Vitamins and Physiotherapy (Irene Gold) Parts II and III Flashcards
A deficiency in which vitamin will cause night blindness?
Vitamin A (Retinol)
What is the name for Vitamin A?
Retinol
What condition will an increase in Vitamin A cause?
Hypervitaminosis: beta-caratinema (yellow skin with normal sclera)
What is the name for Vitamin B1?
Thiamine
What condition is caused by a decrease in Thiamine?
Beri-Beri
What are two findings with Beri-Beri syndrome?
Encephalopathy
Psychosis
What condition is seen in alcoholics that have a decrease in Vitamin B1?
Wernike Kosakoff syndrome
What vitamin is called Riboflavin?
B2
What is the name of the condition seen in a person with a decrease in Vitamin B2?
Cheilosis (Sore cracks at the corner of the mouth)
What is the name for Vitamin B3?
Niacin
What condition is seen in patients with a decrease in Niacin?
Pellagra
4 D’s: Dementia, Dermatitis, Diarrhea, Death
What is the name for Vitamin B6?
Pyridoxine
For what condition is Pyridoxine recommended?
Peripheral nerve healing
What four conditions is Vitamin B6 used to help?
Carpal tunnel
Pregnancy
Hypo-tension
Natural Diuretic
When is Vitamin B9 recommended to be taken and for what purpose?
Prior to pregnancy
To help with formation of the neural arch;neural tube defects are less likely to occur
What is the name for Vitamin B9?
Folic Acid
What type of anemia is seen in alcoholics with a Folic Acid deficiency?
Megoloblastic (Macrocyic) Anemia
What does a deficiency in B9 produce?
Glossitis
Pain in what location of the body will improve at night when taking B9?
Legs
What Vitamin has the name Cobalamin?
B12
What population will be deficient in B12?
Vegetarians
A lack of intrinsic factor with Cobalamin leads to what type of Anemia?
Pernicious Anemia
A deficiency of B12 leads to Megaloblastic anemia which is confirmed positive how?
Positive Schilling test
What Vitamin is associated with Posterolateral Sclerosis (Combined Systems Disease)?
Cobalamin
What two systems are often part of Combined System Disease (PLS)?
Gastrointestinal (GI)
Neurological
What Vitamin masks the symptoms of B12?
Folic Acid (B9)
What conditions will persist even after Cobalamin is administered?
Neuropathies
What is the name for Vitamin C?
Ascorbic Acid
What two conditions will be seen if a patient has a decrease in Ascorbic Acid?
Scurvy
Capillary fragility
In what population should you supplement Vitamin C, because of a deficiency?
Smokers
What is one function of Ascorbic Acid?
Healing of connective tissue
Vitamin C helps with the absorption of what mineral?
Iron
When should you avoid the intake/supplementation of Vitamin C?
When kidney stones are present
What condition can arise if there is an excessive amount of Ascorbic Acid consumed?
Diarrhea
What condition will be seen with a deficiency in Vitamin D?
Bone Softening called:
Rickets- Kids
Osteomalacia- Adults
What are two very good sources of Vitamin D?
Fish liver oil (Best source)
Egg yolks
What two signs will be present in a patient with a decrease in Vitamin D?
Rachitic Rosary near Sternum
Saber Shin
What will an increase of a Vitamin D do?
Increase bone density
What is the name of the x-ray finding in patients with a decrease of Vitamin D?
Paint brush metaphysis
In what climate will you see a deficiency in Vitamin D?
In cooler climates
What is the name for Vitamin E?
Tocopherol
What Vitamin is an antioxidant for the cardiovascular system?
Vitamin E
Where is Vitamin K made?
Intestinal flora
What is the major function of Vitamin K?
Clotting
How is Vitamin K destroyed in the body?
Antibiotic Therapy
What is a contraindication with Vitamin K deficiency?
Anticoagulants
What amino acid is increased in Coronary/ Cardiovascular disease?
Homocysteine
What is used to treat hypercholesterolemia, natural anti inflammatory?
Omega 3 Fatty Acids
What three things will Zinc help with?
Prostate health
Wound healing
Immune system health
A toxic does of what mineral will do damage to hair, nails and skin?
Selenium
What mineral is essential for diabetics and is a glucose tolerance factor?
Chromium
What is the number one mineral deficiency in the world?
Iron
What mineral is the most deficient in the United States?
Calcium
What is the name of a cancer specialist?
Oncologist
What specialist is similar to a General Practitioner?
Internist
What is the focus of a Gastroenterologist?
Gastrointestinal (GI) dysfunction
i.e. Stomach and Gallbladder
If a patient has a kidney issue, who is the appropriate referral to?
Nerphroligist
What specialist takes care of glandular problems, i.e. Diabetes Mellitus?
Endocrinologist
What does a Urologist focus on?
Genitourinary (GU) tract
Prostate
What is the name of the specialist that takes care of heart conditions?
Cardiologist
What conditions will often be cared for by a Neurologist?
Multiple Sclerosis
Parkinson’s
Amyotrophic Lateral Sclerosis (ALS)
What age is seen by a Pediatrician?
Newborn up to 14 years of age
What are the three essential fatty acids?
Linolenic acid (omega-3 fatty acid) Linoleic acid (omega-6 fatty acid) Arachidonic Acid
If there is an increase in dietary protein what else must be increased?
Calcium
What are the time frames for the following:
Acute
Subacute
Chronic
Acute: 24-48 hours
Subacute: 48-72 hours
Chronic: 72+ hours
What are the indications of massage?
Subacute sprains/strains
Bruises
Tendinitis
Bursitis
What are the contraindications of massage?
Vascular problems i.e. Blood clots
What is the name of the modality used to break up adhesions?
Friction massage
What is one condition that you would use Friction/ Transverse massage?
Epicondylitis (Lateral/Medial)
When would Trigger Point Therapy be indicated for use?
Myofascial pain
What is the maximum time you should perform Trigger Point Therapy at one location?
Ten seconds
What is the purpose of Trigger Point Therapy?
To elongate contracted bands of muscle fibers
What two modalities can be done to each myofascial pain problem?
Trigger Point Therapy
Spray and Stretch
What are four indications to carry out Traction?
Disc syndrome
Intervertebral Foramen (IVF) encroachment
Chronic muscle spasm
Degenerative Joint Disease (DJD)
What are three contraindicates of doing Traction?
Acute Injury
Bone weak/Inhibitedening conditions
Ligament Instability
What is the indication to use Cryotherapy?
Acute conditions
How long should Cryotherapy be used for?
20-30 minutes
What mnemonic is often used with the Cryotherapy modality?
RICE Rest Ice Compress Elevate
What are the four contraindicates to Cryotherapy?
Circulatory comprise
Raynaud’s
Frostbite
Hypersensitivity to cold
What are the three indications to use Infrared?
Chronic musculoskeletal conditions
Arthritic conditions
Stiff joints
What are three contraindicates to Infrared therapy?
Acute conditions
Inflammation
Abnormal thermal sensation
When is it appropriate to use Ultraviolet light therapy?
Skin and bone conditions (i.e. Infection)
What are two contraindicates to Ultraviolet therapy?
Hemorrhage
Inflammation
What three effects does Ultraviolet therapy have?
Antibacterial
Antifungal
Metabolic
What is another name for Diathermy?
Heat; Short wave and Microwave
What are three indications to use Diathermy?
Deep chronic musculoskeletal conditions
Pelvic Inflammatory Disease (PID)
Prostatitis
What are three contraindicates of Diathermy?
Acute conditions
Metallic implants
Epiphyseal centers
When is pulsed ultrasound used?
During the acute phase
When is continuous ultrasound used?
Subacute and Chronic phases
What are the three indications to where you would use ultrasound?
Musculoskeletal conditions
Contractures
Adhesions
What are three contraindicates of ultrasound?
Epiphyseal centers
Bony prominences
Fractures
What four effects does Ultrasound have?
Thermal (Continuous only)
Mechanical
Chemical
Neural
When would you perform ultrasound underwater?
Bony/irregular areas
What mode of ultrasound is used for an acute condition?
Pulsed
In an acute condition what setting is the ultrasound set on for Thin Tissue?
0.5-1.0 w/cm^2
What ultrasound setting would be appropriate for a setting of 1.0-1.5 w/cm^2?
Thick Tissue of an Acute condition
What mode is the ultrasound set on for a Chronic condition?
Continuous
What setting is the ultrasound set on for Thin Tissue in a Chronic condition?
1.0-1.5 w/cm^2
What is the setting on the ultrasound for an area of Thick Tissue in a Chronic Condition?
1.5-2.0 w/cm^2
What is the rule for conducting Ultrasound underwater?
Add 0.5 w/cm^2
What helps to drive ions into the tissue when using Ultrasound?
Phonophoresis
When would you use Low-Volt Galvanic?
Iontophoresis
Denervated muscle
What four conditions would you use High Volt Galvanic?
Pain control
Decrease muscle spasm
Decrease edema
To exercise the muscle
What is the purpose for a TENS unit?
Pain control
What three reasons would you use Faradic/Sine wave therapy?
Muscle contraction
Stretch fibrotic tissue
Increase lymph flow
What modality produces less heat?
Interferential
What are four uses for Interferential therapy?
Pain control
Edema reduction
Break muscle spasms
Exercise the muscle
What modality has a penetration twice as deep as High Volt Galvanic?
Interferential
What is another name for a Trochanteric Belt?
Sacroiliac Girdle
What two populations can benefit from a Trochanteric Belt?
Pregnant women (Lax SI joints, after pregnancy) Patients with Osteitis Condensans Ilii (OCI)
What kind of muscle contraction would you instruct a patient in a cast to do? This will prevent atrophy
Isometric muscle contraction
What term is described as “ Muscular contraction in which tension is developed but the muscle does not change in length”?
Isometric muscle contraction
When is an Isometric muscle contraction most often used?
Initial treatment of an injury
What is an Isotonic muscle contraction?
Muscle contraction when there is a change in the muscle length
In an Isotonic muscle contraction the joint movement and the exercise are performed with ___________?
Constant Resistance/Same weight
What is a Concentric Isotonic Muscle Contraction?
Shortened Contraction (+ work)
What is it called when there is Negative (-) work or and lengthening contraction?
Eccentric Isotonic Muscle Contraction
What is the term used for “Muscular contraction with a change in length and a constantly changing resistance performed at a constant speed through the full range of motion”?
Isokinetic Muscle contraction
What exercises are done for peripheral vascular disease?
Buerger-Allen
What condition is reduced by performing William’s Flexion exercises?
Hyperlordosis
What are three example of William’s Flexion exercises?
Abdominal crunches
Pelvic tilts
Hamstring stretches
What exercises are done to help increase lumbar lordosis and rehab a disc?
McKenzie’s Extension Exercises
What exercises include “finger tip wall walking” and “pendular exercises”?
Codman’s Exercises
What condition does Codman’s Exercises help with?
Shoulder Issues
What exercise is instructed to postpartum women and men with incontinence?
Kegel Exercises
What is the name of the exercise that provides Feedback?
Jacobson’s
What is the name of the exercises for knee rehab?
DeLorme
What are Frenkel’s Exercises?
Increase coordination
Uses a Wobble Board
What is the name of the exercises used in patterning and helping patients with Cerebral Palsy (CP)?
Bobarth
What is the name for Ballistic exercises?
Plyometric
What is an example of an Open chain exercise?
Bicep curl
Leg extension
What is the definition of an Open Chain Exercise?
Exercise where the hand/foot is free to move
What is the name of the exercise that has a fixed/does not allow the hand/foot to move freely?
Closed chain exercise
What is an example of a closed chain exercise?
Pushup
Squat
What is the name of the brace to help with Osgood-Schlatter disease?
Cho-pat brace
What is another name for Osgood-Schlatter disease?
Tibial Apophysis
What muscles are Weak/Inhibited in Upper Cross Syndrome?
Deep neck Flexors (i.e. Longus Coli and Longus Capitus) Lower Trapezius Serratus Anterior Rhomboids Posterior Deltoid
What muscles are Tight/Facilitated in Upper Cross Syndrome?
Pectoralis Upper Trapezius Levator Scapula Anterior Deltoid Superficial neck Flexors (i.e. Scalenes and Sternocleidomastoid (SCM))
What three muscles are Weak/Inhibited in Lower Cross Syndrome?
Abdominal (Transverse Abdominal)
Gluteus MAXIMUS
Hamstrings
What three muscles are Tight/Facilitated in Lower Cross Syndrome?
Iliopsoas
Quadriceps
Erector Spinae
What two supplements should a patient with Degenerative Joint Disease (DJD) be taking?
Glucosamine Sulfate
Chondroitin
What supplement should a patient with Herpes be taking?
L-Lysine