Overview of TI

Question 1

What does the WHO define health as?

Answer 1

the state of complete physical, mental, and social well-being

Question 2

What is the ICF model?

Answer 2

conceptual framework characterized as a biopsychosocial model that integrates abilities and disabilities and provides a coherent perspective of various aspects of human functioning and disability as they relate to the continuum of health

Question 3

The ICF model was designed to place _ emphasis on diseases and _ on how people are affected.

Answer 3

less, more

Question 4

What is the purpose for the classification? (ICF)

Answer 4

knowledge of relationships among health, disability, and functioning provides a foundation for delivery of effective HC -

which provides a framework for how practice can be organized and how research can be based

facilitating effective management and care of pts reflected by meaningful outcomes

Question 5

What are the components of the ICF model?

Answer 5

Functioning and Disability (Activity and Participation, Body Functions and Stucture) and contextual factors (environmental and personal)

Question 6

What about the health conditions component of the ICF model?

Answer 6

they are acute or chronic diseases, disorders, or injuries that have an impact on level of activity

characterized by a set of abnormal findings indicative of alterations/interruptions of structure or function of the body

basis of medical Dx and trigger medical intervention

Question 7

What is the Body Functions and Structures component of the ICF model about?

Answer 7

impairments in body function:
including problems assoc. w/ function of body systems (incl. physiological and psychological functions) and problems with anatomical features (Such as significant deviation or loss effecting all body systems)

Question 8

What is the Activity component of the ICF model?

Answer 8

activity limitations include difficulties an individual may have in executing actions, tasks, or activities

Question 9

What is the participation a component of the ICF model about?

Answer 9

problems an individual may experience in involvement of life situations

includes difficulties participating in self-care, responsibilities in the home, workplace, or community, and recreation or leisure or social activities

Question 10

What are the environmental factors of the ICF model?

Answer 10

include physical, social, and attitudinal environment in which people conduct their lives

can facilitate or hinder functioning

Question 11

What are the personal factors of the ICF model?

Answer 11

features of individual not part of health condition or state that interact as constructs (such as age, gender, race, lifestyle habits, coping skills, character, affect, culture, education)

Question 12

What are the factors that selecting interventions are matched based upon?

Answer 12

exam findings (incl. date collection, systems review, tests and measures)
eval
Dx to support PT intervention
PX assoc w/ improved or maintained health status
Goals and outcomes

=POC

Question 13

What are the common MSK impairments managed thru PT intervention?

Answer 13

pain, muscle weakness/reduced torque production, decreased muscular endurance, limited ROM, restriction of joint capsule, restriction of periarticular CT, decreased muscle length, joint hypermobility, faulty posture, muscle length/strength imbalances

Question 14

What are the common NMS impairments managed thru PT intervention?

Answer 14

pain; impaired balance, postural stability, or control; incoordination, faulty timing; delayed motor development; abnormal tone (hypotonia, hypertonia, dystonia); ineffective/inefficient functional movement strategies

Question 15

What are the common CVS/Pulm impairments managed thru PT intervention?

Answer 15

Decreased aerobic capacity, impaired circulation, pain with sustained activity

Question 16

What are primary impairments?

Answer 16

arise directly from the health condition

Question 17

What are secondary impairments?

Answer 17

result of preexisting impairments

Question 18

What are composite impairments?

Answer 18

result of multiple underlying causes and arises from a combination of primary or secondary impairments

Question 19

Describe the impairment based approach.

Answer 19

If ROM is limited, ROM exercises are implemented;

if muscle flexibility is limited, stretching, stretching is Rxed;

if muscle strength is limited, resistance training is Rxed

and so on

Question 20

True/False: Impairments manifest differently from one patient to the other.

Answer 20

true

Question 21

True/False: All impairment are linked to activity limitations and participation restrictions or lead to disability.

Answer 21

false - not all impairments are necessarily linked

Question 22

The important key to effective management is recognition of _.

Answer 22

functionally relevant impairments (elimination/reduction of them is necessary during Tx)

Question 23

What are the strategies for establishing relevance?

Answer 23

when possible, use reliable and valid tests with know predictive validity

consider when testing alters familiar symptoms

consider when intervention corresponds with positive changes in signs/symptoms

consider when improvements correspond with positive changes in signs/symptoms

Question 24

What is the activity based approach?

Answer 24

intervention approach addressing activity limitations: consider overlap in them and impairments

Question 25

What are common activity limitations related to physical tasks?

Answer 25

reaching/grasping, lifting/carrying/lowering, pushing/pulling, bending/stooping, turning/twisting, throwing/catching, rolling, sitting/standing, squatting/crouching, kneeling, standing up and sitting down, getting in and out of bed, moving around in various environments (i.e crawling, walking), ascending and descending ladders/stairs, hopping/jumping, kicking or swinging an object

Question 26

What are the participation restrictions that may exist against PT regimen?

Answer 26

problems a person may experience in involvement in life situations as measured against social standards - specific to age, gender, sex, culture, etc

Question 27

What are the areas of functioning?

Answer 27

self care, mobility in the community, occupational tasks, school-related tasks, home management, caring for dependents, recreational and leisure activities, socializing with friends/family, community responsibilities and service

Question 28

What is the core of patient centered care?

Answer 28

reducing activity restrictions