Review Sheet Flashcards

1
Q

Why use aids

A

Pain
Impaired balance, coord, strength
Cant weight bear
amputation

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2
Q

Aid goals

A

Protect (for healing)
prevent (neg adaptations)
improve mobility

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3
Q

Most stable device

A

Walker

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4
Q

Downside of walkers

A

Bulky, no arm swing,stairs

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5
Q

How to get sized for walker

A

Heals with wheels w shoes, wrist crease at height of walker when little bit of flexion at elbow (20-30degs)

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6
Q

Types of walkers

A

2 wheel, 4 wheel, standard, three wheel, platform walker

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7
Q

Downside of crutches

A

Safety in crowds, leaning on axillary bar

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8
Q

Downside Canadian crutches

A

Arm/shoulder strength needed, less lateral support

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9
Q

Types of crutches

A

Axillary, forearm, platform, smart

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10
Q

Measurement for crutches

A

2 inch lateral and 6 inches anterior from fore foot

hand piece level with wirst crease with a little bit of elbow flexion (20/30degs)

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11
Q

Measuring axillary crutches

A

Axilla 2 inches below (2-3 fingers), adjust leg piece, standing is best, axillary bar adjusted and then hand grip

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12
Q

Measuring forearm crutches

A

1-1.5 inches below elbow is cut off, piece, adjust hand grip then elbow cuff

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13
Q

Cane not used for

A

Restricted WB

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14
Q

Types of canes

A

Standard, orthopedic (7 looking), quad

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15
Q

Difficulty quad cane

A

Stairs, unsteady if not evenly applied

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16
Q

Measuring cane

A

Cane is parrall to leg, hand grib same as all else

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17
Q

Clinical uses walking poles

A

Fitness, rehab for gait, core, posture, balance
Chronic conditions (arthritis, osteoporosis, diabetes)
Recovery from injuries/surgery
Older adults who require more stability and balance when walking

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18
Q

Fit for walking poles

A

Elbows at side at 90

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19
Q

Partial weight bearing

A

50%

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20
Q

Weight bearing as tolerated

A

50-100%

21
Q

4 point and 2 point gait when

A

Weakness, balance impairment

Full or near full WB through all extremities

22
Q

Before deciding which gait

A
Consent
Readiness of client / enviorment
Measure
Demo
Client practice (with assistance)
Feedback
practice no assistance
23
Q

Safety on aids

A

Fit, tips, transfer belt, footwear, chair available

24
Q

Common problems aids

A

Fit, tips, weight on axillary bars

25
Q

Why pre amb exercises

A

Strength, balance, coordination, flexibility, endurance

26
Q

Before starting on a client

A

Chart for WB status, consent, goals, cooperation, screen, prep client equip envior

27
Q

Keys to teaching with stairs

A

Teach with and without hand rail
Stand below and lateral
Use belt

28
Q

Ramps key

A

Same as stairs

29
Q

ROM of a joint determined by

A

Structure, flexibility of soft tissue

30
Q

Define joint ROM

A

Angular movements, rotational movements

31
Q

Angular movements

A

Produce inc or dec in angle between bones

32
Q

Rotational movements

A

In the tranverse plane generally (int/ext)

33
Q

Passive insufficiency

A

When the lengthening of mm prevents further movement of a joint that the mm crosses over

34
Q

Active insufficiency

A

When the shortening of mm limits the abilty to develop effective tension

35
Q

Why assessing ROM important

A

Performance functional acts, underlying pathologies, baseline

36
Q

Assesisng active ROM what you need to know

A

Patient (willining, conscious, follow, attention), movements (pain, stnreght)

37
Q

Limits of joint ROM

A

Pain, weaknesses, disease, surgery, inactivity

38
Q

ROM contraindications

A

Unhealed fracture, motion disruptive in healing, suspected ectopic ossification

39
Q

ROM precautions

A
Trauma may result
Medications
Hypermobile 
Painful conditions
Haemophilia 
Region of hematoma
Suspect joint ankyloses
Immediatiyl after injury
Newly united fracture
After prolonged immbnolization of seg
40
Q

Principals for assessing ROM

A
Explain, consent
Expose
Instruct, demo
Patient positioning 
Therapist positioning
Movement within available range
41
Q
Normal ranges knee:
Flexion in supine
Extention in supine
Int rotation in sitting
Ext rotation in sitting
A

0-135
0
40-58
40-58

42
Q
Normal ranges elbow:
Fleixion sitting / supine
Extention supine sitting
Pronation sitting
Supination sitting
A

0-150
0
0-80
0-80

43
Q

Steps in assessing ROM

A

Position, demo, client active ROM, position, passive ROM – think about both sides!

44
Q

Indicitation for PROM

A

Client unable to actively move
Maintains mobility, circulation, healing, joint integrity
Facilate client awarenss
Prepares for passive stretch, demos

45
Q

What does PROM not do

A

Prevent mm atrophy, increase strength, assist circulation as much as active ROM, restore voluntary movement

46
Q

Procedures for PROM treatment

A

Stabilize prox seg, move pain free, perform 5-10, work prox to distal

47
Q

Indications AROM

A

Client is week and unable to move joint through range

Increase circulation coordination motor skills

48
Q

AROM will not

A

Incrase strength, develop skill beyond pattern used

49
Q

Procedure for AROM

A

Demo, client, cue, assist, move within available range