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Phys Dys > Test 3 > Flashcards

Test 3 Flashcards

1
Q

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.

A

Sensory desensitization

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2
Q

Re-train sensory pathways or stimulate unused pathways

A

Sensory training

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3
Q

Purpose of SD

A

Decrease discomfort associated with touch

Based on the idea that progressive stimulation will allow progressive tolerance

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4
Q

SD intervention

A

Includes repetitive stimulation of hypersensitive skin with items that provide sensory experiences

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5
Q

perception of pain as a result of a non-painful stimulus

A

Allodynia

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6
Q

heightened sensitivity to tactile stimuli

A

Hyperesthesia

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7
Q

SD diagnoses

A

Nerve trauma, soft tissue injuries, burns, and amputations

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8
Q

Uses attention, learning, repeated practice, and alternative senses to reinterpret sensation

A

Sensory re-education

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9
Q

An edema reduction technique for persistent edema in the hand, arm, or leg in which the lymph system is intact but overloaded

A

MEM

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10
Q

MEM specifically activates the _______________ to facilitate absorption of the excess and congested large plasma protein molecules and other molecules from the interstitium

A

Lymphatic system

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11
Q

What is the intervention for MEM?

A

Massage the dermis via MEM with 50% the weight of the hand

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12
Q

_______________:Edema from hands up to arms

A

Retrograde massage

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13
Q

Where are lymphatic capillaries located and how thick are they?

A

Dermis layer, 1 cell thick

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14
Q

Indications for MEM?

A

Subacute edema that is spongy or pitting, chronic high protein plasma edema

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15
Q

MEM contraindications

A

Lymphedema, inflammatory stage of wound healing, venous insufficiency, weeping edema, edema from liver or kidney disease, malnutrition, CHF or other cardiac issues, cancer

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16
Q

MEM pattern?

A

Proximal to distal, start on uninvolved side of body

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17
Q

Limb segments in MEM?

A

Start at chest, then upper arm, lower arm, then hand

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18
Q

Sequence of MEM application

A

General body motions, upright seated position, diaphragmatic breathing, active ROM, clearing, flowing, massage lymph nodes

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19
Q

Besides MEM, what other interventions will assist in reducing limb edema?

A

PROM, AROM, AAROM, light compression, PAMS

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20
Q

Contraindications for increasing motion through therapeutic exercise?

A

Cardiopulmonary symptoms, open wound, fracture, DVT, joint inflammation, pain meds, hypermobility, subluxation

21
Q

Increasing ROM continuum

A

PROM, PROM w/ gentle and passive stretch, AAROM, isometric, AROM, resistive exercise, functional activity

22
Q

4 parameters necessary to increase muscle strength

A

Fatigue, stress, controlled speed, pain-free exercise

23
Q

In increase strength, stress must exceed the ____________ of the muscle

A

Metabolic capacity

24
Q

Contraindications to strengthening activities?

A

MS, ALS, Guillan-Barre, OA, fracture, high BP, cardiac conditions

25
Q

Parameters necessary for increasing endurance

A

moderate fatigue from low intensity, repetition over time with intervals of rest

26
Q

2 types of endurance

A

Muscular, total body

27
Q

The maximum load a muscle group can lift a given number of times before fatigue sets in

A

Repetitions Maximum

28
Q

Adult resting pulse-

A

60-100 BPM

29
Q

Adult breathing rate

A

15-20 RPM

30
Q

How is maximum HR determined?

A

Subtract age from 220

31
Q

4 rotator cuff muscles

A

Infraspinatus, supraspinatus, teres minor, subscapularis

32
Q

Function of infraspinatus and teres minor?

A

External rotation

33
Q

Function of subscapularis?

A

Internal rotation

34
Q

Function of supraspinatus?

A

Abduction

35
Q

All rotator cuff muscles do what?

A

Stabilize humeral head with shoulder motion

36
Q

Scapular stabilizing exercises?

A

Wall angels, prone set, wall lift, pushup plus, theraband, static/dynamic stabilizers, canes

37
Q

Rotator cuff strengthening exercises?

A

Isometrics, hold and place isometrics, theraband, weights

38
Q

Rotator cuff muscles and bursa are compressed against the coracoacromial ligament and anterior acromion

A

Chronic inflammatory process shoulder impingement

39
Q

Irritation comprises the rotator cuff function of depressing the humeral head with overhead activities

A

Shoulder impingement

40
Q

In a RC tear, what usually tears?

A

Supraspinatus

41
Q

Overuse and repetitive trauma causing fibrosis and microtears in the wrist extensor muscles on the common tendon to the lateral epicondyle

A

Lateral epicondylitis

42
Q

Lateral epicondylitis treatment

A

Radial n. glides, pain control, restore motion, rest extensor tendon, stretch extensor tendons, AROM, isometrics

43
Q

Where does a transhumeral amputation take place?

A

Above elbow

44
Q

Where does a transradial amputation take palce?

A

Below elbow

45
Q

3 types of UE prostheses

A

body-powered, externally powered, hybrid (combo)

46
Q

Phases of burn rehab

A

emergent phase and acute care, rehabilitation phase, community phase

47
Q

Up to 72 hours post burn

A

emergent care

48
Q

Weeks to months after wound closure

A

acute care

49
Q

Phase until scar maturation

A

Rehab phase

Phys Dys (4 decks)

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