Principles of Intervention (9/12b)

Question 1

Testing Movement Factors - Force

Answer 1

EX: manual muscle testing, rep max testing, dynamometer

Question 2

Testing Movement Factors - Motion

Answer 2

EX: goniometer, joint integrity testing

Question 3

Testing Movement Factors - Energy

Answer 3

EX: vital signs, questionnaire, performance

Question 4

Testing Movement Factors - Motor Control

Answer 4

EX: testing motor planning, sensation, following commands

Question 5

Testing Movement Factors - During Eval/Diagnosis/Prognosis

Answer 5

Should I intervene?

Yes → what interventions to use?

No → refer out?

Question 6

The Intervention Principle

Answer 6

To change homeostatic mechanisms (status quo), we must change stress(es) on the system to stimulate responses in the system to reduce the problem/improve function

Question 7

Interventions have a ___-___ relationship

Answer 7

Dose-response

Question 8

Inadequate dose

Answer 8

inadequate or no response

Question 9

Optimal dose

Answer 9

optimal response

Question 10

Overdose

Answer 10

suboptimal/potentially harmful response

Question 11

Why is patient education important?

Answer 11

We have to teach patients how to manage physical stress correctly

teach whether they need to increase or reduce physical stress

Question 12

Therapeutic dose

Answer 12

Area of increased tolerance that produces change we want to see while avoiding side effects we want to avoid

Question 13

Physical Stress Theory (PST)

Answer 13

changes in the relative level of physical stress cause a predictable adaptive response in all biological tissue

Body is able to sense mechanical stress and can translate into biological activity

Question 14

Intervention principles (PST)

Answer 14

Goal is to disturb homeostasis in terms of physical stress, assuming a dose-response effect, to induce adaptation

Question 15

Things to consider with interventions (PST)

Answer 15

Consider:
1) where a patient is coming from

2) how much change you expect
3) how long it should take to see measurable and meaningful change

Question 16

To guide interventions (PST)

Answer 16

Goal
Target 
Mechanism
Time frame
Dose
Specificity
Monitor effects

Question 17

Goal (PST)

Answer 17

Function

Question 18

Target (PST)

Answer 18

Tissue, organ, system

Question 19

Mechanism (PST)

Answer 19

What way we plan to help patient, often cellular, subcellular

Question 20

Time frame (PST)

Answer 20

Variable, when do we expect to see change

Question 21

Dose (PST)

Answer 21

Intensity, frequency, duration

Question 22

Specificity (PST)

Answer 22

How to guide exercises to be specific to goals

Question 23

Monitor effects (PST)

Answer 23

How to measure effect, determine if we need to modify dose

Question 24

Effectiveness of intervention depends on (PST)

Answer 24

How well limiting factors (health, personal, environmental) are identified in the examination and assessed in evaluation

How well intervention mechanisms address problems

Appropriate dose

Patient participation

Question 25

Compensation vs Recovery (PST)

Answer 25

Compensation - using other methods to essentially work around the problem to still achieve end goal

Recovery - being able to physically cause change to achieve end goal