OCTH 712 exam 2
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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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