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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
Integument Layers
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
Integument nerve supply
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
Strength Testing Approaches
1. Isotonic (1rm) 2. Isokinetic (dynamometer) 3. Isometric (MMT)
28
MMT Scores
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
Key Factors of Strength Testing
``` Operational Function of Age, Size, Gender Symmetry Compensation Pain Motivation ```
30
BBP Breakdown
PISR for HIV HBV HCV
31
NS impairment
``` parasthesia diminished/lost sensation weakness pain change in dtr movement dysfunction ```
32
Causes of NS impairment
``` pressure ischemia metabolic trauma disease ```
33
24 Bones
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
Important features of muscle
Action (ICE) Origin Blood Supply Innervation
35
Myotomes Upper Quad
``` c2,3,4 - shoulder shrug c5 - shoulder ab c6 - elbow flex c6 - wrist ext c7 - elbow ext c8 - thumb ext t1 - finger ab ```
36
Myotomes Lower Quad
``` l1,2 - hip flexion l3,4 - knee ext l4,5 - dorsiflex l5 - great toe ext s1 - plantar flex ```
37
Clinical Assessment Process
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
Lever Systems
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
Radiography ABCS
A - alignment B - bone density C - cartilage assessment S - soft tissue swelling
40
Cell junctions in epidermis
1. desmosomes - spinsum 2. tight junctions - granulosum, prevent H2O loss 3. integrins - basale, with communication
41
Stem cells for new skin generation
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
types of scars
1. hypertrophic - scar maintained in margins, stretched and raised 2. keloid - scar overgrowth beyond margins
43
APTA Brand Characteristics
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
APTA PT Behaviors
Professional Entrepreneurial Inspirational Knowledge
45
Important Relationship Factors
``` Location Purpose Structure Length of time Power balance ```
46
Professional Behaviorts
Active Listening | Patient Centered Approach
47
PT Priority with TA
1. Attitude of Caring 2. Trust 3. Dignity 4. Collaboration
48
Patient/Client Collab Model PURPOSE
1. Individualized treatment 2. improve adherence 3. promote successful outcomes
49
Patient/Client Collab Model Structure
1. TA/TR 2. Diagnostic Process of Mutual Inquiry 3. Negotiate Common Ground 4. Intervention 5. Follow Up
50
Key items of accessory motion test
1. Motion 2. End Feel 3. Pain
51
Accessory Motion Tests
1. MP 2. RC Wrist Distraction 3. Ant Drawer 4. Lachman's Supine 5. Lachman's Prone 6. Ankle Ant Drawer
52
Primary Aspects of Culture
1. Race 2. Nationality 3. Color 4. Age 5. ANYTHING THAT CAN'T BE CHANGED
53
Secondary Aspects of Culture
1. Socioeconomic status 2. Gender 3. Occupation 4. Religion 5. Marital Status 6. ANYTHING THAT IS FLUID
54
Cultural Continuum
CD, CI, CB, CPC, CP, CC
55
Cultural Knowledge Contexts
``` 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
Strategies for Improving TA
1. Open Communication 2. Self-reflection 3. Training in healthcare communication
57
Care Settings
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
Principles of Intervention and their Measures
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
Evaluation Process
1. Complete tests on principles of intervention and their measures 2. Dx/Px 3. Intevention Methodology 4. Referrals 5. Necessary Interventions
60
Breaking Down your patient's problem and determining the best interventions
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

PT605 (34 decks)

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