BIOKINETICS SEMESTER TEST 2 Flashcards

(53 cards)

1
Q

Ambulation

A

Walking with/without assistance

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2
Q

Physiological concepts of ambulation

A
  1. Muscle functions
  2. Cardiorespiratory function
  3. Joint mobility
  4. Balance, timing, direction
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3
Q

Physical concepts of ambulation

A
  1. Balance
  2. Gait cycle
  3. Posture
  4. Coordination
  5. Base of support
  6. Center of gravity
  7. Ground reaction force
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4
Q

Ambulatory aids

A

Canes
Crutches
Walkers
Rollators

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5
Q

What do ambulatory aids do?

A

Assist walking and inc. Stability
Dec. Load, pain, muscke atrophy
Inc. Muscle engagement, endurance, mobility, healing

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6
Q

Safety tips

A
  1. Correct height and fit
  2. Non slip footwear
  3. Inspect wear and tear
  4. Be careful on wet/uneven surfaces
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7
Q

Physical considerations

A

1 proper fit
2 gait training
3 posture and surface awareness

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8
Q

Aquatic therapy

A

Water based ex. For rehab and fitness

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9
Q

Aquatic therapy principles

A
  1. Buoyancy
  2. Hydrostatic pressure
  3. Viscosity
  4. Thermodynamics
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10
Q

What is buoyancy?

A

Dec stress and supports joints

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11
Q

What is hydrostatic pressure?

A

Dec swelling
Inc circulation

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12
Q

What is viscosity?

A

Provides resistance for muscle strengthening

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13
Q

What is thermodynamics?

A

Inc muscle relaxation

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14
Q

Benefits of aquatic therapy

A

-dec swelling and pain
-inc rom, balance, coordination, flexibility
-builds muscle strength and endurance

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15
Q

Aquatic exercise types

A

Aerobic
Strength
Flexibility
Balance

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16
Q

Aquatic therapy safety considerations

A

-check water temp(28-32)
-check fatigue+ dehydration
-use right flotation device
-supervision + lifeguard

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17
Q

Aquatic therapy is suitable for

A

Inj recovery
Chronic pain management
Low impact conditioning

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18
Q

Aquatic therapy goals

A

Inc mobility
Strength and functionality

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19
Q

What is Tendinopathy?

A

Degeneration of tendons causing pain due to overuse/inj

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20
Q

Tendinopathy goals

A

Dec pain, inflammation, recurrence
Ince healing, remodeling, strength and functionality

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21
Q

Parameters of Tendinopathy

A
  1. Load management
  2. Ex. Selection
  3. Pain management
  4. Rest and recovery
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22
Q

Tendinopathy rehab stages

A
  1. Acute
  2. Loading
  3. Strength
  4. Return to activity
23
Q

Acute phase Tendinopathy

A
  • manage pain
  • 5 sets 45 sec x2
    -isom. Con. Ex
    #shortened
    Eg. Wall sit
24
Q

Loading phase Tendinopathy

A

-progressive resistance
-slow and heavy
-isom. Ecc.
#lengthened
Eg. Squats and leg press

25
Strength phase Tendinopathy
-ecc. And functional -3 sets 20 reps x3 Eg. Hopping, skipping
26
Return to activity Tendinopathy
-load tolerance testing Eg. Sprinting
27
Tendinopathy progression
-pain less 4/10 on VAS -inc 5-10% load weekly
28
How does smoking affect healing?
Causes vasoconstriction, decreasing blood flow and inflammation causing tendons to become more rigid and decreasing the healing while increasing the chance of surgical complications
29
How does alcohol affect healing?
Decreases the healing process because duirng inflammation ghe the permeability is decreaded in the blood vessels. It also causes a sympathetic response while anesthesia does the same leading to a possible heart attack risk
30
Pre-operative advice
Dec smoking Dec alcohol Exercise Follow a good diet and liefstyle
31
Outcomes of pre-overative rehab
Deceases: hospital readmission Muscle atrophy Length of hospital stay Adverse outcomes Scar tissue formation
32
How does a hip and knee replacement patient benefit from pre-operative rehab
Dec pain and hospital stay Increase function, mobility and strength
33
How does a px who has cardiac surger benefit from pre-operative care?
Inspirattory muscle training decreases anasthesic complications and increases pulmonary function Active breathing also dec pain and increases HR post-CABG
34
How does a px who had abdominal surgery benefit from preoperative rehab?
Decreases intra-abdominal complications and decreases hospital stay
35
Pros of early specialization?
Opportunity and skills development
36
Cons of early specialization
Overuse inj, burnout, early sport termination
37
What is a sports injury?
Physcial harm from sport paticipation Common in high impact/rep motion sports Concussion **
38
Bahr and Krosshaug model
Mechanism based analysis
39
Van Mechelen 4 stage model
1. Establish inj incidence 2. Identify mechanisms 3. Introduce preventative measures 4. Assess effectiveness
40
Finch model
Adds implemetation and context stages
41
Haddons Matrix
Environment, host and agent factors across pre-event, event and post event phases
42
Goals of IPPs?
Injury prevention programs aim to dec risk of injury and social, economicc rehab costs
43
Examples of IPPS
Fifa 11+ HarmoKnee
44
Return to Spot Decision Creighton models for safe Return after inj.
Risk evalution: 1 Evaluate health status(medical factors) + 2 Evaluate participation risk (sport+risk modifiers) 3. Decision modification (decision modifiers) 4. RTP/S
45
Reason for Knee replacement
To relieve pain, restore function and increas emobility in case of OA, RA, traumatic inj.
46
Assessment protocol for knee/hip/shoulder replacements
Always assess wound healing status
47
What do avoid with knee replacement Pxs
Inc fall risk act High imoact act Prolonged sitting Kneeling Stairs
48
3 types of shoulder replacements
1. Anatomic total 2. Reverse total 3. Partial replacement
49
Anatomic Total Shoulder replacement?
Ball and socket replaced with anatomically similar implants
50
Reverse total shoulder replacement
Ball places on scap, socket on humerus -for rotator cuff damage
51
Partial shoulder reaplacement
Only humeral head replaced
52
Indications/causes for shoulder replacements
OA. RA. Fractures. Rotator cuff inj. Bone death from poor blood supply.
53
Common risks associated with shoulder replacements
Dislocation Fracture Implant loosening Rotator cuff failure Nerve inj Blood clots Infection