Test 3 Flashcards

1
Q

Convex on Concave

A

Opposite Direction

- Convex jt. Surface move on a concave jt. Surface

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2
Q

Concave on Convex

A

Same Direction

- Concave jt. Surface move about a stationary convex jt. Surface

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3
Q

Grade I

A

small amplitude movement at the beginning of the available ROM

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4
Q

Grade II

A

large amplitude movement at within the available ROM

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5
Q

Grade III

A

large amplitude movement that reaches the end ROM

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6
Q

Grade IV

A

small amplitude movement at the very end range of motion

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7
Q

Grade V

A

high velocity thrust of small amplitude at the end of the

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8
Q

Absolute Contraindications to Joint Mobilisations

A
Malignancy in area of treatment
• Infectious Arthritis
• Metabolic Bone Disease
• Neoplastic Disease
• Fusion or Ankylosis
• Osteomyelitis
• Fracture or Ligament Rupture
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9
Q

Purpose of Orthotics

A
Correct misalignment
• Prevent deformity
• Restrict or assist motion
• Transfer load to improve function
• Reduce pain
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10
Q

Purpose of prosthetic-

A

device that replaces the absent part of the limb

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11
Q

Halo

A

Fixation of cervical spine

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12
Q

Milwaukee brace

A

Brace prevents curve from increasing in Scoliosis

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13
Q

Thomas heel

A

correct calcaneus movement

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14
Q

Rocker bar

A

shift pressure from metatarsal joint

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15
Q

Heel wedge

A

alters alignment of the rear foot

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16
Q

SACH foot-(Solid Ankle cushion heel)

A

foot prosthetic, cushion for heel strike

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17
Q

Muscles needed for Transtibial

A

• good strength in Hip extension, Abductors

18
Q

Main cause of amputations

A
  • peripheral vascular disease, 50%-60% of ppl with PVD have diabetes
19
Q

What determines level of amputation due to infection or disease

A

depends on region of adequate blood supply

20
Q

Advantages of rigid post-op dressing

A

greatly limits postoperative edema and pain,

  • enhances wound healing,
  • allows for earlier ambulation with attachment of pylon and foot,
  • allows for earlier fitting of the permanent prosthesis by reducing the length of time needed for shrinking the RL
21
Q

disadvantages of rigid post-op dressing

A

prefabricated components can be expensive,

  • components use and technique for fabrication requires special training or involvement of a prosthetist,
  • requires close supervision during the healing stage
22
Q

Phantom pain

A
Can be eased when wearing a prosthesis
PT Interventions for pain include
US
• TENS
• Icing
• Massage
23
Q

Where are amputees more likely to develop muscle contractures and can they be treated:
For BKA are the hip flexor and the knee flex

A

Tx: positioning in hip extension and knee extension;
o Spend time in prone position
o Sitting- keep knee in extension

24
Q

Where are amputees more likely to develop muscle contractures and can they be treated:
For AKA are the hip flexor

A

Tx: position in hip extension
o Spend time in prone position
o Sitting- keep knee in extension

25
Q

How soon should PT start with amputee

A

ASAP

26
Q

Ankle foot orthotic (AFO)-

A

ankle and foot control

27
Q

Knee-ankle-foot orthotic (KAFO)

A

Increase support for deformity

28
Q

Hip-knee-ankle-foot- orthotic (HKAFO)-

A

Same as KAFO with pelvic bank

29
Q

Arthrokinematics

A

Unobservable articular accessory motion between adjacent joint surfaces
roll, glide, and spin

30
Q

Osteokinematics

A

motion of bone relative to 3 cardinal plane

• Sagittal Plane, Frontal plane, Horizontal Plane

31
Q

Arthrokinematic Roll

A

New points on one surface come into contact with new points on the other surface
• Roll is always in the same direction as bone movement

32
Q

Arthrokinematic glide-

A

Motion in which one constant point on one surface is contacting new points or a series of points on the other surface
• Slam on the brakes!

33
Q

Arthrokinematic Spin

A

Rotation around a longitudinal stationary mechanical axis (one point of contact)
• Loss of traction!

34
Q

Industrial Injury

A

RSI (Repetitive stress injury)

  • Workman’s comp- malingering, litigation
  • Treatment and prevention
35
Q

Chin tuck progression

A

tuck chin and extend neck

36
Q

Suprapinatus:

A

abduction, External rotation, Nerves: suprascapular n.

37
Q

Infraspinatus

A

External rotation, Nerves: suprascapular n.

38
Q

Teres minor:

A

ER, Nerves: axillary n.

39
Q

Subscapularis

A

IR, Nerves: upper and lower subscapular n.

40
Q

Upper Cross Syndrome

A

Weak cervical Flex

  • Weak Rhomboid- lower trap
  • Tight suboccipital- Tight upper trap
  • Tight pectoralis
  • Forward head
  • Elevated protracted shoulder
  • Increase cervical lordosis
  • Winging of scapula
Tight
Pectoralis
Upper traps
Levator scapula
SCM
Suboccipital
Subscapularis
Latissimus doris
Arm flexors
Weak
Longus capitus
Longus coli
hyoids
Serratus anterior
Rhomboids
Lower trap
Arm extensor