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Human Movement > Test over week 5 and 6 material > Flashcards

Test over week 5 and 6 material Flashcards

1
Q

when is PROM preformed?

A
  • When there is a need to maintain full joint range of motion.
  • When AROM is limited
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2
Q

What limits AROM

A 
o	Fluctuating muscle tone
o	Subluxation
o	Pain 
o	Edema
o	Fractures
o	Joint disease
o	Reduced mobility of the scapula and clavicle
o	Joint contraction is developing
o	Hand injuries
o	Spinal Cord Injuries
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3
Q
  • no muscle contraction.
  • Not used to increase strength
  • Purpose is to maintain the ROM and prevent contractures, adhesion and/or deformity.
A

PROM

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4
Q

• Can be performed by another individual or through the technique of self-range of motion (SROM).

A

PROM

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5
Q

_____ is when the unaffected arm is supporting the affected arm through the exercises.

A

SROM

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6
Q

important to remember in PROM exercises to

A

adhere to patient’s pain, MD orders, and slow steady stretch with contractures or spasticity.

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7
Q

Is an isotonic muscle contraction where patient moves the joint through partial ROM.

A

AAROM

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8
Q
  • Goal is to increase strength of 1-4 muscle strength.

* Great opportunity to use bilateral UE tasks to assist with the exercise.

A

AAROM

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9
Q

_____ is performed In the acute stage, however complete to the point of pain and attend the pain while looking for substitution patterns.

A

AROM

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10
Q

AROM is limited by

A 
o	Fluctuating muscle tone
o	Subluxation
o	Pain 
o	Edema
o	Fractures
o	Joint disease
o	Reduced mobility of the scapula and clavicle
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11
Q

AROM treatment is preformed when limited by

A
  • Working with soft tissue injuries.
  • Spinal Cord Injuries
  • Hand Injuries
  • Joint Contractures are developing
  • When neural muscular weakness present with less than 5/5 MMT score or WFLs for strength.
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12
Q

• Is an isotonic or isometric muscle exercise done to increase the strength of the contracting muscle.

A

AROM

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13
Q

Goal to increase strength of 3+ to 4+

A

AROM

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14
Q

• Great opportunity to use resistance or no resistance dependent upon demands of activity.

A

AROM

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15
Q

o Process of moving a client from one surface to another

- must be adapted for certain client based on needs

A

transfer

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16
Q

functional mobility falls under what category of OTPF-4

A

ADL & IADL

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17
Q

Moving from one position to another, W/C mobility, Transfers

A

Functional mobility

18
Q
  1. Ability to use one or both UEs to assist in pushing during sit to stand motion.
  2. Sufficient strength in one or both LEs to come to a standing position and pivot on one or both LEs.
  3. Diagnoses (examples): TKR, THR, Generalized weakness
  4. Typically, the therapist provides only minimal to stand-by assistance.
A

indications for stand picot transfer

19
Q
  1. Client unable to assume a standing position.
    o MS, SPI, Diabetic people with amputations, ASL, MD,
  2. Concern about skin breakdown/abrasion with use of sliding board.
  3. Ability to place wheelchair close to surface transferring.
  4. Concern about maintaining equal weight bearing on both LEs.
  5. Need for greater assistance due to overall weakness. Assistance can be 1 or 2 persons.
  6. Client diagnoses are varied and can include orthopedic or neurological (PNS or CNS) conditions.
A

Indications for Lateral Transfer/LPT

20
Q
  • Client unable to weight bear on LEs
  • Some trunk control/balance
  • Need to “bridge” space
  • paraplegia, quadriplegia, LE amputations, SCI
A

Indications for Transfer (sliding) Board

21
Q

o Reduced UE ROM
o Reduced UE Strength
o Impaired standing balance

A

stand pivot

22
Q

o Reduced LE ROM
Reduced LE Strength-
Impaired sitting balance

A

Lateral

23
Q

<26% help needed

A

Minimal assist

24
Q

51-74% help needed

A

Moderate assistance

25
Q

75%+ help needed

A

Maximal assistance

26
Q

Total assist non-dependent

vs total assist dependent

A

non dependent OTA can tell steps to client and client can be a part of it
total assist dependant client will not understand directions

27
Q
  • Client’s strengths and limitations (cognition, perception, behavior, UE & LE ROM & strength, muscle tone, weight bearing status, skin integrity)
  • Therapist’s physical abilities & limitations
  • Organization’s policies on devices for “heavy” transfers
  • Therapist’s knowledge and ability to use proper body mechanics
A

Choosing type of transfer

28
Q

transfers impacted by

A 
decreased alertness
decreased sequencing abilities
behavior/motivation
fatigue
cargiver abilities
organization policys
29
Q
  • Out of Bed (OOB) orders/ Activity orders
  • Weight bearing status (PWB, TTWB, WBAT, FWB, NWB)
  • Endurance, UE/LE strength, cognition, behavior
A

Transfer precautions

30
Q
  • Bring w/c close to bed on 45 degree angle
  • Remove legs off leg rest
  • Swing leg rests away & place in a safe position
  • Bring w/c close to bed, lock brakes
  • Remove arm rest
  • Stabilize w/c
A

Management of w/c parts

31
Q

sliding board types

A

short board
long board
disk board

32
Q

types of wheel chairs

A

standard
transport
electric
reclining

33
Q

modifications to wheel chairs

A

Arm rests: desk or full length arm rests

leg rests: elevating, standard, swing away

34
Q

SAFETY WITH W/C

A
  • Apply brakes when sitting at rest or transferring
  • Minimize use of incontinence pads which can create skin breakdown
  • educate pt. on weight shift
  • keep objects away from spokes
  • secure locks on arm and foot rests
  • ensure anti tip bars are in place
  • avoid putting weight on back of chair
  • keep pathway clear and ensure door ways are w/c accessible
35
Q

safety while transferring from w/c

A

brakes applied

leg rests out of way

36
Q

Power wheelchair safety

A
  • always use seat belt
  • follow manufacturers instructions
  • keep hands arms feet and legs within framework to help keep chair steady
  • avoid venturing in busy streets since w/c is slow
  • only use curb cutouts
  • exercise caution around young children who may touch buttons or toggles
  • make sure earth is firm, dry, and relatively smooth
37
Q

caster

A

small wheel on standard chair

38
Q

foot rest vs foot plate

A

Foot plate is what foot goes on, foot rest is the whole thing

39
Q

parts of large wheel

A

axle, spoke, hand rim, tire

40
Q

parts of w/c that provide support for person

A

back, seat, arm,

41
Q

structural support of w/c

A

frame & cross brace

Human Movement (2 decks)

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