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RemexFinalReview1of3

CanColl May 2012 Remex Final Review 1 of 3 Dec 2011

QuestionAnswer
1. How do you ensure a client is performing homecare techniques properly? explain, demo, observe
2. What is important to ensure when giving a client a homecare program? techs are performed correctly & safely
3. What is the 1st step in developing a remedial exercise program? assess client's needs - use A.P.R.O.N.
4. How are the goals of a remedial exercise program developed? goals are related to how treatment will affect limitation or disability at end of the program
5. Who is in charge of the developing of a remedial exercise program? therapist and client
6. What are the 4 properties of MM? irritability, contractility, distensibility, elasticity
7. What is contractility? most distinguishing feature of mm's - ability to produce tension between its' ends and exert a pull
7. What is Elasticity? ability to recoil from a distended length (unless it's been overstretched)
8. What is the diff between the functional groups of MM's prime mover (agonist), antagonist, synergist, fixator
9. How do you perform ROM in a MM's range of elongation? from shortest to longest position or vice versa
10. What is the definition of functional excursion? ROM aka excursion ratio
11. How do you perform passive ROM? within the unrestricted ROM, produced entirely by an external force
12. Pendulum exercises are good for what stage of injury? Acute or whenever PROM is appropriate
13. What are the goals of AROM? maintain elasticity & contractility, sensory feedback from contracting mm's, inc circ, begin strengthening weakened mm's, dev coordination and motor skills
14. What are the goals of mechanical resistance exercises? inc mm strength, power and endurance,
15. What is the diff between types of MM fibers? Type 1 = slow twitch = red fibers Type 2 = fast twitch = white fibers
16. Which type of contraction develops the greatest amount of tension? eccentric
17. Why are eccentric exercises more likely to cause DOMS? eccentric most likely to stress mm's - DOMS caused by microtearing
18. What is important about form during resistance exercises? improper form can cause injury - substitue movements can indicate that resistance is too great
19. What is the overload principle? in order to gain strength, power or endurance, there must be an overload on the mm, a progressive inc of resistance or repetitions - usually to fatigue
20. At what stage of injury/healing can a client start resistance exercise? When full, pain-free ROM is achieved
21. What are the precautions to resistance exercise? cardiovascular (breathing), fatigue (local or general), recovery (every other day), overtraining, substitute motions, osteoporosis, DOMS
22. How often can a client do resistance exercises? every other day
23. What factors influence the strength of a muscle? cross-sectional size, recruitment, type of contraction, fibre-type distribution, energy stores, blood supply, speed of contraction, motivation of client (see Strength handout - with lec 8)
24. What is hypertrophy? when exercise designed to inc strength is applied to a mm, the size of the individual mm fibres can be increased. Type II mm's ( fast twitch) are primary source for hypertrophy
25. What is the definition of endurance? The measure of fitness and its ability to perform work for a long period of time and to resist fatigue
26. What is deconditioning? occurs with prolonged bed rest - mm mass, strength, CV function, blood volume, plasma volume, heart volume - all decrease. Occurs much faster than conditioning
27. Why do we recommend breathing exercises? to retrain the mm's of inspiration, improve ventilation, improve gas exchange, lessen work of breathing
28. What is hook-lying position? supine, upper body elevated 45', hips and knees flexed (like sitting in a La-Z-Boy chair)
29. What precautions must be taken when doing breathing exercises? Don't force exhale - avoid extended exhale.
30. Why is pursed lip breathing beneficial? slows and controls the rate of breathing
31. How do you mobilize the lateral rib cage? sitting, lean away on inspiration, fist in side & straighten during exhale
32. What is necessary to avoid when doing lymphatic drainage exercises? do not exercise to the point where the edematous limb aches
33. Why is flexibility important? to perform our normal daily functions of the body
34. What is selective stretching? stretch applied to some movements of Jt or MM while limitation or restriction remains in other movements or Jts.
35. How far should a client stretch? Feel the pull, no pain
36. What is the def of ballistic stretch? high intensity, short duration, bouncing stretch
36. How is a ballistic stretch diff from an active stretch? considered unsafe - poor control, potential of rupturing weakened structures
37. When is stretching indicated? ROM limited, reversible contractures, hypomobility, MM weakness with opposing tightness
38. What are the goals of stretching? regain normal ROM, prevent irreversible contractures, inc gen flexibility, prevent musculotendinous injury, dec mm tension, inc relax, inc coordination, develp awareness
39. Which PNF tech can be used in the chronic stage? Any / all
40. When are extra precautions necessary during stretching? osteoporosis, hypermobile Jts, pregnancy
41. What are CI's to stretching? bony block, recent frac, acute pain in movement, evidence of tissue damage - hematoma or bleeding, contractures providing joint stability
42. What are CI's to joint play? hypermobility (capsule stretched), jts with necrosis, joint effusion (swelling), ligs already stretched, inflammation in jt.
43. What can self massage be used for? Really?? You're kidding.... OK OK proceed.
43. What can self massage be used for? dec anxiety, depression, panic attacks, inc relax and control - used for scars, swelling, edema
44. Why is it important to demonstrate when teaching a client self massage? familiarize with sensation and structure. Also to ensure that they understand
45. What triggers the stress response? real or imagined threats
46. How is the stress response beneficial? sets up our defences, prepares us for challenge - protects us
47. What occurs during the relaxation response? heart rate, breathing, BP, metabolism, MM tension - all decrease
48. What are the 2 types of reactors to stress? mental / physical
49. Why is deep diaphragmatic breathing beneficial? inc oxygen, dec tension, dec stress, inc relaxation
50. How does sweating have an effect on body heat? Heat is removed from the body by sweating thru evaporation
Created by: Hanz Onn
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