Test 3 Flashcards
Decrease, or normalize, the body’s response to particular sensations, Techniques utilized to decrease, or normalize, the body’s response to particular sensations- Touch, pressure, temperature etc.
Sensory desensitization
Re-train sensory pathways or stimulate unused pathways
Sensory training
Purpose of SD
Decrease discomfort associated with touch
Based on the idea that progressive stimulation will allow progressive tolerance
SD intervention
Includes repetitive stimulation of hypersensitive skin with items that provide sensory experiences
perception of pain as a result of a non-painful stimulus
Allodynia
heightened sensitivity to tactile stimuli
Hyperesthesia
SD diagnoses
Nerve trauma, soft tissue injuries, burns, and amputations
Uses attention, learning, repeated practice, and alternative senses to reinterpret sensation
Sensory re-education
An edema reduction technique for persistent edema in the hand, arm, or leg in which the lymph system is intact but overloaded
MEM
MEM specifically activates the _______________ to facilitate absorption of the excess and congested large plasma protein molecules and other molecules from the interstitium
Lymphatic system
What is the intervention for MEM?
Massage the dermis via MEM with 50% the weight of the hand
_______________:Edema from hands up to arms
Retrograde massage
Where are lymphatic capillaries located and how thick are they?
Dermis layer, 1 cell thick
Indications for MEM?
Subacute edema that is spongy or pitting, chronic high protein plasma edema
MEM contraindications
Lymphedema, inflammatory stage of wound healing, venous insufficiency, weeping edema, edema from liver or kidney disease, malnutrition, CHF or other cardiac issues, cancer
MEM pattern?
Proximal to distal, start on uninvolved side of body
Limb segments in MEM?
Start at chest, then upper arm, lower arm, then hand
Sequence of MEM application
General body motions, upright seated position, diaphragmatic breathing, active ROM, clearing, flowing, massage lymph nodes
Besides MEM, what other interventions will assist in reducing limb edema?
PROM, AROM, AAROM, light compression, PAMS
Contraindications for increasing motion through therapeutic exercise?
Cardiopulmonary symptoms, open wound, fracture, DVT, joint inflammation, pain meds, hypermobility, subluxation
Increasing ROM continuum
PROM, PROM w/ gentle and passive stretch, AAROM, isometric, AROM, resistive exercise, functional activity
4 parameters necessary to increase muscle strength
Fatigue, stress, controlled speed, pain-free exercise
In increase strength, stress must exceed the ____________ of the muscle
Metabolic capacity
Contraindications to strengthening activities?
MS, ALS, Guillan-Barre, OA, fracture, high BP, cardiac conditions
