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pt seminar.
midterm
Question | Answer |
---|---|
These people used massage as a therapeutic agent (shiatsu) | chinese |
These rivers were worshiped because of their healing powers | niles and ganges |
exercise means... | ...freed movement |
orthopedics means... | ...to straighten children (would straighten out children with scoliosis) |
functional anatomy "inventor" | andreus vesalius |
"the complete bonesetter" | friar moulton |
___________ coined the term orthopedics | nicholas andre |
proposed practice of osteopathy | andrew taylor still |
rule of the artery | osteopathy |
blood flow leads to good health | rule of the artery |
proposed practice of chiropractic | d.d. palmer |
law of the nerve | chiropractic |
the body has the substance within to grow and repair; disease occurs when nerve stimuli is changed | law of the nerve |
the first physical therapists | reconstruction aids in wwi |
founder of physical therapy (physiotherapy) | mary mcmillan |
first apta president | mary mcmillan |
required physical therapy departments in hospitals with over 100 beds | hill burton act |
you can access a pt directly without the referral of a doctor | direct access |
disease, disorder, condition | pathology/injury |
chickenpox, ms, and scoliosis are all examples of... | pathology/injury |
alterations in anat/phys, or psychological structures or function | impairements |
broken bone, fractured humerus, and an acl tear are all examples of... | impairments |
inability to perform physical task or activity | functional limitation |
not being able to walk is an example of a... | functional limitation |
inability or limitation in performing activities related to sociocultural context | disability |
not being able to work is an example of a... | disability |
five components of patient/client management | examination, evaluation, diagnosis, prognosis, intervention |
three components of an examination | history, systems review, tests and measurements |
what your patients tell you | subjective examination |
the four parts of an examination | subjective, objective, assessment, plan |
a list of possible ailments related to the symptoms | differential diagnosis |
an examination is made up of two things... | open and closed ended questions |
general demographics | sex, age, race, language |
social history | cultural beliefs, social interactions |
occupation/emploment | repetitive stresses? sedentary? |
growth and development | hand/foot dominance, developmental history |
living environment | stairs? |
persistent pain at night, constant pain, unexplained weight loss, loss of appetite, unusual lumps or growths, unwarranted fatigue | cancer |
SOB, dizziness, heaviness in chest, pulsating pain, constant and severe LE or UP pain, discolored or painful feet, swelling | cardiovascular |
frequent or severe abdominal pain, frequent heartburn or indigestion, frequent nausea or vomiting, change in bladder function (UTI), unusual menstrual irregularity | gastrointestinal |
change in hearing, frequent or severe HA without Hx of injury, problems with swallowing or speech, visual changes, problems with balance, coordination, falling, drop attacks, sudden weakness | neurological |
why is the patient here? MOI | history of current condition |
out of the blue, but lasts for awhile | insidious |
inciting trauma, repetitive activity, predisposing factors? position, forces applied? medical attention, intervention? | mechanism of injury |
onset, insidious, and progression is between 7-10 days | acute |
onset, insidious, and progression is between 10 days - 7 weeks | subactue |
onset, insidious, and progression is longer than 7 weeks | chronic |
deep, boring, very localized | bone |
diffuse, aching, poorly localized | vascular |
sharp, shooting, bright, lightening like | nerve |
dull, aching, cramping | muscle |
not locking in the same position every time | pseudolocking |
ringing in the ear | tinnitus |
over mobile | hypermobile |
popping or rubbing | crepitus |
sitting for a long period of time and being stiff when standing | cinema sign |
hyperextension of the knee | recurvatum |
>< | valgus |
<> | varus |
patella is sitting medially commonly associated with femur-patella pain | squinting |
patella is sitting laterally. commonly associated with bow legged | frog/grasshopper eyes |
patella is sitting high. tight quads | alta |
patella is sitting low | baja |
hard end feel | bone |
soft end feel | soft tissue |
firm end feel | tissue stretch |
patient is in too much pain and you don't reach an end feel | empty |
to test if a muscle is damaged.. | flex, extend, supinate, pronate, rotate |
strong and painful | grade 1 muscle strain |
grade 1 muscle strain | muscle or tendon |
weak and painful | grade 2 muscle strain |
grade 2 muscle strain | severe lesion at joint or bony structure |
weak and painless | grade 3 muscle strain |
grade 3 muscle strain | neurological problem |
TAOS | Therapeutic associates outcome system |
FCE | functional capacity examination |
most common movement analysis | gait |
concave-convex | bakk and socket joint |
convex-concave | roll and glide is in the same direction |
two kinds of posture | static and dynamic |
three dimensions of posture | side-to-side front-to-back roatation |
c shaped spinal curvature concave anteriorly present at birth interact with environment thoracic spine and sacrum | primary curvature |
concave posteriorly cervical: begins with lifting of child's head lumbar:starts with sitting and walking | secondary curvature |
a saggital plan curvature with anterior concavity and posterior convexity | kyphosis |
humpback | kyphosis |
a saggital plane curvature with posterior concavity with posterior concavity and anterior convexity | lordosis |
bending backwards | lordosis |
lateral curvature of the spine always associated with a rotation | scoliosis |
crooked | scoliosis |
everyone has these spinal curvatures to some degree, only a problem when they are extreme | lordosis and kyphosis |
natural limb alignment as a child | genu-varum |
pes planus subtalar pronation lateral tibial torsion lateral patellar subluxation excessive hip adduction hip medial rotation | genu valgum |
lateral patella subluxation | knees out |
tibial varum medial tibial torsion hip lateral rotation hip abduction | genu varum |
ankle plantar flexion anterior pelvic tilt | genurecurvatum |
out toeing excessive subtalar supination | tibial torsion |
twist in bone | torsion |
poor muscle tone can be found in someone with... | down syndrome |
one leg longer/foot bigger is an example of | bony architecture that would affect posture |
hyperextension of the arm and the ability to touch your thumb to your wrist is an example of | ligamentous laxity that would affect posture |
vision could affect posture because | someone with bifocals would cause someone to excessively move their head |
hearing could affect posture because | if someone has a dominant ear, they are more likely to bend that way |
thin body build small, flat joints limited muscle bulk relatively low body weight | ectomorphic |
sturdy, muscular body build "...preponderance of muscle, bone, and connective tissue, usually of heavy hard physique of rectangular outline" | mesomorphic |
a wrestler is usually of ______ body type | mesomorphic |
heavy or fat build large concave/convex joints plenty of bulk | endomorphic |
sidebending and rotation to opposite directions | congenital torticollis |
an appreciable lateral convexity caused by specific congenitally anomalous vertabrae | congenital scoliosis |
failure of the formation of part or all of vertebral segment | defects of formation |
failure of segmentation | defects of segmentation |
lateral curvature of the spine in an otherwise healthy child no evidence of underlying neurologic or muscular disorders no developmental anomalies | idiopathic scoliosis |
most common idiopathic scoliosis because the second curve "fixes" you by keeping you straight | double major curve |
traditional posture bringing the body parts in close to the line of gravity rigid posture minimizes the moments acting on the body | static posture |
functional posture constant motion head and neck is upright trunk is upright | dynamic posture |
diagonal pattern dominant foot behind balance weight with ability to shift chin tuck until uncomfortable, then bring forward to comfort arms at side without slouching | standing posture |