Week 5 Flashcards

0
Q

OA of the hand most commonly affects the ______, ________, and _________joints

A

DIP, PIP, CMC joints

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1
Q

Orthoses that are made for individuals with arthritis are primary used to:

A

Reduce inflammation
Support and stabilize joints during function to reduce pain
Protects joints from increased stress/demand
Prevent joint contractures
Immobilize unstable joints
Increased ROM
Increased function
Position joints for “occupational performance”

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2
Q

Common symptoms of OA include?

A

Joint tenderness

Crepitus pain- sounds like a creeping door

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3
Q

__________% of individuals with persistent RA develop bilateral wrist joint involvement

A

95%

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4
Q

Orthoses used in the rheumatic hand are classified according to function: and they are?

A

Resting Orthoses
Static Orthoses
Static progressive
Dynamic splints

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5
Q

What Orthoses provides passive immobilization during the acute stage of inflammation, alleviate pain by resting the involved joints and facilitate the use of uninvolved joints?

A

Resting Orthoses

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6
Q

What Orthoses is the primarily used to provide support, stabilization protection and/ or immobilization and has no moving components?

A

Static Orthoses

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7
Q

What Orthoses is used to regain joint motion q

A

Static progressive Orthoses

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8
Q

How is joint motion achieved?

A

Achieved by the use of hook and loop closures, hinges, screws, and turnbuckles

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9
Q

What Orthoses is used to reduce ulnar deviation?

A

Static progressive Orthoses

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10
Q

What Orthoses is primarily used to apply force to lengthen tissue in order to restore motion and counteract the deforming forces of RA with constant gently traction?

A

Dynamic Orthoses

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11
Q

According to the CDC (United States Centers for disease control and Prevention), there are approximately _________people in the U.S. Who suffer from a traumatic brain injury each year.

A

1.5 million

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12
Q

How many people die from TBI each year?

A

50,000

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13
Q

How many people suffer long term disabilities?

A

85,000

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14
Q

In the U.S., more than __________people live with disabilities caused by TBI

A

5.3 million people

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15
Q

The causes of TBI are diverse. The top three caused are?

A

MVA
Firearms
Falls

16
Q

The highest incident rate for TBI is amount:
Males, 15-24 years old
Geriatrics, _________________

A

75 years and older

17
Q

What are the two classifications of TBI?

A

Open head injury

Closed head injury

18
Q

Involved acceleration/ deceleration with penetration is what classification of TBI?

A

Open head injury

19
Q

What TBI classification is often used by rapid acceleration/ deceleration without apparent visible damage?

A

Closed head injury

20
Q

Open head injuries Are results of?

A

Results from bullet wounds etc.
Largely focal damage
Penetration of the skull

21
Q

Closed head injuries are results from?

A

From a slip and fall, MVA, etc.
focal damage and diffuse damage to axons
Effects tend to be broad (diffuse)
No penetration to the skull

22
Q

What is another name for deceleration injuries?

A

Diffuse Axonal injury

23
Q

What is diffuse axonal shearing?

A

When the brain is slammed back and forth inside the skull it is alternately compressed and stretched because of the gelatinous consistency

24
Q

What is a Coup contra-coup injury?

A

Instance where brain bounces back and forth inside of the head, causing damage to the brain where it hits the skull
The brain is injured at the point of direct impact and it bounces back into the opposite side of the skull

25
Q

What is synergy?

A

Synergy occurs when muscles are firmly linked together and the patient is unable to master individual joint movements

26
Q

What are the three types of limb synergies?

A

Reflexive
Voluntary
A combination of reflective and voluntary

27
Q

A___________reflexive pattern can be defined as in involuntary evoked response to a physical agent (I.e. Touch, stretching, vibration)

A

A reflexive pattern

28
Q

A _______________pattern is produced though volitional movement, such as active knee or elbow extension

A

Voluntary pattern

29
Q

Upper extremity orthotics are most often prescribed to:

A
Prevent contractures 
Maintain mobility (for hygiene)
30
Q

A WHO can be applied to maintain wrist alignment and prevent what?

A

Prevent finger flexor deformities

31
Q

Finger separators are preferred to prevent what?

A

To prevent friction between fingers

32
Q

If spasticity is noted in the finger Flexors, full extension may not be possible what is a more suitable option?

A

A sphere-shaped palmar device may be more suitable

33
Q

What can be used if the patient has hypersensitivity to palmar contact?

A

Dorsal splint

34
Q

Some patients with TBI are hypersensitive to palmar contact which will elicit what?

A

Will elicit a grasp response