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PTA 2 > Unit 7 > Flashcards

Unit 7 Flashcards

1
Q

Typical PT problem List for CVA

*hint…10

A
  1. Altered Muscle Tone 2. Decreased ROM
  2. Decreased Strength 4. Decreased Balance
  3. Altered Sensation 6. Decreased Coordination
  4. Decreased Functional Mobility.
  5. Increased risk for falling
  6. Increased pain (shoulder).
  7. Need for client/family education
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2
Q

Problem 9 (Increased Shoulder Pain)

A

70% shoulder pain (stroke px’s) within the first year

Highly preventable

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3
Q

Details of Subluxation…

A
  • Early stages (flaccid), post CVA (no muscle tone).
  • Weight of the arm causes the humorous to sublux from the glenoid fossa.
  • Decreased sensation
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4
Q

Treatment for subluxation…

A
  • Best treatment is preventative, proper handling & positioning of joint and support.
  • Positioning & protecting the arm is key.
  • Affected arm should NOT be abducted of flexed 70 degrees
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5
Q

Adhesive Capsulitis…

A
  • Shoulder tone decreases + spasticity is present.
  • Shoulder ROM becomes more difficult.
  • If shoulder doesn’t move, capsule tightens causing painful, restrictive = frozen shoulder
    TX
  • Best treatment is preventable
  • Frozen shoulder tx stretching, heat, exercises & meds
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6
Q

Constraint induced Movement Therapy CIMT

A
  • Clients learn not to use their affected extremity after repeated failures.
  • Some recovery of movement occurs, clients do not restart using affected extremity (learned non-use)
  • Clients forced to use the affected the affected extremity at least partially reversed.
  • May use sling on non-affected arm
  • Therapy might include repetitive practice of skills using affected arm.
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7
Q

Typical PT problem List for BI

*hint…11

A
  1. Decreased LOC 2. Decreased Cog.
  2. Behavioural challenges
  3. Decreased communication
  4. Altered tone 6. Decreased Strength
  5. Decreased ROM 8. Decreased balance
  6. Decreased Sensation
  7. Decreased functional mobility
  8. Need for client & family education
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8
Q

Common complications post brain injury

A

Increased Intra-cranial pressure (ICP)

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9
Q

What are the S+S of increased ICP?

A
  • Vomiting
  • Decreased responsiveness
  • Irritability
  • Change in vital signs (Increased HR or BP).
  • Severe headache
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10
Q

Implications for Treatment for ICP:

A

HOB cannot be too high or too low.

Tx might include craniotomy

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11
Q

What does HO stand for?

A

Heterotrophic Ossificans

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12
Q

What is HO?

A

Calcification (bone formation) in the soft tissues + muscles surrounding joints.
Cause - Unknown
RF: Long duration of coma + prolonged immobility

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13
Q

S+S of HO?

A
  • Decreased ROM (with a very firm end feel).
  • Pain with Movement
  • Palpable hard mass in the muscle
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14
Q

Treatment of HO?

A
  • Exacerbated vigorous ROM activities.

- Oral medication (to break down calcium).

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15
Q

PT problem List for SCI

A
  1. Decreased ROM 2. Decreased strength
  2. Increased spasticity 4. Decreased Sensation
  3. Decreased respiratory function
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16
Q

What are the 6x complications + important safety considerations for clients with SCI?

A

SAP BIP

  • Instability
  • Pressure Ulcers
  • Autonomic Dysreflexia
  • Postural Hypotension
  • Bowel + Bladder Dysfuntion
  • Sexual Dysfunction
17
Q

C3 + above Complete SPI

A
  • Needs assistant to breath.
  • Dependent for all functional mobility
    FI: Cranial Nerves
    PI: Neck flexors + extensors
18
Q

C4 Complete SPI

A
  • Dependent for all functional mobility
  • Sip n Puff power chair
    FI: Neck flexors + extensors
    PI: Diaphragm
19
Q

C5 Complete SPI

A
  • Manual or power chair
  • some sitting balance
    FI: Diaphragm
    PI: Deltoids + Biceps
20
Q

C6 Complete SPI

A
  • Sliding board independently
  • Manual chair
  • Functional grasp + hand use (Tenodesis grip)
    FI: Deltoids + Biceps
    PI: Pec + Teres Major
21
Q

C7 Complete SCI

A
  • Capable of living alone
  • Independent in rolling + sitting.
    FI: Pec + Teres Major
    PI: Triceps
22
Q

C8 & T1 Complete SCI

A

FULL INNERVATION
Triceps
- Functional grasp for fine motor control
- Independent in sliding board transfers + manual chair use

23
Q

T2 - T6 Complete SPI

A

FI: U/E Musculature
PI: Intercostals

24
Q

T7 - T12 Complete SPI

A

FI: U/E Musculature
PI: Intercostals

25
Q

L1 - L2 Complete SPI

A

Manual w/c for most mobility
FI: U/E Musculature
PI: iliopsoas

26
Q

L3 - L5 Complete SPI

A

FI: U/E Musculature
PI: Adductors

27
Q

Problem list for Progressive Neuro Disorders

A
  1. Decreased strength + endurance
  2. Decreased ROM
  3. Decreased Co-ordination
  4. Decreased sensation
  5. Decreased Balance
  6. Increased Fatigue
28
Q

Tx for manage fatigue?

A
  • Relaxations Techniques
  • Rest breaks
  • Breathing exercises.
  • Assistive Devices
29
Q

Tx for Progressive Neuro Conditions

A
  • Focus on maintaining function not necessarily increasing

- Focus on Max quality of life

PTA 2 (12 decks)

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