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OCTH 712 exam 2

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Question
Answer
supports head, arms, and trunk (HAT); supplies proximal stability; formed by 2 hip bones; does not always sit flat; symphysis where the 2 meet; twisting, leaning back   show
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between the 5th lumbar vertebrae and coccyx, 5 vertebrae   show
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lonest bone in body; varies in approach based on injury; OT may see in acute care, outpatient, hospitals because of fractures or surgeries   show
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show joints of pelvis and hip  
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show sacroiliac joint  
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show hip/coxal joint  
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movement of the hip; major muscles: rectus femoris(!), psoas major, iliacus, tensor fasciae latae, sartorius; ex. kicking a soccer ball   show
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movement of the hip; major muscles: gluteus maximus (!), hamstrings (!), adductor magnus, and gluteus medius; ex. ballroom dancing   show
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movement of the hip; major muscles: gluteus medius (ant.) (!), gluteus minimus (!), adductor longus, adductor brevis, pectineus, and gracilis; ex. skiing   show
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movement of the hip; major muscles: gluteus maximus (!), piriformis, quadratus femoris, obturator internus, obturator externus, superior and inferior gemelli, gluteus medius (post.); ex. line dancing   show
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show abduction  
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show adduction  
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show goniometry and MMT  
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moving from one place or position to another   show
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show ambulation  
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shifting weight of body from one leg to another, facilitates positioning and movement of body, done in clinic commonly, need to do this to complete activities   show
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hinge joint; biaxial; movements: flexion, extension, internal and external rotation; rotation mostly driven by hip   show
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show patellofemoral joint  
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show proximal and distal tibiofibular joints  
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hinge joint, uniaxial, movements: dorsiflexion and plantarflexion, close-pack position is full dorsiflexion   show
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movement of the knee; major muscles: biceps femoris (!), semitendonosus, semimembranosus, gracilis, and sartorius; ex. running   show
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show extension  
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movement of the knee; major muscles: semitendonosus, semimembranosus, gracilis, sartorius; ex. juggling a soccer ball   show
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movement of the knee; major muscle: biceps femoris (!); at knee and hip simultaneously; ex. getting out of the car   show
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show plantarflexion  
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show dorsiflexion  
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show inversion  
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movement of the knee and ankle; major muscles: fibularis longus (!) and brevis (!), extensor digitorum longus; helps to balance foot; ex. hiking   show
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show flexion of 2-5 toes  
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show extension of 2-5 toes  
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show therapist's body mechanics with transfers  
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show transfers  
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based on initial OT evaluation you want to select a transfer that can be performed in a way that is...   show
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type of assisted transfer, far supervision, least assistance   show
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type of assisted transfer, near supervision   show
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show contact guard  
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based on size and fear of falling   show
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secured around a patient's waist, used to provide a secure point of contact, alternative method to control patient's motion during transfer, should be able to only fit a few fingers under this when on   show
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move surfaces as close as possible, adjust height of surfaces, flatten surface if beneficial, lock and test brakes, provide instructions to client   show
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adjust patient's body position while laying in bed   show
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show logroll  
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includes flexing knees and hips and pushing with feet against bed to elevate and shift pelvis   show
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show trapeze bar  
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part of many transfers but not a transfer itself   show
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therapist does 1-25% of work   show
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show moderate assistance  
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show maximum assistance  
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show dependent assistance  
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show stand-pivot transfer  
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patient does not have strength to come to a complete stand   show
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show sliding board transfer  
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show dependent transfer  
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show pelvis  
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backward rotation of pelvis; flattens lumbar spine; increases thoracic flexion; bad for spine, lungs (chest is rounded and constricts lung cavity), not good for eating, makes transport difficult, poor upper limb movement; ex. slumping   show
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forward rotation of pelvis, increases lumbar lordosis, increases extension of upper trunk, opens up chest, much better for upper extremity activities   show
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show pelvic tilt  
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frontal plane position, one side of pelvis is superior or inferior to the other, misalignment   show
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show pelvic rotation  
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which type of transfer is more difficult when the client is in posterior pelvic tilt   show
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show rocking  
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general static location of an object or individual in space   show
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show pressure sores  
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show posture  
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show postural alignment  
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ability to achieve or maintain a balanced body position for a given activity, voluntary and involuntary adjustments, maintaining trunk control and other things while doing an activity   show
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neutral alignment of joints in the body, level pelvis supporting the natural curvature of spine   show
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show quiet standing  
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small movements from side to side and front to back, helps maintain posture while standing, reduces pressure on feet or other pressure points, clients with strokes or other injuries may not correct like this naturally   show
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neutral pelvic tilt as well as head and neck, symmetry is important, upright trunk with balanced curvature of spine, ears aligned with shoulders, doing this for a long time can cause back pain   show
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show upright; symmetrical  
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show increase  
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positioning is important, neutral pelvic tilt, footrests should support legs in approximately 90 degrees of hip and knee flexion   show
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show stability  
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show base of support  
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BOS constantly changes, varying contact between feet and ground, more points of contact, one is easier on points of contact   show
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adds points of contact; increases stability; ex. canes, crutches, walkers   show
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adds 4 points of contact, greater stability while standing or walking, assist with balance since they increase BOS   show
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focal point at which gravity acts and around which the weight of an object is evenly distributed, lower = increased stability, kids have higher ones because of disproportionate heads, as weight distribution changes this changes   show
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represents downward force of gravity acting on body, vertical line, if it falls with BOS the body is anatomically stable, extends from COG to ground   show
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stability required for an individual to perform a particular task in a specific environmental context; depends on body structure and function; sitting or standing; ex. movement, doing activities, shifting BOS   show
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increase BOS and maintain LOG within its boundaries, increase surface area and friction of point of contact with ground, carry objects close to body and distribute weight as evenly as possible   show
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study of human interaction and efficiency with work environment   show
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postural abnormality, one leg is longer than other, lifts are helpful to balance this, causes pelvic obliquity, increases risk of falls   show
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show scoliosis  
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is ASIS or PSIS higher in posterior pelvic tilt   show
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show posterior pelvic tilt  
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show swayback  
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show Dowager's hump  
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type of posterior tilt, decrease in lumbar lordosis and general flattening of thoracolumbar spine   show
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show anterior pelvic tilt  
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show forward head posture  
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affected by roles, habits, routines, and rituals; what are they doing and how much are they doing it; prolonged positioning causes issues; consider work position for various jobs   show
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show standard J-cane  
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show single-point cane  
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show quad cane  
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show hemi-walker  
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show sizing canes  
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show axillary crutches  
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show axillary crutches  
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show forearm crutches  
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used with individuals with chronic conditions (especially MS and cerebral palsy) which affect balance but not strength   show
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show sizing crutches  
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show standard walker  
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fixed wheels in front, difficulty with turning, may have hand or compression brakes, most can fold for portability, good for constant balance support, bariatric versions: sturdier metal with wheels in the back   show
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a.k.a. a rollator, not much stability for weight-bearing, best for minor balance and fatigue issues, often has a seat to help with fatigue   show
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show gait  
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show gait  
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phase of gait; involves planting foot and shifting weight to it; 5 components: heel strike, foot flat, midstance, heel-off, toe-off   show
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phase of gait; moving the leg; 3 components: acceleration, midswing, and deceleration   show
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part of swing phase, anterior shear force applied to foot from the ground, during heel-off   show
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part of swing phase, posterior shear force applied to foot from the ground to slow propulsion of lower extremity, part of heel strike   show
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show gait  
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show step  
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show step width  
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number of steps taken per minute   show
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components of measuring gait   show
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abnormal gait, pelvis drops excessively on swing leg side with each step, typically caused by a weak gluteus medius, slows down cadence   show
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matters for any occupation that includes ambulation   show
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abnormal gait, circumducting (swinging) the leg out to the side of the body to propel it forward, trunk and pelvis rotate anteriorly, slows dows cadence   show
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abnormal gait, toes drag against the ground during swing phase, loss of ankle dorsiflexion, common after a stroke or TBI, increases risk of falls and toes getting caught   show
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abnormal gait, paralysis or weakness of an entire side of the body, results from neurological pathology (ex. stroke, TBI, or cerebral palsy), may include foot drop or spasticity   show
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show antalgic gait  
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show ataxic gait  
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show scissor gait  
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show parkinsonian gait  
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show weaker side  
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weight should be beared on ____ when using cruthces   show
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reflects what a doctor will allow the patient to do and not necessarily what is functionally possible for the client based on diagnosis   show
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show types of weight-bearing  
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show full weight-bearing with walker  
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show partial weight-bearing with walker  
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type of weight-bearing, walker, then transfer weight to arms, involved leg swings through with other leg, injured leg does not touch floor   show
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type of weight-bearing, only allowed to put the foot down to guide, better to treat as non-weight-bearing   show
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