

A

PROM & massage can safely help improve mobility & comfort.

21
Q

Vad innebär tendinopathy?

A

Tendinopathy: failed healing response of a tendon

22
Q

Ge exempel på rehabövning att göra vid senskador och vad det kan ge för effekt

A

Crawling exercises can safely teach correct movement/position of scapula in supraspinatus tendinopathy.

23
Q

Vad kan muskelsträckning bero på och vad innebär de tre graderna av sträckning?

A

Overstretching or tearing of muscle fibers due to fatigue, overuse, or improper use of a muscle

  • Grade1: Mild damage to individualmusclefibers (less than 5% of fibers), causes minimal loss of strength & motion
  • Grade2: More extensive damage, more musclefibers involved (the muscle is not completely ruptured)
  • Grade 3: Complete rupture of muscle
24
Q

Ge exempel på rehabövning att göra vid muskelsträckningar och vad det kan ge för effekt

A

Slowly restore functional range of motion & flexibility

- PROM, stretching & manual therapy

25
Hur kan ligament skadas?
Ligaments serve to maintain stability within a joint & can be strained, overstretched, or torn/ruptured
26
Vad vill man fokusera på vid rehab av Cranial cruciate ligament rupture (kranial korsbandsruptur)? Exempel på rehabövning?
Focus on restoring normal joint biomechanics & pain free range of motion, reducing inflammation, improving “stability” of joint, improving weight bearing tolerance, & improving strength of supporting muscles Ex: walking over cavalettirails for improved weight bearing & range of motion after TPLO.
27
Vad kan endokrina, inflammatoriska eller autoimmuna tillstånd (addisons, cushings, diabetes, pancreatic/liver/kidney disease) orsaka för ortopediska skador?
- Muscle atrophy - Reduced activity levels - Altered metabolism -> overweight/obesity - Osteopenia - Weakening of connective tissues
28
Varför är det viktigt att hålla djuren i bra hull, vad kan övervikt leda till?
Can lead to chronic diseases including OA, cardiovascular disease, ruptured ligaments, respiratory issues, fatigue, diabetes mellitus, liver disease, etc.
29
Vilka är läkningsfaserna?
Hemostasis -> inflammatorisk fas -> reparationsfas -> mognadsfas/remodelleringsfas
30
När en sena läkt efter skada, hur stor del av styrkan den hade från början återfås?
Final strength only 2/3 of normal
31
Vad kan påverka läkningen och läkningstiden?
``` • Age • General health • Presence of infection • Nutrition • Location of injury - Status of circulation to/around injury - Presence of soft tissue • Amount of damage • Type of “repair” - Surgical vs. Coaptation • Physical demands on the tissue ```
32
Vad kan vi använda för olika utvärderingsmetoder vid ortopediska tillstånd?
``` • ROM • Flexibility • Strength - Girth measures (omkrets) • Postures • Functional mobility/transitions • Gait - Weight bearing/lameness • Special tests - Tibial thrust/cranial drawer - Ortolani sign • Palpation ```
33
Hur kan vi bedöma/utvärdera styrka/muskler?
• Equipment: - Flexible tape measure or Gullick - Calipers (skjutmått) - Diagnostic musculoskeletal ultrasound
34
Vad vill man ta med i beaktning vid bedömning/utvärdering av rörelse/rörelsemönster?
* Symmetry * Weight bearing/shifting * ROM * Flexibility * Muscle – strength, muscle tone, atrophy * Rotation of trunk & dissociation of limbs from trunk * Posture & base of support (BOS) * Motor control
35
Ge exempel på olika smärtbeteenden
* Antisocial * Aggressive * Altered eating, drinking, sleeping patterns * More vocal * Excessive grooming * Panting, altered RR * Agitation * Changes in posture, mobility * Altered tail, ear, or head posture
36
Vad kan vi ha för mål med rehab vid otropediska tillstånd?
``` Sänka: • Inflammation • Pain • Muscle spasm/trigger points • Contracture, fibrosis, scar tissue formation • Gait deviations/lameness Öka: • Strength • Range of motion • Flexibility • Endurance • Weight bearing tolerance • Function • Healing • Sensation/proprioception • Balance/coordination/motor control ```
37
Vad innebär pre-habilitation och vad har det för syfte?
* Vad? Prior level of activity/fitness will influence recovery rate * Syfte? For scheduled surgical procedures, pre-hab can prepare patient (mentally & physically) for surgery & post-surgical rehab - Manage pain & inflammation - Introduce manual therapies & PROM
38
Vad är syftet/målen med postop-rehab (kan börja direkt efter op)?
``` • Faster recovery with fewer complications • Goals: - Manage pain & inflammation - Increase ROM & flexibility - Prepare for weight bearing - Strengthen ```
39
Vad är terapeutiska övningar och vad är syftet med att göra dessa?
• Performance or execution of physical movements or activities intended to enable the patient to: - Remediate or prevent impairments of body functions & structures - Enhance activities & participation - Reduce risk - Optimize overall health - Enhance fitness & well-being
40
Vad kan man använda för redskap vid terapeutiska övningar?
• Inflatables - Examples – physioBall, PhysioRoll (AKA peanut), Donut, BOSU - Goals – Weight bearing/shifting, Core strength, Dynamic balance, Promote confidence by maintaining weight bearing on strong limbs initially • Resistive/assistive tools - Tex hands, TheraBand or TheraTubing (band att assistera hunden med) • Obstacles - Cavalettis, Step, Ramp, Agility or Schutzhund obstacles • Weight bearing surface variation - Examples – Air mattress, Balance pods, Foam mattress/pad - Goals - Core strength, Weight shifting/weight bearing, Sensory stimulation
41
Vad innebär fitness?
Adaption to stress (kroppen anpassar sig efter tid och kommer kräva mindre ansträngning i övningarna)
42
Vad finns det för typer av vattenträning?
• Pool - Swimming • Underwater treadmill - Walking, trotting, & swimming - Reduced weight bearing - Reduced joint stress - RROM - Functional therapeutic exercise • Whirlpool - Wound care - Thermal effects - Buoyancy vs. Resistance
43
Vad finns det för fördelar med vattenträning?
- Reduced weight bearing (body weight support) - Reduced joint stress/compression - Assistance with functional mobility, upright posture, & AAROM - Reduced inflammation/swelling distally - Improved trunk support for upright postures - Improved cardiovascular/respiratory support

Veterinärmedicinsk rehabilitering (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions