Assortment of Important Lists/Steps/Procedures Flashcards

1
Q

Observational Arcadia Movement Management

A
C - Control of movement
A - Amount of movement
S - Speed of movement
S - Symmetry of movement
S - Symptom provocation of movement
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2
Q

ICF Steps

A
  1. Disease/Disorder
  2. Body structure/function Impairment
  3. Activity Limitation
  4. Participation Restriction
  5. Environmental Factors
  6. Personal Factors
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3
Q

List that influences decisions about patients

A

D - Disease
D - Disorder
G - Goal
P - Personality

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4
Q

Patient Management Model

A
  1. Examination (M, C/C, ROS, TM, S/O, E, P)
  2. Evaluation Referral
  3. Diagnosis (what is the main issue?) / Prognosis (how are we going to fix?)
  4. Intervention (Care Coord, Communication, Procedural)
  5. Outcomes (measure change in health/function/activity)
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5
Q

Procedural Interventions

A

R - Restorative
C - Compensatory
P - Preventative

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6
Q

Types of Research Categories (6S)

A
Studies
Synopses of Studies
Synthesis
Synopses of Synthesis
Summary
System
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7
Q

9 Theories of Neuromuscular Motor Control

A
  1. Reflex (bottom up reflex chained from stim/hot stove)
  2. Hierarchical (top down)
  3. Reflex-Hierarchical (motor control emerges from reflexes that are nested within hierarchically organized levels of CNS/waiting for bus vs standing on bus/wine glass/feedforward/feedback - prevent movement and as plan changes, adapt to change)
  4. Motor Program (central motor pattern/CPG/signature)
  5. Systems (body is a mechanical system and masters redundant DOFs - touching nose/letters, words, sentence)
  6. Dynamic Action (self organization/flipping hands in air vs on base)
  7. Dynamic-Systems (self organization and mechanical system/DST velocity that changes behavior)
  8. Ecological (perceptions about environment guide actions/active exploration)
  9. Contemporary Model (Task, Individual, Environment)
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8
Q

Primary Organizational Research (Breakdown of Studies)

A
  1. RCT (2) - highest level of individ study
  2. Cohort (3) - OBS, follow group over time
  3. Case Control (4) - OBS, retrospective
  4. Cross Sectional (4) - OBS, diff groups
  5. Case Reports/Studies (4) - DESC, best avail evidence, small groups
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9
Q

Evidence Based Practice Guidelines Steps for Developing and Finding Research

A
Ask - PICO
Acquire - systematic review
Appraise - research evidence
Apply - integrate with expertise
Adjust - evaluate steps
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10
Q

Types of Reflection

A

In-action
On-action
For-action

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11
Q

Domains of learning and reflection

A

Cognitive - things you know and learn
Psychomotor - hand skills
Affective - values and communication

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12
Q

Plack-Driscoll Awareness

A

Analyze Feelings
Thoughts/Knowledge
New Perspective

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13
Q

Ways to Study Anatomy

A

Regional
Clinical
Systems

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14
Q

Spinal Nerves

A

Afferent - dorsal - sensory

Efferent - ventral - motor

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15
Q

Sensory Testing

A
  1. Superficial - exteroceptors
  2. Deep - proprioceptors
  3. Combined Cortical - sterognosis (2-pt discrimination)
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16
Q

Glacers 3 realms

A

Individual
Organizational
Societal

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17
Q

Tendon Components

A

Fibroblast (cells - produce, manufacture and secrete comps of ECM)
ECM (Glycoproteins and Type I Collagen, water loving, and rigid)

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18
Q

Mechanotransduction pathway

A
  1. Stimulus
  2. Tissue Force
  3. Cellular Force
  4. Molecular Action
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19
Q

Different Ways to Sense Mechanical Stimuli

A
  1. Integrins on cell membrane
  2. Conformational Change (integrin shape change)
  3. Stretch Activated Ion Channel
  4. Receptor Shape Change
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20
Q

Transducing Mechanical Stimuli

A
  1. Transduction from membrane to nuclei
  2. Transcription from DNA-RNA
  3. Translation in ribosomes from RNA-pre procollagen
  4. Processing of ER and Golgi from pre procollagen-procollagen
  5. Exocytosis
  6. Extracellular processing
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21
Q

Biological tissues that respond to mechanical stress

A

Cardiopulm
integument
neuromuscular
Connective Tissue

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22
Q

Thresholds of Physical Stress

A
Death
Injury
Increase Tolerance
Maintenance 
Decrease Tolerance
Death
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23
Q

Muscle Synergies

A

Agonist - muscle/muscle group that has same action
Antagonist - muscle/muscle group that has opposite action
Synergy - work together to create a full movement
Force couples - pull in opposite directions to maintain equilibrium

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24
Q

Functions of Integument

A
Protection
Homeostasis
Transport
Sensation
Metabolic
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25
Q

Integument Layers

A
  1. Epidermis (Basale-melanocytes, Spinosum-desmosomes, langerhans, Granulosum-produce lamellae, waterproof, loose nuclei, Lucidum-clear in thick skin, Corneum-deadskin)
  2. Dermis (Papillary-meissner’s/tactile, wound healing, Reticular-ruffini/stretch,lymph, foreign body extraction, collagen)
  3. Hypodermis (Pacinean/deep pressure/vib, adipose)
26
Q

Integument nerve supply

A
  1. Free nerve endings - in epi, pain/temp/no CT
  2. Merkels - in epi, tactile
  3. Meissners - in pap derm, tactile
  4. Pacinean - in hypo, deep pressure/vib
  5. Ruffini - derm, stretch
27
Q

Strength Testing Approaches

A
  1. Isotonic (1rm)
  2. Isokinetic (dynamometer)
  3. Isometric (MMT)
28
Q

MMT Scores

A
  1. Normal - n/5
  2. Good - g/4
  3. Fair+ - f+/3+
  4. Fair- f/3
  5. Fair- - f-/3-
  6. Poor+ - p+/2+
  7. Poor - p/2
  8. Poor- - p-/2-
  9. Trace - t/1
29
Q

Key Factors of Strength Testing

A
Operational
Function of Age, Size, Gender
Symmetry
Compensation
Pain
Motivation
30
Q

BBP Breakdown

A

PISR for
HIV
HBV
HCV

31
Q

NS impairment

A
parasthesia
diminished/lost sensation
weakness
pain
change in dtr
movement dysfunction
32
Q

Causes of NS impairment

A
pressure
ischemia
metabolic
trauma
disease
33
Q

24 Bones

A

Cranium, Vert, Clavicle, Scapula, Ribs, Costal Cartilage, Sternum, Humerus, Costal Margins, Radius, Ulna, Carpus, Metacarpals, Phalanges, Hip Bones, Sacrum, Pubic Symphysis, Femur, Patella, Tibia, Fibula, Tarsus, Metatarsus, Phalanges (toes)

34
Q

Important features of muscle

A

Action (ICE)
Origin
Blood Supply
Innervation

35
Q

Myotomes Upper Quad

A
c2,3,4 - shoulder shrug
c5 - shoulder ab
c6 - elbow flex
c6 - wrist ext
c7 - elbow ext
c8 - thumb ext
t1 - finger ab
36
Q

Myotomes Lower Quad

A
l1,2 - hip flexion
l3,4 - knee ext
l4,5 - dorsiflex
l5 - great toe ext
s1 - plantar flex
37
Q

Clinical Assessment Process

A
  1. Move muscle below impairment to ensure nerve activity
  2. look up nerve, is it sensory distro?
  3. ensure blood circ (skin color, pain, swelling, pulse drop)
  4. Determine trauma
38
Q

Lever Systems

A

first class - axis of rot in center
second class - external force closer to axis than internal and both on one side
third class - internal force closer to axis than external and both on one side (most common)

39
Q

Radiography ABCS

A

A - alignment
B - bone density
C - cartilage assessment
S - soft tissue swelling

40
Q

Cell junctions in epidermis

A
  1. desmosomes - spinsum
  2. tight junctions - granulosum, prevent H2O loss
  3. integrins - basale, with communication
41
Q

Stem cells for new skin generation

A
  1. Basale - stem cells
  2. epidermal derivatives create stem cells - hair follicles, sebaceous glands, sweat glands
  3. dermis - fibroblasts that are a source for wound repair
42
Q

types of scars

A
  1. hypertrophic - scar maintained in margins, stretched and raised
  2. keloid - scar overgrowth beyond margins
43
Q

APTA Brand Characteristics

A

Sage & Hero
KDOFT
Sage - Known as teacher, deliver knowledge, offer independence, focus understanding, traits expert
Hero - know as rescuer, deliver courage, offer mastery, focus proving, traits motivator

44
Q

APTA PT Behaviors

A

Professional
Entrepreneurial
Inspirational
Knowledge

45
Q

Important Relationship Factors

A
Location
Purpose
Structure
Length of time
Power balance
46
Q

Professional Behaviorts

A

Active Listening

Patient Centered Approach

47
Q

PT Priority with TA

A
  1. Attitude of Caring
  2. Trust
  3. Dignity
  4. Collaboration
48
Q

Patient/Client Collab Model PURPOSE

A
  1. Individualized treatment
  2. improve adherence
  3. promote successful outcomes
49
Q

Patient/Client Collab Model Structure

A
  1. TA/TR
  2. Diagnostic Process of Mutual Inquiry
  3. Negotiate Common Ground
  4. Intervention
  5. Follow Up
50
Q

Key items of accessory motion test

A
  1. Motion
  2. End Feel
  3. Pain
51
Q

Accessory Motion Tests

A
  1. MP
  2. RC Wrist Distraction
  3. Ant Drawer
  4. Lachman’s Supine
  5. Lachman’s Prone
  6. Ankle Ant Drawer
52
Q

Primary Aspects of Culture

A
  1. Race
  2. Nationality
  3. Color
  4. Age
  5. ANYTHING THAT CAN’T BE CHANGED
53
Q

Secondary Aspects of Culture

A
  1. Socioeconomic status
  2. Gender
  3. Occupation
  4. Religion
  5. Marital Status
  6. ANYTHING THAT IS FLUID
54
Q

Cultural Continuum

A

CD, CI, CB, CPC, CP, CC

55
Q

Cultural Knowledge Contexts

A
W - work ethic (team/individual)
D - decisions (intuitive/logical)
T - time sense (past/future)
C - communication (nonverbal/verbal)
R - relationships (tight/loose)
M - motivation (family, individual)
V - view of change (tradition over change/change over tradition)
56
Q

Strategies for Improving TA

A
  1. Open Communication
  2. Self-reflection
  3. Training in healthcare communication
57
Q

Care Settings

A
  1. Acute - 24 hr nursing, daily MD, PT 3hrs
  2. Inpatient - 24 hr nursing, daily MD, high number of nurses
  3. SNF/Subacute - 24 hr nursing, MD on call, PT < 3hrs
  4. Home Care - Intermittent Nursing
  5. OPT - discharged patients
58
Q

Principles of Intervention and their Measures

A
  1. Motion - Joint Integrity/ROM
  2. Force - MMT/Dynamometer
  3. Energy - TUG, 6 minute walk test, sit to stand
  4. Motor Control - motor planning/sensation
59
Q

Evaluation Process

A
  1. Complete tests on principles of intervention and their measures
  2. Dx/Px
  3. Intevention Methodology
  4. Referrals
  5. Necessary Interventions
60
Q

Breaking Down your patient’s problem and determining the best interventions

A
  1. Patient’s Goal
  2. Target muscle group
  3. Mechanism/test and measures for patient’s target and goal
  4. Time Frame - understand how long it should take to get her to her goal
  5. Dose - the amount of exercise and treatment necessary to get her where she needs to be
  6. Specificity - continue with exercise even if there is pain, give the details of improvement to patient
  7. Monitor Effects - check effects of treatment on patient by re-assessing skills
  8. Compensation vs recovery - make clear what you will be able to accomplish
  9. Education - talk about the strategy