Test 3

Question 1

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.

Answer 1

Sensory desensitization

Question 2

Re-train sensory pathways or stimulate unused pathways

Answer 2

Sensory training

Question 3

Purpose of SD

Answer 3

Decrease discomfort associated with touch

Based on the idea that progressive stimulation will allow progressive tolerance

Question 4

SD intervention

Answer 4

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

Question 5

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

Answer 5

Allodynia

Question 6

heightened sensitivity to tactile stimuli

Answer 6

Hyperesthesia

Question 7

SD diagnoses

Answer 7

Nerve trauma, soft tissue injuries, burns, and amputations

Question 8

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

Answer 8

Sensory re-education

Question 9

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

Answer 9

MEM

Question 10

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

Answer 10

Lymphatic system

Question 11

What is the intervention for MEM?

Answer 11

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

Question 12

_______________:Edema from hands up to arms

Answer 12

Retrograde massage

Question 13

Where are lymphatic capillaries located and how thick are they?

Answer 13

Dermis layer, 1 cell thick

Question 14

Indications for MEM?

Answer 14

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

Question 15

MEM contraindications

Answer 15

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

Question 16

MEM pattern?

Answer 16

Proximal to distal, start on uninvolved side of body

Question 17

Limb segments in MEM?

Answer 17

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

Question 18

Sequence of MEM application

Answer 18

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

Question 19

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

Answer 19

PROM, AROM, AAROM, light compression, PAMS

Question 20

Contraindications for increasing motion through therapeutic exercise?

Answer 20

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

Question 21

Increasing ROM continuum

Answer 21

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

Question 22

4 parameters necessary to increase muscle strength

Answer 22

Fatigue, stress, controlled speed, pain-free exercise

Question 23

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

Answer 23

Metabolic capacity

Question 24

Contraindications to strengthening activities?

Answer 24

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

Question 25

Parameters necessary for increasing endurance

Answer 25

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

Question 26

2 types of endurance

Answer 26

Muscular, total body

Question 27

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

Answer 27

Repetitions Maximum

Question 28

Adult resting pulse-

Answer 28

60-100 BPM

Question 29

Adult breathing rate

Answer 29

15-20 RPM

Question 30

How is maximum HR determined?

Answer 30

Subtract age from 220

Question 31

4 rotator cuff muscles

Answer 31

Infraspinatus, supraspinatus, teres minor, subscapularis

Question 32

Function of infraspinatus and teres minor?

Answer 32

External rotation

Question 33

Function of subscapularis?

Answer 33

Internal rotation

Question 34

Function of supraspinatus?

Answer 34

Abduction

Question 35

All rotator cuff muscles do what?

Answer 35

Stabilize humeral head with shoulder motion

Question 36

Scapular stabilizing exercises?

Answer 36

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

Question 37

Rotator cuff strengthening exercises?

Answer 37

Isometrics, hold and place isometrics, theraband, weights

Question 38

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

Answer 38

Chronic inflammatory process shoulder impingement

Question 39

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

Answer 39

Shoulder impingement

Question 40

In a RC tear, what usually tears?

Answer 40

Supraspinatus

Question 41

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

Answer 41

Lateral epicondylitis

Question 42

Lateral epicondylitis treatment

Answer 42

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

Question 43

Where does a transhumeral amputation take place?

Answer 43

Above elbow

Question 44

Where does a transradial amputation take palce?

Answer 44

Below elbow

Question 45

3 types of UE prostheses

Answer 45

body-powered, externally powered, hybrid (combo)

Question 46

Phases of burn rehab

Answer 46

emergent phase and acute care, rehabilitation phase, community phase

Question 47

Up to 72 hours post burn

Answer 47

emergent care

Question 48

Weeks to months after wound closure

Answer 48

acute care

Question 49

Phase until scar maturation

Answer 49

Rehab phase