Therex final
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Components of TherEx | show 🗑
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model of disablement | show 🗑
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Pathology | show 🗑
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impairments | show 🗑
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show | inability for a person to perform functionally as a whole (ADLs)
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Disbaility | show 🗑
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show | biological, behavioral, physical environment, socioeconomic.
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functional excursion | show 🗑
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active insufficiency | show 🗑
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show | effects goniometric reading
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Active assisted ROM | show 🗑
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indications for PROM | show 🗑
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PROM WILL NOT: | show 🗑
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show | Myostatic (stretch gently) + pseudomyostatic (arthrogenic + periarticular): fibrotic and irreversable
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show | Alignment + stabilization, intensity, duration, speed, frequency, mode, neuromuscular inhibition.
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How long to hold stretched position | show 🗑
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show | Advanced age, fracture, osteoporosis, acute local inflammation, hematoma, myositis ossificans, integrity of jt. hypermobility, functional contractures, sharp acute pain with movement, if shortened tissue provides jt. stability
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show | watch out for heterotrophic ossification, edema, weak muscles
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NM inhibition | show 🗑
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show | ability of the nm system to produce, reduce, or control forces during functional activities in a smooth coordinated manner
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benefits of resistance exercise | show 🗑
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show | overload principle, SAID principle, Reversibility principle
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show | tremulousness, jerky movements, unable to complete ROM, substitute motions, decline in peak torque
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show | Alignment, stabilization, intensity, volume, exercise order, frequency, rest interval, duration, mode of exercise, velocity, periodization, integration with functional activities,
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show | inflammation, pain, cardiac/resp disease
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show | after established baseline RM, amount of res. used when starting percent of RM. start out with 30-40% --> 60-70%
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types of isometric contractions | show 🗑
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show | 6-10 secs
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show | 20 max contractions held 6 secs daily with 20 sec rest
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davies rule of 10 | show 🗑
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CI's for isometric exercise? | show 🗑
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What kind of exercise is theraband? | show 🗑
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isokinetic exercise | show 🗑
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Progression of closed chain exercise | show 🗑
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show | system of dynamic resistance when constant external load is applied. rom is used for baseline and progressed.
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show | use of 3 sets of 10 of a 10 rep max with progressive loading each set. builds warm up into program... 50%-75-100%
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what is oxford method? | show 🗑
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plyometric training | show 🗑
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precautions of resistance training | show 🗑
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show | 1. muscle soreness starting 12-24 hrs peaking 48-72 hrs post exercise 2. tenderness with palpation 3. increased soreness with passive lengthening 4. local edema/warmth 5. muscle stiffness 6. decreased ROM + muscle strength
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show | water retains 1000 X more heat than air and conducts temp 25 X faster increases with velocity
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show | 26-33 C. 33C for acute MS injuries to relax, elevate pain threshold, and decrease spasm.
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what about swimming strokes? | show 🗑
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% jt. loading and ambulation: | show 🗑
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what are the types of tendinopathies?> | show 🗑
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show | 4-6 days, PROM of affected tissue, AROM above and below, massage, muscle setting, control inflammation.
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show | up to 6 weeks .Nondestructive exercise, promote healing and scar formation, isometrics + NM control, muscular endurance + LATER low intensity with high reps with light resistance
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what is the chronic stage? | show 🗑
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show | chronic regional pains syndrome, trigger point release
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show | increase aerobic exercise
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show | battery of performance tests to determine ability to work, perform ADLs or leisure
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tests of function | show 🗑
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show | 1. acute signs and symptoms resolved, no pain or edema 2. demonstrated ROM, strength, endurance, proprioception, agility, coordination. 3. activity performed as pre-injury 4. confidence to perform the task
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show | acute stage
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best position to train balance | show 🗑
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how should speed + accuracy be addressed | show 🗑
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show | WB exercise!! anything that stimulates those jt. mechanoreceptors
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show | abdominal fat --> more risk of disease
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show | fat around hips + thighs ---> less risk of disease
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show | > ,95 + .86 is high risk
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Sub Q fat norms? | show 🗑
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show | kg/m^2 >25 overweight >30 obese
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pilates is important for... | show 🗑
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show | passive extension more limited than flexion, resisted elbow flexion causes pain, heterotopic bone formation, distal brachialis tender.
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frozen shoulder | show 🗑
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show | acute reversible stage characterized by vasodilation lasting 3 weeks - 6 months. major pain, hyperhidrosis, warmth, erythrema, nail growth, and edema in hand
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show | dystrophic vasconstrictive phase lasts 3-6 months. characterized by burning hyperesthesia, intolerance to cold, mottling, brittle nails + osteoporosis
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show | known as atrophic stage characterized by severe osteoporosis, muscle wasting + contractures, can last for months or years with possible spontaneous recovery after 18-24 months.
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whats the diff between type I + II? | show 🗑
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common impairments w RSD | show 🗑
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when is surgery indicated for RTC tear? | show 🗑
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show | arthroscopic, mini approach (split deltoid), traditional open approach ( deltopectoral)
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indications for THA | show 🗑
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THA approaches | show 🗑
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show | prevent vascular + pulmonary complications + post-op dislocation, achieve functional mobility, maintain strength in UE + unaffected side, prevent reflex inhibition + muscle atrophy of affected side, prevent flexion contracture
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show | line from ASIS to patella and then from patella to Tib Tub. may be a cause of PFPS.
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show | anterior knee pain
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show | valgus force to knee OR ER of tibia with forced hyperextension
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show | restore 90 deg of flexion, and full passive extension by first week. in acute phase, begin muscle setting of quads, hamstrings, hip ABD, ADD
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show | power grip, precision patterns, combined grips., pinch
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show | full dorsiflexion
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What are the risk factors for FALLS? | show 🗑
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show | deconditioning, loss of muscle strength, functional decline, heightened risk of falls, hospitalization
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show | first self correct the lateral shift then standing backbend --> prone extension on hard surface
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show | increase abdominal strength, stretch anterior hip flexors, strengthen pelvic floor and hip ADD, stretch + strengthen TFL/ITB
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what are the functional leg length discrepancies? | show 🗑
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show | spasticity of extensors, weakness of flexors, locking of knee, foot drop, SI problems
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whats the normal walking base>? | show 🗑
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show | 12 degrees
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show | standing 4 inches apart, 16 degrees
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What is the ankle strategy? | show 🗑
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show | functions in lateral plane, hips move in lateral plane through abductors and adductors
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show | utilized for large or rapid external perterbations. uses rapid hip flexion or extension to move the COM over the BOS. activation is proximal to distal.
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stepping strategy (IE stumble) | show 🗑
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Whats the best way to stretch? | show 🗑
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delorme method | show 🗑
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show | strengthen hamstrings
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what to do about steppage?` | show 🗑
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what is vaulting? | show 🗑
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when should you emphasize exhalation? | show 🗑
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Diagnosis Criteria PPS | show 🗑
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