notes resist, aerobic, jt mob, sx, gait, arthritis
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| slow twitch (ST) | show 🗑
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| show | type II, white glycolytic, anaerobic, contract at a higher speed than type I fibers, high levels of myosin, ATPase provides energy for speed of contract & tension, low myoglobin content, few mitochondria, 3 subtypes
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| show | strength, power & endurance
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| show | resistance applied must be great enough to at least briefly exceed the mm capacity- can be applied to both strength & endurance exercise
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| reversibility principle | show 🗑
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| progression principle | show 🗑
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| show | pain/cramping, trembling, movement slows, substitution, jerky movements
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| general strength training recommendations for elderly | show 🗑
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| show | hypertrophy (sarcameres & mm cells get bigger, increase water & vascular content & proteins-actin & myosin-) hyperplasia -increased capillary density, increases in bone, ligament & tendon strength, specific decrease in osteoporosis
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| DeLorme progressive resistance exercise (PRE) | show 🗑
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| show | establishes the individual's 10 RM for the first set, moving to 75% of the 10 RM for the second set, and ending w/50% of the 10 RM for the 3rd set (10 reps ea)
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| Knight (DAPRE) | show 🗑
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| show | sets should increase, reps should increase, and resistance should decrease
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| exercise parameters- order | show 🗑
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| show | low level isometric
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| show | example: wall squat
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| show | otherwise mm would only build strength in one spot
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| isometric exercise protocol-rule of tens | show 🗑
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| show | originally termed for Delorne's 1 RM with formula used to increase wts & reps-now a gen term for progression of wt & reps w/exercises
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| show | clinical measurement of body's ability to efficiently use oxygen during higher intensity activity (a measure of fitness) this imporoves when you exercise regularly
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| show | produces energy by both aerobic & anaerobic pathways & is possible to improve the efficiency of both w/exercise
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| show | more likely to be aerobic
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| show | more likely to be anaerobic
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| show | anaerobic system used during brief bursts of activity lasting periods of 30 seconds
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| glycolytic system | show 🗑
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| Type I fibers | show 🗑
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| Type II B fibers | show 🗑
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| which part of BP increases in response to aerobic exercise? | show 🗑
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| children 6-17 should exercise | show 🗑
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| adults 18-65 should exercise | show 🗑
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| show | 30 min of moderate or 20 min vigorous exercise 3-5 days weekly
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| show | phase 1- supervised & monitored progressive ambulation
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| show | phase 2- monitored low level exercises 3x weekly
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| pt with coronary dx outpatient program | show 🗑
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| show | passive, skilled, manual therapy, type of PROM/Stretching
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| show | thrust techniques-high velocity at end ROM
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| show | non thrust techniques
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| show | helps move synovial fluid, maintain extensibilty & tensile strength of articular & periarticular tissues, provides sensory input for proprioceptive feedback
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| osteokinematics | show 🗑
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| arthrokinematics | show 🗑
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| show | predictable limitations that occur with capsular tightness
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| show | the point where joint is highly congruent, ligaments are taut, joint is well stabilized and accessory motions are minimized
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| show | loose-25 degree flex, closed packed- ext & lat rot, capsular pattern-loss of both flex & ext
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| show | loose-55 degree abd & 30 degree horizontal ADD, closed- ABD & lat rot, capsular pattern-ER, abd & IR limited
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| show | loose-midway of ROM, closed-supination, capsular pattern-loss of inversion/varus motions
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| show | shd & hip
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| concave moving on convex | show 🗑
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| show | small amplitude oscillation applied at beginning of ROM
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| Grade II jt mob | show 🗑
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| Oscillations Grade 1 or 2 | show 🗑
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| Grade III | show 🗑
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| show | small amplitude motion applied at end range
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| Grade V | show 🗑
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| Grade 3&4 performed | show 🗑
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| grade 5 performed | show 🗑
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| used to rx pain | show 🗑
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| treats joint restrictions | show 🗑
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| show | Grade5
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| contra for mobilization | show 🗑
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| precautions for mobilization | show 🗑
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| max protection phase after sx | show 🗑
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| therapy interventions in max protection phase after sx | show 🗑
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| show | progression of activity & promotion of independence. pt often returns to work & may still have some restrictions. expect will come out of immobilizer/brace. progress AROM to stretching & begin resistive ex per protocol. often lasts into 2nd postop month
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| show | progression to cane or dc of AD, dc of isometrics & begin closed chain strengthening, ROM, scar massage & stretching to increase ROM. pt may see PTA only weekly for progression of program
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| min protection/return to function phase after sx | show 🗑
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| therapy interventions in min protection phase after sx | show 🗑
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| potential postoperative complications & risk reduction | show 🗑
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| allergic reactions & ADR | show 🗑
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| prescription dose of NSAID available by injection | show 🗑
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| only COX2 inhibitor left on market | show 🗑
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| corticosteroids-powerful antiinflammatory & immunosuppressant medications used for... | show 🗑
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| show | staph (staph aureus)
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| show | MRSA
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| common infections that can cause UTI/PNA | show 🗑
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| Very resistant hospital acquired infection of GI tract | show 🗑
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| show | penicillins, ampicillins, cefazolin, flagyl, cipro, vancomycin
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| superficial zone of articular cartilage | show 🗑
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| intermediate zone of articular cartilage | show 🗑
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| deep zone of articular cartilage | show 🗑
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| calicified zone of articular cartilage | show 🗑
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| eburation | show 🗑
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| Heberden's nodes at | show 🗑
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| Bouchard's nodes at | show 🗑
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| pannus | show 🗑
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| show | PIPS & MCP jts of hands, MTP of feet & knees - shd
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| ulnar drift | show 🗑
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| boutonniere | show 🗑
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| swan neck | show 🗑
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| show | loss of DIP ext
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| show | bunion-can be OA or RA or something else-big toe bends in toward other toes
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| show | hyperext MTPs, flex PIP, ext DIP
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| show | MTP ext with flex of DIP & PIP
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| stance phase | show 🗑
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| swing phase | show 🗑
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| step | show 🗑
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| show | contact with one foot on ground until contact with same foot
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| show | heel strike to heel strike of same foot-describes what pt is doing
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| stride length | show 🗑
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| step length | show 🗑
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| IC | show 🗑
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| LR | show 🗑
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| show | mid stance
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| show | terminal stance
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| PSw | show 🗑
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| ISw | show 🗑
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| MSw | show 🗑
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| show | terminal swing
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| cadence | show 🗑
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| initial contact to loading response | show 🗑
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| loading response to midstance | show 🗑
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| show | plantarflexors concentric, glutes contract
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| terminal stance to pre-swing | show 🗑
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| show | concentric hamstrings, hip flexors concentric
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| show | isometric dorsiflexors, momentum, eccentric hamstrings, eccentric gluteals & hamstrings
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| show | gait pattern accompanied by pn, observable reduction in motion at painful jt & asymmetry, compensations seen: trunk leaning to or away from painful jt during stance phase
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| lateral trunk bending | show 🗑
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| show | during early stance or early swing phase of gait cycle. pt leans post to move the line of gravity of the trunk behind the hip jt
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| show | stance phase of gait, compensation for quad weakness
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| excessive ankle plantar flex | show 🗑
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| hip circumduction | show 🗑
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| show | observed during loading response or terminal stance phase. may be due to knee flex contracture, knee pn, knee jt effusion
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| show | excessive downward mvmt of the pelvis of the swing leg. caused by hip abd wkness or neuromm dx. also called Trendelenburg sign
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| SAID principle | show 🗑
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| vasculitis | show 🗑
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| colitis | show 🗑
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| show | big spleen
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| show | inflamed aorta
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| show | inflammation of heart, lifespan shorted in RA pts due to heart probs
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