Flashcards in Final Deck (29):
what is the only modality that accomplishes normalization of movement?
what are the effects of exercise? (5)
-Improved sense of well-being
what is involved with support during exercise?
-relive stress to joint or area
-control weight of the body part
-compensate for muscle loss
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
movement created by an external force to maintain unrestricted joint range (versus passive stretch used to increase joint ROM)
movement that combines voluntary contraction of muscle(s) and an external force to increase joint ROM
movement produced from active, voluntary contraction of muscle(s) to increase strength, coordination, and endurance
indications for PROM exercise
-patient unable to perform active exercise
-avoid active exercise in unhealed areas
-counteract effects of immobilization
limitations of PROM exercise
-can't prevent atrophy
-can't maintain stength, tone, endurance
-DOES NOT NORMALIZE MOVEMENT
contraindications of PROM exercise
-person is capable of AROM
indications for AROM
-patient able to contract and control muscles
benefits of AROM
-strength, endurance, elasticity, coordination
-increasing local circulation
what is isotonic movement?
visible joint movement
define eccentric, concentric, isometric, isokinetic
-eccentric: fibers lengthen
-concentric: fibers shorten
-isometric: muscle contraction with joint movement
-isokinetic: same speed throughout movement
what is active resistive exercise?
requires additional resistance, such as weights (resistance training)
what are the phases of gait in the correct order?
(1) initial contact (heel strike)
(2) loading response (foot flat)
(4) terminal stance (heel off)
(5) preswing (toe off)
(6) inital swing (acceleration)
(8) terminal swing (deceleration)
what AD gives you the most stability?
what is required of the patient for axillary crutches?
-coordination and balance
-be aware they put pressure on axillary area with improper use
what is required of the patient for Lofstrand crutches?
-less trunk stability than axillary crutches
-increased UE strength and trunk control
what factors should you consider when selecting an AD? (4)
what are the first 4 stages of gait?
(1) Heel Strike (initial contact)
(2) Foot Flat (loading response)
(4) Terminal Stance (Heel Off)
what are the last 4 stages of gait?
(1) pre-swing (Toe Off)
(2) Initial swing (acceleration)
(4) Terminal swing (deceleration)
what percentage of gait is stance and swing?
60% stance, 40% swing
widest part of body +2"
posterior glutes to popliteal fold -2"
popliteal fold to heel
leg length +2"
arm rest height
seat to olecranon (with arm flexed at 90) +1"