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FND III > FND III - Transfers Practical > Flashcards

FND III - Transfers Practical Flashcards

1
Q

What is supervision, close guarding, and contact guarding?

A

Supervision - Needed within arm’s reach but low probability of problem

Close - In “ready mode”

Contact - physical contact maintained (no assistance)

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2
Q

What is minimal, moderate, and maximal assistance?

A

Min: Pt does 75% of activity
Mod: Pt does 50% of activity
Max: Pt does 25% of activity

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3
Q

What are the 5 types of weight-bearing status?

A 
NWB
TTWB
PWB
WBAT
FWB
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4
Q

What side do you transfer toward: strong or limited?

A

Strong side

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5
Q

What are the hip precautions for a THA posterolateral approach?

A 
No hip flexion > 90 deg.
No adduction/IR beyond neutral
Do not cross legs
Knees lower than hip when sitting
No bending over in sit-to-stand
Raised seats
Pivot on strong side
Sleep in supine with abduction pillow
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6
Q

What are the hip precautions for a THA anterolateral and lateral approach?

A

No hip extension, adduction, ER past neutral
No tailor sitting (combined flexion, abduction, ER)
No hip hyperextension when ambulating

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7
Q

Why does an amputee need to increase his/her endurance?

A

For use of prosthesis

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8
Q

What is the functional level of a C4 SCI?

A

Dependent in transfers, power wheelchair

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9
Q

What is the functional level of a C5 SCI?

A

MAY be able to transfer, propel wheelchair and assist in self-care depending on strength of biceps and deltoids

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10
Q

What is the functional level of a C6 SCI?

A

Wrist extensors, independent with manual chair and sliding board transfers

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11
Q

What is the functional level of a C7 SCI?

A

Triceps, finger extension, and is independent with transfers and bed skills (with or without sliding board)

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12
Q

What is the functional level of a T2-T12 SCI?

A

Chest/abdominal muscles, trunk control

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13
Q

What is the functional level of a L1-S1 SCI?

A

Leg muscles depending upon level, bilateral KAFOs, assistive devices

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14
Q

What is hemiplegia and hemiparesis in a CVA?

A

Paralysis/paresis on side contralateral to CVA

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15
Q

What is reversible ischemic neurologic deficit?

A

CVA that resolves within 3 weeks with spontaneous recovery

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16
Q

What are the direct impairments of a CVA patient?

A 
Proprioception deficit
Pain (if PCA)
Homonymous hemianopsia, visual neglect
Motor deficits
Aphasia (speech)
Dysphagia (aspiration)
Cognitive dysfunction
Affective disorders
Seizures
Bowl/bladder dysfunction
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17
Q

What is the progression of muscle tone in a CVA patient?

A

Flaccidity –> spasticity –> massed patterns of movement

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18
Q

What is typical extremity posturing for a patient with R CVA (L hemiplegia)?

A

L flexor synergy in UE

L extensor synergy in LE

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19
Q

What are the effects of spasticity?

A

Balance, coordination, postural control, restricted volitional movements, static posturing of limbs resulting in contracture.

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20
Q

What is apraxia?

A

Motor programming deficit (inability to perform coordinated movements or manipulate objects).

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21
Q

What is the typical cause of emotional liability?

A

Right CVA

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22
Q

When does rehab begin for a CVA patient?

A

As soon as patient is medically stable

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23
Q

What is a Stage I wound?

A

Reddening of skin’s surface that does not disappear within 20 minutes.

Off-load area, cushioning, and improve nutrition/hydration

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24
Q

What is a Stage II wound?

A

Injury to the skin, open sore, or blister.

Moist wound care, cleaning, and protection from further injury

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25
Q

What is a Stage III wound?

A

Extends through subcutaneous tissue into underlying muscle.

Medical care is required immediately to prevent/treat infection and promote healing.

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26
Q

What is a Stage IV wound?

A

Extends to the tendons and bone.

Aggressive treatment or else serious consequences.

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27
Q

What is Fowler’s position?

A

Patient is supine, HOB is 45-60 deg., knees somewhat flexed.

Used for abdominal drainage or comfortable reclining.

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28
Q

What is the Trendelenburg position?

A

Pt supine, HOB is lower than FOB

Used for hypotensive patients, abdominal/GYN surgery

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29
Q

How should you go about fixing a patient’s position in a wheelchair?

A

Fix the trunk first, then the extremities.

Hips flexed > 90 deg., feet supported in neutral, pillow under butt, lap board for shoulder girdle support

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30
Q

What is the transfemoral position of comfort?

A

Hip flexion, abduction, ER

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31
Q

What is the transtibial position of comfort?

A

Hip flexion, abduction, ER

Knee flexion

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32
Q

What are the guidlines for positioning LE amputee?

A 
Don't let residual limb hang off bed
No pillow under thigh/knee when supine
No pillow under low back
No knee flexion in supine
No crossing legs
Hips neutral
Extend knee
Minimize sitting time with knee flexed
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33
Q

Spanish: Hello, I am Susan, nice to meet you.

A

Hola, soy Susan, mucho gusto

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34
Q

Spanish: What is the problem?

A

Que le pasa?

35
Q

Spanish: Sit

A

Sientese

36
Q

Spanish: Where does it hurt?

A

Que le duele?

37
Q

Spanish: Do you have any pain?

A

Tiene algun dolor?

38
Q

Spanish: medicina

A

Medicina

39
Q

Spanish: Have you ever had physical therapy?

A

¿Ha tenido terapia física?

40
Q

Spanish: thank you

A

Gracias

41
Q

Spanish: you’re welcome

A

De nada

42
Q

Spanish: good bye

A

Adios

43
Q

Available movements: C1-3 SCI

A

Talking
Mastication
Sipping
Blowing

44
Q

Available movements: C4 SCI

diaphragm, trapezius

A

Respiration

Scapular elevation

45
Q

Available movements: C5 SCI

elbow flexors, deltoid, rhomboids, supinator

A 
Elbow flexion
Forearm supination
Shoulder ER
Shoulder abduction to 90 deg
Limited shoulder flexion
46
Q

Available movements: C6 SCI

ECR, infrasp, lats, pec major, pronator teres, serratus, teres minor

A

Shoulder flexion, extension, IR, adduction
Scapular protraction
Forearm pronation
Wrist extension

47
Q

Available movements: C7 SCI

EPL, EPB, finger extensors, FCR, triceps

A

Elbow extension
Wrist flexion
Finger extension

48
Q

Available movements: C8 SCI

finger flexors, FCU, FPL, FPB

A

Full innervation of UE muscles including coordination and strong grasp

49
Q

Available movements: T4-T6 SCI

top 1/2 intercostals, long ms of back

A

Improved trunk control
Increased respiratory reserve
Pectoral girdle stabilized for lifting things

50
Q

Available movements: T9-T12 SCI

lower abs, all intercostals

A

Improved trunk control and increased endurance

51
Q

Available movements: L2-L4 SCI

Gracilis, iliopsoas, Quad lumb, Rect Fem, Sartorius

A

Hip flexion, adduction

Knee extension

52
Q

Available movements: L4-L5

Ext digit, low back ms, hamstrings, posterior tib, quads, tib ant

A

Strong hip flexion
Strong knee extension
Weak knee flexion
Improved trunk control

53
Q

Spanish: How are you?

A

Como esta?

54
Q

Spanish: Do I have your permission?

A

Tengo su permiso?

55
Q

Spanish: stand up

A

Levantarse

56
Q

Spanish: sit down

A

Sentarse

57
Q

Spanish: up

A

arriba

58
Q

Spanish: down

A

bajo

59
Q

Spanish: let me

A

Permitanme

60
Q

Spanish: help me

A

Ayudame

61
Q

Spanish: go

A

Pasar

62
Q

Spanish: stop

A

Dejar

63
Q

C1-3 functional status

A

Dependent

64
Q

C4 Wheelchair skills

A

Independent with power wheelchair via breath or chin control

65
Q

C4 transfer skills

A

Dependent

66
Q

C5 wheelchair skills

A

Independent with manual w/c w/ plastic-coated handrim projections

67
Q

C5 transfer skills

A

Dependent

Overhead swivel bar or sliding board

68
Q

C5 bed skills

A

Some assistance required

69
Q

C6 bed skills

A

Some assistance to independent with use of side rails or overhead triangle

70
Q

C6 wheelchair skills

A

Independent with manual wheelchair with projection or friction surface hand rims. Limited w/c sports

71
Q

C6 transfer skills

A

Independent with sliding board on level surfaces

72
Q

C7 bed skills

A

Independent

73
Q

C7 w/c skills

A

Indep w/ manual w/c with friction surface hand rims

74
Q

C7 transfer skills

A

Indep w/ or w/o sliding board

75
Q

C8-T1 bed skills

A

Independent

76
Q

C8-T1 w/c skills

A

Independent with manual w/c with standard hand rims

77
Q

C8-T1 transfer skills

A

Independent

78
Q

T4-T6 w/c skills

A

Independent with manual w/c, able to negotiate curbs (“wheelie” technique) and full participation in w/c sports

79
Q

T4-T6 ambulation

A

Standing table or frame

KAFOs with spinal attachment - may be able to ambulate for short distances with assistance

80
Q

T9-T12 w/c skills

A

Wheelchair used for energy conservation

81
Q

T9-T12 ambulation

A

Bilateral AFOs and crutches or walker (household only, high energy consumption)

82
Q

L2-L4 ambulation

A

Functional

Bilateral KAFOs and crutches; w/c used for convenience and energy conservation

83
Q

L4-L5 ambulation

A

Bilateral AFOs and crutches or canes; w/c used for convenience or energy conservation.

FND III (5 decks)

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