Therex final Word Scramble
|
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
| Question | Answer |
| Components of TherEx | Balance, Coordination, cardiopulmonary control, flexibility + mobility, muscle performance, neuromuscular control, stability, posture |
| model of disablement | pathology --> impairment --> dysfunction --> disability |
| Pathology | disruption in body's homeostasis. e.g. inflammatory process, change in LT curve of muscle, wound healing + scar formation |
| impairments | the consequences of pathologic conditions. musculoskeletal, neuromuscular, cardiovascular/pulmonary, endurance, integumentary |
| Functional limitations | inability for a person to perform functionally as a whole (ADLs) |
| Disbaility | individual functioning within the social realm. |
| risk factors | biological, behavioral, physical environment, socioeconomic. |
| functional excursion | the distance a muscle can shorten after its been elongated to its max |
| active insufficiency | false manual muscle test reading |
| passive insufficiency | effects goniometric reading |
| Active assisted ROM | assistance provided by outside force either manually or mechanically because the prime movers need help to complete the motion |
| indications for PROM | acute/inflamed tissue 2-6 days post injury or surgery, also when AROM is contraindicated |
| PROM WILL NOT: | prevent muscle atrophy, increase strength or endurance, assist circulation as well as AROM/voluntary contraction |
| types of contractures | Myostatic (stretch gently) + pseudomyostatic (arthrogenic + periarticular): fibrotic and irreversable |
| Determinants of Stretching | Alignment + stabilization, intensity, duration, speed, frequency, mode, neuromuscular inhibition. |
| How long to hold stretched position | 15-30 secs add 10 secs for every 10 yrs increase in age |
| CI's to stretching | 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 |
| Stretch around the elbow? | watch out for heterotrophic ossification, edema, weak muscles |
| NM inhibition | hold relax, contract relax, distraction, contraction of contralateral extremity |
| functional strength | ability of the nm system to produce, reduce, or control forces during functional activities in a smooth coordinated manner |
| benefits of resistance exercise | enhance muscle performance, increased CT strength, greater bone density, reduced risk of soft tissue injury, enhanced physical performance, enhanced physical well being |
| principles of training | overload principle, SAID principle, Reversibility principle |
| What are some signs of muscle fatigue?` | tremulousness, jerky movements, unable to complete ROM, substitute motions, decline in peak torque |
| What are the determinants of resistance exercise? | Alignment, stabilization, intensity, volume, exercise order, frequency, rest interval, duration, mode of exercise, velocity, periodization, integration with functional activities, |
| what are the CI's to resistive exercise? | inflammation, pain, cardiac/resp disease |
| Training zone | after established baseline RM, amount of res. used when starting percent of RM. start out with 30-40% --> 60-70% |
| types of isometric contractions | muscle setting (e.g. quad set), stabilization exercise (PNF, Rhythmic stabilization), resisted isometric exercise |
| how long to hold isometric contraction | 6-10 secs |
| Brime isometric regime | 20 max contractions held 6 secs daily with 20 sec rest |
| davies rule of 10 | 10 sets, 10 reps everyday, `10 deg for every 10 secs. hold for 10 secs go up 10 degrees and repeat |
| CI's for isometric exercise? | cardiac or vascular disease |
| What kind of exercise is theraband? | high velocity variable dynamic resistance |
| isokinetic exercise | velocity is manipulated, not the load. accomodates to fatigue. short arc b4 long arc` |
| Progression of closed chain exercise | % body weight, BOS, support surface, balance, exclusion of limb movement, plane/direction of movement, speed of movement |
| What is PRE? | system of dynamic resistance when constant external load is applied. rom is used for baseline and progressed. |
| What is delorme? | use of 3 sets of 10 of a 10 rep max with progressive loading each set. builds warm up into program... 50%-75-100% |
| what is oxford method? | uses 10 RM ... 100-75-50 |
| plyometric training | high intensity high velocity eccentric to concentric exercises to develop coordination and muscle power |
| precautions of resistance training | valsava, substitutions, overtraining, overwork |
| what are the signs of DOMS? | 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 |
| H20 + temp | water retains 1000 X more heat than air and conducts temp 25 X faster increases with velocity |
| temp for water exercise | 26-33 C. 33C for acute MS injuries to relax, elevate pain threshold, and decrease spasm. |
| what about swimming strokes? | elicits higher elevation of HR, BP, v02 max than anything else |
| % jt. loading and ambulation: | c7=10%, xiphoid = 33%, ASIS = 50% |
| what are the types of tendinopathies?> | tenosynovitis (synovial), tendonitis (inflamm of tendon), tenovaginitis (thickening), tendinosis (overuse) |
| What is the protection phase ? | 4-6 days, PROM of affected tissue, AROM above and below, massage, muscle setting, control inflammation. |
| what is controlled-motion phase? | 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 |
| what is the chronic stage? | up to 6 months or year, progressive stretching, strengthening, endurance + return to function |
| myofascial pain syndrome | chronic regional pains syndrome, trigger point release |
| What to do for FM? | increase aerobic exercise |
| what is a functional capacity eval? | battery of performance tests to determine ability to work, perform ADLs or leisure |
| tests of function | gait performance, functional mobility, body mechanics, UE functional performance, agility and skill, adaptability to environment |
| When to return a pt to full part of activity? | 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 |
| when to start working on NMC? | acute stage |
| best position to train balance | QUADRIPED |
| how should speed + accuracy be addressed | TOGETHER, miss mary mack. inversely related |
| how to test proprioception | WB exercise!! anything that stimulates those jt. mechanoreceptors |
| android obesity | abdominal fat --> more risk of disease |
| gynoid obesity | fat around hips + thighs ---> less risk of disease |
| Waist Hip Ratio (WHR) | > ,95 + .86 is high risk |
| Sub Q fat norms? | 10-22 % men 20-32% women |
| BMI | kg/m^2 >25 overweight >30 obese |
| pilates is important for... | kinesthetic awareness, spinal stabilization ex/core strength, |
| what are the symptoms of Myositis Ossificans? | passive extension more limited than flexion, resisted elbow flexion causes pain, heterotopic bone formation, distal brachialis tender. |
| frozen shoulder | dense adhesions and capsular restrictions in dependant fold of capsule. freezing stage (pain)--> frozen stage (atrophy) ---> thawing stage (loss of ROM) |
| Complex Regional Pain syndrome stage I | acute reversible stage characterized by vasodilation lasting 3 weeks - 6 months. major pain, hyperhidrosis, warmth, erythrema, nail growth, and edema in hand |
| RSD stage II | dystrophic vasconstrictive phase lasts 3-6 months. characterized by burning hyperesthesia, intolerance to cold, mottling, brittle nails + osteoporosis |
| RSD stage III | 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. |
| whats the diff between type I + II? | type II has a known nerve injury |
| common impairments w RSD | outrageous pain in shoulder or hand, decrease motion of shoulder w capsular pattern, dec. flex + ext of hand, edema of hand, trophic changes in skin, nail growth or brittleness, atrophy of intrinsic hand muscles, osteoporosis |
| when is surgery indicated for RTC tear? | FULL thickness tears after trial of non-operative management |
| what are 3 types of rtc repair? | arthroscopic, mini approach (split deltoid), traditional open approach ( deltopectoral) |
| indications for THA | severe hip pain, marked limitations in movement, fracture, bone tumors, failure of conservative Tx |
| THA approaches | 1. posterolateral approach - glut max split, highest jt. instability. 2. direct lateral - post op weakness + positive trendelenberg's 3. anterolateral - for ppl with muscle imbalances, hip flexion + IR |
| goals of acute THA | 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 |
| Whats the **** is a Q angle? | line from ASIS to patella and then from patella to Tib Tub. may be a cause of PFPS. |
| Where does L3 refer to? | anterior knee pain |
| How to injure the ACL? | valgus force to knee OR ER of tibia with forced hyperextension |
| what is the goal of ACL exercise? | restore 90 deg of flexion, and full passive extension by first week. in acute phase, begin muscle setting of quads, hamstrings, hip ABD, ADD |
| what are the prehension patterns? | power grip, precision patterns, combined grips., pinch |
| whats the closed packed position of the foot? | full dorsiflexion |
| What are the risk factors for FALLS? | Balance deficit, muscle weakness, gait deficit, visual deficits, previous history of falls |
| what are the consequences of inactivity? | deconditioning, loss of muscle strength, functional decline, heightened risk of falls, hospitalization |
| How to correct back pain? | first self correct the lateral shift then standing backbend --> prone extension on hard surface |
| How to fix increased lumbar lordosis dueing gait>? | increase abdominal strength, stretch anterior hip flexors, strengthen pelvic floor and hip ADD, stretch + strengthen TFL/ITB |
| what are the functional leg length discrepancies? | circumduction, hip hiking, steppage, vaulting |
| What can cause long leg during gait? | spasticity of extensors, weakness of flexors, locking of knee, foot drop, SI problems |
| whats the normal walking base>? | 50-130 MM |
| anteroposterior sway limit | 12 degrees |
| lateral sway? | standing 4 inches apart, 16 degrees |
| What is the ankle strategy? | functions in anteroposterior plane to restore small perterbations. muscle activation proceeds distal to proximal. |
| weight shift strategy | functions in lateral plane, hips move in lateral plane through abductors and adductors |
| Hip strategy (IE balance beam) | 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. |
| stepping strategy (IE stumble) | if large force displaces COM beyond the limits of stability --> enlarge BOS by stepping forward. |
| Whats the best way to stretch? | low load long duration yields most significant plastic changes |
| delorme method | use of 3 sets of 10 of a 10 RM with progressive loading each set. builds warm up into exercise ... 50-75-100% |
| What to do about hip hiking>? | strengthen hamstrings |
| what to do about steppage?` | strengthen ankle dorsiflexors |
| what is vaulting? | raising up on toes of opposite limb to clear ground for affected limb |
| when should you emphasize exhalation? | during contraction |
| Diagnosis Criteria PPS | 1. history of paralytic polio 2. partial to complete muscle functional recovery 3. 15 years of stability 4. onset of greater than 2 new health problems 5. no other condition explains symptoms |
Created by:
llacorte
Popular Physical Therapy sets