week 4 Flashcards

1
Q

Explain and demonstrate MMT to the patient  Assess unaffected side  Test position- either gravity eliminated or against gravity  Stabilized the site of attachment of the origin of the muscle (proximal to the joint being tested)  Prevent substitutions  Gradual resistance is applied in the opposite direction of movement

A

MMT process

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2
Q

Moves through full ROM against gravity and takes max resistance

A

5 Normal

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3
Q

Moves through full ROM against gravity and takes mod resistance

A

4 good

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4
Q

Moves through full ROM against gravity and takes less than mod resistance

A

4- good minus

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5
Q

Moves through full ROM against gravity and takes min resistance

A

3+ fair plus

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6
Q

Moves through full ROM against gravity, unable to take resistance

A

3 fair

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7
Q

Moves less than full ROM against gravity

A

3- fair minus

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8
Q

Moves through full ROM in gravity-eliminated plane, takes min resistance

A

2+ poor plus

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9
Q

Moves through full ROM in gravity-eliminated plane, takes no added resistance

A

2 poor

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10
Q

Moves through less than full ROM in gravity-eliminated plane, takes no added resistance

A

2- poor minus

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11
Q

Tension is palpated, no motion occurs

A

1 trace

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12
Q

No tension is palpated, no motion occurs

A

0

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13
Q

Contraindications of grip and pinch test

A

healing fracture, ligament repair, tendon laceration, tendon transfer of forearm, wrist, hand

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14
Q

precautions of grip and pinch test

A

grip/pinch testing is not appropriate in an acute joint, ligament, or tendon injury until resistive exercises are appropriate. Must be sure structures are healed enough for maximal load

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15
Q

grip testing procedure

A

Measures the extrinsic and intrinsic muscles of the hand.  Used to measures hand dysfunction and recovery  Should be measured with a calibrated dynamometer Average of 3 trials should be scored (unless painful)  Grip held for 3 seconds  15 second intervals between trails  Compare to uninvolved side (however correct for dominance)  Compare to established norms

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16
Q

rung for standard testing

A

second

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17
Q

grip testing position

A

Patient seated with arm adducted at side  Elbow flexed to 90, forearm in neutral, wrist at 15-30* of extension and 0-15* of ulnar deviation  Patient instructed to squeeze as hard as possible  Therapist gently supports the base of the dynamometer

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18
Q

Five-rung grip test

A

to determine bell curve

19
Q

Rapid exchange grip test

A

In the past been thought to limit less than maximal effort

20
Q

Place pinch meter between the radial side of the IF and thumb

A

lateral pinch

21
Q

Place pinch meter between the pulp of the thumb and pulp of the IF and MF

A

three point pinch

22
Q

Place pinch meter between the tip of the thumb and tip of the IF

A

two point pinch

23
Q

components of grip and pinch

A

Strength  ROM  Tendon glide  Lymphatic Function  Motor Control  Stable base (wrist, thumb)  Load Transfer (80% transferred to radius, 20% through ulna)  Innervation

24
Q

example of Activity method is altered

A

One handed techniques

25
Q

example of Object can be adapted

A

built up utensil

26
Q

example of Environment is modified

A

wheelchair ramp

27
Q

example of Alter Method

A

Learn to dress the affected side first to compensate for hemiplegia

28
Q

example Alter Task Object

A

use of sock aid for dressing lower body

29
Q

example of Modify the Task Environment

A

Lower clothing racks to increase access to clothes

30
Q

Remediation for Weakness

A

Always link interventions to impairments  Educate patient/caregiver how interventions will lead to improvement  Provide opportunity to transfer gains into functional tasks  Good for patients with few impairments or who’s impairments are expected to improve  Interventions include  Strengthening, ROM, endurance, aerobic exercise etc.

31
Q

Contraindications/Precautions for ther ex

A

poor health, inflamed joints, recent surgeries, permanent contractures, lack of voluntary control over motion

32
Q

Isotonic: concentric and eccentric

A

muscles move joint through ROM  Concentric: muscle shortens as it develops tension  Eccentric: Muscle lengthens as it develops tension

33
Q

Isometric

A

static muscle contraction with no change in muscle length

34
Q

Increasing muscle endurance

A

lower resistance, higher reps

35
Q

“During continuous physical activity both the circulatory and respiratory systems must supply adequate oxygen to continue the task”

A

cardiovascular endurance

36
Q

“Muscles engaged during the task can continue to work without fatigue.”

A

muscular endurance

37
Q

the signs of exceeded cardiopulmonary capacity

A

Dyspnea, weakness, angina, cognitive changes, changes in BP, decreased HR, pallor or cyanosis

38
Q

what MET level is this? Dusting, bathing (sitting),waking at slow pack, light office work (sitting), making bed

A

1.0-2.5 METs

39
Q

what MET level is this? Moderate (walk, run, play), raking lawn, walking downstairs, motorcycle riding, water aerobics, very light stationary biking

A

2.6-4.0 METs

40
Q

Major house cleaning, weeding, carpentry on house, dance aerobics, walk/jog (jogging less than 10 min), Elliptical (mod effort) MET level?

A

greater than 4.0-6.0 METs

41
Q

Shoveling, carrying object 50-74 lbs, carrying groceries upstairs, running 10-12 min mile, moving furniture, high-impact aerobics MET level?

A

6.0-10 METs

42
Q

Metabolic equivalent level (MET)

A

One MET = basal metabolic rate (amt of O2 consumption necessary to maintain metabolic process of the body at rest (3.5mL of O2 per kilogram of body weight/min)

43
Q

a reflection of cardiovascular state and fitness level (physiological)

A

Endurance

44
Q

a subjective feeling of being exhausted.

A

fatigue