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Flashcards in Final Deck (29):
1

what is the only modality that accomplishes normalization of movement?

exercise

2

what are the effects of exercise? (5)

-Strength
-Endurance
-Joint Flexibility
-Coordination/Balance
-Improved sense of well-being

3

what is involved with support during exercise?

-promote motion
-relive stress to joint or area
-control weight of the body part
-compensate for muscle loss

4

what is involved with stability during exercise?

-Prohibits, limits, or avoids movement
-Protects the site of healing fracture
-Protects soft tissue subject to trauma
-Protects healing musculotendinous structures
-Prohibits movement of an uninvolved joint or body part
-Grasp above and below the site
-Outside force may be used

5

PROM exercise

movement created by an external force to maintain unrestricted joint range (versus passive stretch used to increase joint ROM)

6

AAROM exercise

movement that combines voluntary contraction of muscle(s) and an external force to increase joint ROM

7

AROM exercise

movement produced from active, voluntary contraction of muscle(s) to increase strength, coordination, and endurance

8

indications for PROM exercise

-patient unable to perform active exercise
-avoid active exercise in unhealed areas
-counteract effects of immobilization
-DECREASE PAIN

9

limitations of PROM exercise

-can't prevent atrophy
-can't maintain stength, tone, endurance
-DOES NOT NORMALIZE MOVEMENT

10

contraindications of PROM exercise

-increased symptoms
-intensifies condition
-person is capable of AROM

11

indications for AROM

-patient able to contract and control muscles
-no contraindications

12

benefits of AROM

-strength, endurance, elasticity, coordination
-increasing local circulation
-DECREASING PAIN

13

what is isotonic movement?

visible joint movement

14

define eccentric, concentric, isometric, isokinetic

-eccentric: fibers lengthen
-concentric: fibers shorten
-isometric: muscle contraction with joint movement
-isokinetic: same speed throughout movement

15

what is active resistive exercise?

requires additional resistance, such as weights (resistance training)

16

what are the phases of gait in the correct order?

(1) initial contact (heel strike)
(2) loading response (foot flat)
(3) midstance
(4) terminal stance (heel off)
(5) preswing (toe off)
(6) inital swing (acceleration)
(7) midswing
(8) terminal swing (deceleration)

17

what AD gives you the most stability?

parallel bars

18

what is required of the patient for axillary crutches?

-coordination and balance
-be aware they put pressure on axillary area with improper use

19

what is required of the patient for Lofstrand crutches?

-less trunk stability than axillary crutches
-increased UE strength and trunk control

20

what factors should you consider when selecting an AD? (4)

-pre-ambulatory activities
-physical condition
-physiological condition
-psychological condition

21

what are the first 4 stages of gait?

(1) Heel Strike (initial contact)
(2) Foot Flat (loading response)
(3) Midstance
(4) Terminal Stance (Heel Off)

22

what are the last 4 stages of gait?

(1) pre-swing (Toe Off)
(2) Initial swing (acceleration)
(3) Midswing
(4) Terminal swing (deceleration)

23

what percentage of gait is stance and swing?

60% stance, 40% swing

24

seat width

widest part of body +2"

25

seat depth

posterior glutes to popliteal fold -2"

26

leg length

popliteal fold to heel

27

seat height

leg length +2"

28

arm rest height

seat to olecranon (with arm flexed at 90) +1"

29

back height

from chair to axilla with arm flexed to 90 -4"