Supportive devices Flashcards

1
Q

What is the application/use of crutches?

A

feet, shoulder width apart, set tip 6” out 2” up from shoes, arm brace 2” below axilla, elbow bent 30 degrees

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2
Q

What is the clinical goal of a cane?

A

partial non-weight bearing on injured extremity

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3
Q

What is the application/use of a cane?

A

top of cane at greater trochanter, use an opposite side of injury

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4
Q

What is the clinical goal of lumbar/sacroiliac supports?

A

hypermobile or extra support for lifting

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5
Q

What is the application/use for lumbar/sacroiliac supports?

A

stabilize lumbar intervertebral joints/stabilize sacrum and pelvis

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6
Q

What is the clinical goal of a wrist brace?

A

limit flex/ext or radial/ulnar deviation

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7
Q

What is the application or use of a wrist brace?

A

metal stay (spoon) on palmer side to limit flexion and dorsal side to limit extension

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8
Q

What is the clinical goal to using a cho-pat knee strap?

A

osgood-schlatter’s disease

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9
Q

What is the application/use of cho-pat knee strap?

A

between patella and tibial tubercle across patellar tendon

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10
Q

What is the clinical goal of a soft cervical collar?

A

limit some ROM of C spine; support head post sprain/strain

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11
Q

What is the clinical goal of an Ankle stirrup brace (air cast)?

A

support and protect the ankle. allows protected weight bearing

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12
Q

What is the application/use of an ankle stirrup brace (air cast)?

A

limit inversion/eversion; can do plantar/dorsal

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13
Q

What are the indications of massage?

A
superficial adhesions
circulatory stasis
congestion
edema and joint swelling
myalgia/trigger points
tension headache
postexertion fatigue and stiffness
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14
Q

what are the contraindications of massage?

A
Arteriosclerosis
thrombosis/embolism
severe varicosities
acute phlebitis
cellulitis
synovitis
abscesses and skin infections
acute inflammatory conditions
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15
Q

While using effleurage, what is the technique, treatment area, and what is it used for?

A

technique: long strokes parallel to muscle fibers
treatment area: anywhere
used for: muscle relaxation and pain relief

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16
Q

While using petrissage, what is the technique, treatment area, and what is it used for?

A

technique: kneading, squeezing, pinching, or rolling the muscle
treatment area: anywhere
used for: muscle relaxation and pain relief

17
Q

While using tapotement, what is the technique, treatment area, and what is it best used for?

A

technique: percussion of the tissue
treatment area: anywhere especially over lungs with patient prone
used to: loosen congestion

18
Q

While using cross-friction massage, what is the technique, treatment area, and what is it used for?

A

technique: use thumbs perpendicular to tendon for 10 minutes or until numb
treatment area: tendon and ligaments (chronic tendinosis)
used to: help break adhesions and scar tissue

19
Q

When using trigger point therapy (ischemic compression), what is the technique and treatment area? how long do you hold a trigger point?

A

technique: decrease spasm or hyperirritable muscle points
treatment area: individual trigger points
how long to hold a trigger point: 7-10 seconds

20
Q

When using mechanical percussion (thumper), what is the technique, treatment area, and treatment time?

A

technique: muscle relaxation
treatment area: anywhere
treatment time: 5-15 minutes

21
Q

When using mechanical vibration (G5), what is the technique, treatment area, and treatment time?

A

technique: muscle relaxation
treatment area: anywhere
treatment time: 5-15 minutes

22
Q

What are the indications of traction?

A

disc protrusion/herniation
nerve root impingement
joint hypomobility
arthritis conditions of facet joints

23
Q

What are contraindications to traction?

A
infection, inflammation, tumor
fracture dislocation
hypermobility/instability
severe disc herniation
vertebral artery insufficiency/dysfunction (cervical only)
spinal stenosis
osteoporosis
aortic aneurysm
abdominal hernia
hypertension (uncontrolled)
pregnancy (lumbar only)
24
Q

What are the precautions to traction?

A
pain exacerbation
history of spinal surgery
spondylolysis and spondylolisthesis
hypertension and respiratory disorders
dentures (cervical pulley only)
TMD (cervical pulley only)
25
Q

While doing manual cervical traction, what is the clinical goal, body region, and description of it?

A

clinical goal: loosen ligaments, stretch/relax muscles
body region: cervical spine
description: patient supine, cup occiput with both hands, stay between neutral and 30 degrees flex, 10-30% of body weight

26
Q

While using manual extremity traction and mobilization, what is the clinical goal and body region?

A

clinical goal: stimulate synovial fluid, stretch joint capsule
body region: extremities

27
Q

What is the clinical goal of crutches?

A

complete or partial non-weight bearing on injured extremity