Final Important Points Flashcards by Lauren Bainter

_____ is a known predictor of falls in older adults

cognitive impairment

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research shows what 2 factors contribute to increased fall risk?

increased dementia severity
reduced dependance on visual input

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CVA pts have longer onset _____ that were smaller in amplitude in the _____ paretic limb mm

latencies
distal

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concussion/mTBI
GCS:
PTA:
LOC:
imaging:

concussion/mTBI
GCS: 13-15
PTA: <24 hr
LOC: 0-30 min
imaging: NDA

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moderate TBI
GCS:
PTA:
LOC:
imaging:

moderate TBI
GCS: 9-12
PTA: 24h-7d
LOC: 30min- 24h
imaging: some findings

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severe TBI
GCS:
PTA:
LOC:
imaging:

severe TBI
GCS: 3-8
PTA: >7days
LOC: >24 hr
imaging: significant findings

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what is the most common TBI?

concussion

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what are the 12 Rs of SRC?

Recognize
Reduce
Remove
Re-evaluate
Rest
Refer
Rehabilitation
Recovery
Return-to-learn/sport
Reconsider
Retire
Refine

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what are the 5 steps for SCAT?

observable signs
GCS
cervical spine assessment
coordination and ocular/motor screen
memory assessment

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what are the red flags of concussion (SCAT)?

neck pain or tenderness
double vision
weakness or tingling/burning in >1 arm or leg
severe or increasing HAs
seizure or convulsion
LOC
deteriorating consciousness
vomiting
increased restless, agitation, aggressiveness
GCS <15
visible skull deformity

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what are the pre-existing risk factors for developing PPCS?

female
adolescent
hx of personal or family anxiety/depression
PMHx or family Hx of migraine
DD or learning disorders
pre-existing visual dysfunctin

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what are the post-injury risk factors for developing PPCS?

CONTINUING TO PLAY POST CONCUSSION
severity of initial sx in 1st few days post
having vestibular and convergence abnormalities
high inflammation levels
resting too long

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what 5 systems interact to cause persistent sx following concussion?

cervical spine
vestibular system
visual system
ANS
psychological factors (mood, anxiety, etc.)

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what are the 4 major ocular motor systems affected by concussion?

convergence (50-60%)
smooth pursuit (60%)
saccadic (30%)
vestibulo-ocular

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what are the 3 systems for sensory input for balance and postural control?

vestibular
visual
proprioceptive

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what 3 structures are integrate sensory input for balance and postural control?

cerebellum
cerebral cortex
brain stem

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the rule for ramps is AT LEAST ____ foot of length for each ____ of height

1 foot length for every 1 inch height

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person must be in a WC at least ___ hours per day to qualify for funding

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what question MUST be answered yes to qualify for WC funding?

require WC to perform “mobility related ADL” WITHIN HOME

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seat width measurements for WC

less than 1 & 1/4” wider than person’s hips/thighs

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seat depth measurements for WC

1-2” less than posterior buttocks to popliteal fossa

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seat height measurements for WC

standard: 19-19.5
hemi height: 17-17.5

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what needs to be considered for seat height measurements?

lower leg length
transfer type
propulsion method
type of thickness of WC cushion

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where to measure for arm rest height

Study These Flashcards

with cushion in place
from bottom of seat (not cushion)

what is a secondary condition?

occurs after individual acquires or is born with a disability. characteristics not associated with trauma

examples of secondary conditions

CV issues/heart disease pressure ulcers obesity diabetes

the aims of health promotion program for people with disabilities are to:

- reduce secondary conditions - maintain functional independence - provide opportunity for leisure enjoyment - enhance overall quality of life by reducing environmental barriers to good health

T/F: sedentariness is not a major mortality risk if the person is physically active

F!!!! "sedentariness is describe as a major mortality risk INDEPENDENT of physical activity

a person initially enters the transtheoretical model of change at the ___ stage

pre-contemplation

each time a person goes through the cycle, they learn from each ____ and each relapse is shorter (____ spiral)

relapse upward spiral

tests of activity limitations

bed mobility transfers gait stair climbing ADLs

what are the 4 main interventions for cerebellar dysfunction?

muscle tone voluntary movement coordination static and dynamic balance oculomotor performance

common gait and balance interventions for cerebellar dysfunction

gaze and eye movements static stance dynamic stance gait complex gait

hallmark of cerebellar damage

ataxia

prognosis of cerebellar damage depends on what 3 things?

tumor type nuclei involved (dentate, emboliform, globose, fastigial) age

cerebellar zones and their function

medial - posture intermediate - coordinating limbs lateral - planning complex movements flocculonodular - balance & eye movements via vestibular

Movement deficits following cerebellar damage include

dysmetria dyssynergia dysdiadochokinesia cerebellar tremor hypotonia gait ataxia imbalance

PT should emphasize the cerebellum's role in _____ and ______

procedural motor learning and adaptation

SCA stroke symptoms

ipsi limb dysmetria gait instability

AICA stroke symptoms

facial sensory loss vestibular issues dysmetria

PICA stroke symptoms

vertigo nystagmus* gait ataxia

medicare part B only pays ___% for WC

80% (20% copay)

a study showed that on a split belt treadmill cerebellar pts have what issues?

slower adaptation lower symmetry restoration minimal aftereffects

what is the leading cause of morbidity and mortality in the US?

chronic, noncommunicable disease

__ is the leading cause of chronic disability

stroke

____% of people with chronic stroke have IGT or T2DM

81%

IGT or DM predict _____ x increased risk for recurrent stroke

2-3x

nearly ____ of pts with stroke experience recurrent stroke w/i ____ years

1/3 5

which mm fiber types decreases most with chronic stroke?

slow twitch

which mm fiber type are less sensitive to insulin?

fast twitch

what is the highest predictor of insulin resistance in chronic stroke?

fat content of paretic limb (not central obesity)

primary prevention

most effective strategy prevent illness from occurs

secondary prevention

detecting and treating illness/disease early

tertiary prevention

managing existing disease to prevent further complications/disability

primordial prevention

risk factor reduction through laws and national policy

layers of the social ecological model

individual interpersonal organizational/institutional community societal

social determinates of health

economic stability education access and quality health care access and quality neighborhood and build environment social and community context

what is termination?

permanent change in behavior

Final Important Points Flashcards

(58 cards)