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Therapeutic Exercise > Ther-ex Lecture 1 & 2 > Flashcards

Ther-ex Lecture 1 & 2 Flashcards

1
Q

________ and self care has to be an extension of what you are doing in the treatment

A

therapeutic exercise

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2
Q

T/F therapeutic exercise is designed to improve and restore an individuals function

A

true

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3
Q

if a patient is just coming in for maintenance it is best to prescribe ______ measures or body awareness tips

A

preventative

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4
Q

an example of some injuries that can occur in individuals with labour intensive jobs include ______ & ______

A

RSI’s and disc herniation

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5
Q

T/F therapeutic exercise should be prescribed to decrease function

A

false, it should enhance function

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6
Q

_______ is the end goal, this can be in regards to a sport or the patients ADL’s, such as tying up their hair or tying their shoes

A

function

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7
Q

“function” includes which of the following

a) mobility&stability
b) neuromuscular control
c)balance & muscle control
d) performance & cardiopulmonary endurance
e) all of the above

A

e) all of the above

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8
Q

______ is the process of elongation of contractile OR non contractile tissues

A

stretching

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9
Q

non contractile tissues include ________ & _______

A

ligaments and joint capsules

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10
Q

_______ stretching is sustained or intermittent external end range stretch force, applied with over pressure

A

passive

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11
Q

T/F mm contraction is not at all important for venous return

A

False; it can be very important

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12
Q

_______ stretch is any stretching done by the patient after instruction

A

self

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13
Q

______ stretching is an active movement that takes the joints and muscles through their ROM

A

dynamic

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14
Q

T/F with dynamic stretching one should always go past the end range to get the most value out of the stretch

A

FALSE! never go past the end range

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15
Q

dynamic stretching should be _______ what your patient is going to be doing

A

mimicking

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16
Q

______ deformation is a spring-like response, the stretched material returns to its original length

A

elastic

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17
Q

T/F Elastic deformation is an abnormal response

A

False, it is a regular response

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18
Q

_______ deformation is a “putty” like response, the tissues can be deformed as you add force, results impermanent deformation

A

plastic

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19
Q

______ is when force is applied for an extended period of time, the tissue elongates and will not return to it’s original length

A

Creep

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20
Q

Give an example of creep

A

valgus presentation at the knee will stress MCL therefore lengthening it causing instability

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21
Q

______ is a stretch well beyond the normal ROM of a joint and surrounding soft tissue

A

Overstretch

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22
Q

T/F Overstretch will lead to injury due to the micro tearing and inflammatory response

A

True

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23
Q

Contracture is caused by ______ ______ due to postural dysfunction, weakness, pain or decreased ROM

A

adaptive shortening

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24
Q

T/F sometimes contracture is indicated due to it acting as a protective mechanism for the joint and as the therapist you should not destabilize it

A

True

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25
Q

_______ inhibition is the inhibition of a muscle by either its own activity or antagonist

A

Active

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26
Q

______ inhibition is the contraction of the target muscle for example PIR

A

Autogenic

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27
Q

_______ inhibition is contraction of the opposing muscle

A

reciprocal

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28
Q

which of the following is an INDICATION for stretching?

a) limited ROM
b) muscle weakness
c) preventing the risk of injury
d) all of the above

A

d) all of the above

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29
Q

which of the following are some CONTRAINDICATIONS for stretching?

a) bony block limiting joint motion
b) recent fracture
c) inflammation
d) all of the above

A

d) all of the above

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30
Q

any form of active exercise in which an outside force resists a dynamic or static muscular contraction is called _______ _______

A

resistance exercise

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31
Q

a _____ is a single rendition/ occurrence of an exercise

A

rep

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32
Q

a group of consecutive reps are otherwise known as ____

A

sets

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33
Q

if one wanted to build _____, decreased load, longer duration, and increased reps would be the best way

A

endurance

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34
Q

if one wanted to build ______ exercising for a shorter amount of time with higher resistance and increased load would be best

A

strength

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35
Q

T/F one should build strength before building endurance

A

false, build endurance before building strength

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36
Q

______ exercise happens without shortening or lengthening the structures and is great for the beginning of rehabilitation

A

isometric

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37
Q

give an example of an isometric exercise

A

wall sit

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38
Q

T/F isometric exercises should not be conducted when the patient is experiencing pain and inflammation

A

false, isometric exercises are indicated for patients experiencing pain and mild inflammation

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39
Q

what is the purpose of isometric exercise?

A

to reintroduce firing to the joint and surrounding musculature

40
Q

during resistance training, the resistance can allow for movement or can be something _____

A

stationary

41
Q

an example of moving resistance would be a ______ an example of stationary resistance would be a _____

A

dumbbell, wall

42
Q

_____ exercise is more dynamic, allows for movement, and always includes a shortening/lengthening

A

isotonic

43
Q

an example of an isotonic exercise is a _______

A

bicep curl

44
Q

T/F depending on what mimicks the patients ADL’s the most, focus more on the shortening or lengthening

A

true

45
Q

______ exercise includes only the shortening of the mm against resistance

A

concentric

46
Q

_____ exercise includes only the lengthening of the muscle developing tension and contracts to control motion

A

eccentric

47
Q

there are __ types of isometric exercise

a) 2
b) 3
c)5

A

b) 3

48
Q

what are the 3 types of isometric exercise

A

mm setting, stabilization and multiple angle

49
Q

T/F muscle setting is the only type of isometric exercise without added resistance

A

true

50
Q

uses for muscle setting include which of the following

a) decrease muscular pain
b) promote relaxation
c) extreme strengthening
d) a&b
e) all of the above

A

d) a&b

51
Q

name an example of a stabilization exercise

A

a plank

52
Q

______ _____ is when resistance is applied manually or mechanically at multiple joint positions within the available ROM

A

multiple angle

53
Q

if a patient is stuck at 110 degrees when it should be 180, how many angles will you need to strengthen the muscle at?

A

3

54
Q

T/F during multiple angle exercise you add resistance at the first angle for 5 seconds and repeat it 5 x (similar to AR testing)

A

True

55
Q

name a few items patients could use to recreate multiple angle strengthening at home

A

wall, belt, yoga strap

56
Q

T/F multiple angle exercise is to be used when dynamic resistance exercises are painful but there is still ROM at the joint

A

true

57
Q

_______ exercise is a form of active resistive exercise in which the speed of the movement of the limb is controlled at a pre-set rate

A

isokinetic

58
Q

______ kinematic chain exercise is a movement that occurs with the distal end of the limb moving freely in space

A

open

59
Q

which of the following is an open kinematic chain exercise?

a) bicep curl
b) squat
c) pull up

A

a) bicep curl

60
Q

______ kinematic chain exercises are movements that occur with the body moving over the fixed distal segment of a limb

A

closed

61
Q

which of the following is considered a closed kinematic chain exercise?

a) bicep curl
b) knee extension
c) squat

A

c) squat

62
Q

T/F if a patient has cardiovascular issues the valsalva maneuver is indication

A

false, keep steady breathing in pts with cardiovascular issues

63
Q

_____ effects functional performance and must be considered in every ther-ex program

A

fatigue

64
Q

_____ mm fatigue is a diminished response to a repeated stimulus

A

local

65
Q

_____ mm fatigue is a diminished response to prolonged physical activity (jogging)

A

general

66
Q

T/F lactic acid builds up and lasts all day

A

false, lactic acid is removed from the skeletal muscle and blood 1 HR post exercise

67
Q

overworking/overtraining can cause _____ or _____ deterioration of strength

A

temporary, permanent

68
Q

the only cure for overtraining is ____

A

rest

69
Q

_____ motions can occur if too much resistance is applied to a contracting muscle during exercise or when a new exercise is progressed too rapidly and good form is lost

A

substitute

70
Q

_______ is caused by changes due to aging or hormone changes, resulting in porous bones

A

osteoporosis

71
Q

T/F exercise is CI’d in patients with osteoporosis

A

false, low impact/ low stress exercise is extremely indicated

72
Q

what are the two types of exercise-induced muscle soreness?

A

Acute mm soreness/ delayed onset mm soreness (DOMS)

73
Q

how does acute muscle soreness differ from DOMs?

A

Acute mm soreness is caused by ischemia (insuf. blood flow) whereas DOMS is caused by vigorous and unaccustomed exercise or any form of muscle exertion

74
Q

T/F in acute mm soreness, the sensation disappears when blood flow is returned

A

true

75
Q

when is pain felt in DOMS?

A

when the mm is stretched, contracted or under pressure (not at rest)

76
Q

T/F DOMS is more intense with concentric exercise than eccentric exercises

A

false, more intense with eccentric exercises

77
Q

what are some CIs for isoTONIC exercise?

A

pain, inflammation and severe cardiopulmonary disease

78
Q

T/F if the patient experiences severe joint or muscle pain during exercise or for more than 24 hours after exercise the activity should be eliminated or substantially reduced.

A

true

79
Q

_____ can be used for the examination of movement and for incorporating movement into a therapeutic intervention program

A

ROM

80
Q

the normal ROM is the ____

A

average

81
Q

_____ ROM is what the patient can do passively

A

passive

82
Q

_____ ROM is what the patient is capable of

A

active

83
Q

____ ROM is what the pt can do or wants to return to doing in terms of their ADLS

A

functional

84
Q

what are some indications for PROM?

A

acute inflammation, pt is unable to actively move, comatose

85
Q

what are some of the goals when using PROM?

A

decrease cartilage degeneration and adhesions, increase circulation decrease pain

86
Q

T/F PROM is great for increasing strength and preventing atrophy

A

false

87
Q

_____ is movement of a segment within the unrestricted ROM that is produced by active muscle contraction

A

AROM

88
Q

_____ ______ is an active movement where assistance is provided manually or mechanically because the prime mover muscles need help to complete the motion

A

active assisted (AAROM)

89
Q

indications for AROM include

A

when pt can contract actively

90
Q

_____ is used to gain control of their ROM and progressively move to AROM

A

AAROM

91
Q

name the 5 steps of the progression approach (in order)

A

AROM, PROM, AAROM, AROM, AR ROM

92
Q

name the lines on the performance pyramid (low-high)

A

mobility, stability, controlled mobility/neuromuscular control, skill

93
Q

some ways to increase mobility includes

a) PROM
b) jt mobes
c) MET
d) stretching
e) all of the above

A

e) all of the above

94
Q

some ways to increase stability includes

a) isometrics
b) isotonic
c) tapotement
d) a&c

A

d) a&c

95
Q

some ways to increase controlled mobility includes

a) isotonics
b) AAROM
c)AROM
d) all of the above

A

d) all of the above

Therapeutic Exercise (2 decks)

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