home assessment parameters Flashcards
1
Q
garages and driveways
A
24 feet
2
Q
porches
A
5x5 feet
3
Q
doorway width
A
32-34 inches
4
Q
doorway threshold
A
no more than 1/2 in
5
Q
doorway kick plate
A
12 feet
6
Q
steps
A
not greater than 7 inches hight, 11 inches deep
7
Q
lip of step
A
1/2 inch
8
Q
handrail height
A
34-38 inches
at least one should allow for modificiations
9
Q
handrail should extend a minimum of
A
12 inches beyond foot and top of stairs
10
Q
ramp grade
A
1:12 (feet)
11
Q
outdoor ramps exposed to rain and slow
A
1:20 (feet)
12
Q
rise for ramps for power WC
A
1.5 inch first for every foot
13
Q
if ramp more than 5% grade (power WC)
A
hand rails should be 32 inches from rap surface and extend an inch beyond top and bottom of ramp
14
Q
minimum ramp width
A
36 inches inside rails, 48 is ideal
15
Q
top of ramp
A
5x5feet
16
Q
bottom of ramp
A
5 foot straight away
17
Q
indoor doorways
A
consistent with outdoors 32-34 inches
18
Q
indoor stairs
A
handrails extend minimum 12 inches
19
Q
kitchen aisle
A
5x5 feet floor space
32 inch doorway
36 inch walk way
20
Q
stoves
A
32 inches adequate height for sitting
consider raising dishwasher 6 inches
21
Q
kitchen cabinets
A
12-15 inches
22
Q
counter tops
A
36 in standard
30 inch for WC/LBP, child
23
Q
bedroom windows
A
18-20 inches from floor, 30 inches from ground
24
Q
bathroom door
A
32 in standard 36 recommended
25
toilets
15 inches above floor with grab bars,
26
bathroom sinks
30 inches
27
bathroom grab bars height
1.23-2 inch CSdiameter
| 33-36 inches next to toilet
28
bathroom grab bar length
42-54 inches on side wall
| 24-36 on back wall
29
mcconnel taping worn for up to
18 hours
30
acute phase kinesio tape
fingers with no tension, skin stretched, insertion to origin
31
kinesio tape for weak muscles
tension on tape, origin to insertion
32
paper off tension
0-15% for acute conditions
33
light tension
15-25%
34
moderate tension
25-50%
35
sever tension
50-75%
36
full tension
75-100%
37
tension on anchors
0% because they are meant to disperse energy
38
tape tension >50%
for corrective techniques only
39
mcconnel tape worn for
1-2 days
40
kinesio tape worn for
3-5 days
41
little league shoulder
widening of proximal humerus epiphysis
decreased ER and ABD strength
min 6 weeks no throwing, gentle post shoulder stretch, core strength
after pain free ROM begin RC strength, scap strength and control
42
little league elbow
medial eipcondyle apophysitis or avulsion fx
rest 6-8 weeks; rc and scap strength, dynamic shoulder stabilization
return to throw at 6 weeks if pain free ROM
43
throwing phases
```
wind up
cocking
acceleration
deceleration
follow through
```
44
phase with most stress on passive shoulder structures
cocking due to ER
45
phase with most stress on shoulder musculature
deceleration
46
phase with most elbow stress
acceleration phase
47
most important aspect of wind up
winding up lower extremity to generate force
48
phase with greatest elbow valgus stress
late cocking
49
phase with peak RC activation
late cocking
50
stride length
87% of height
51
most harmful phase of pitch
decelleration
52
increased risk for injury with limited hip ROM
limited flexion in lead
limited IR in lead
limited extension in train
limited ER in both
53
good predictors of UE injury and pitching performance
SLS control and SEBT
54
trunk rotation timing/control decreases
shoulder and elbow forces
55
trunk rotational strength related to
ball velocity
56
trunk lean affects
UE forces
57
CKCUEST
21 taps in 15 seconds predictor for injury risk
58
core strength
```
prone plank
side plank
Sorensen's
DL bridges
SL bridge
```
59
decreased stride length and push off correlates to
decreased ball velocity
60
pitches need more trunk rotation to
the non-throwing side - more time to wind up and more time to deceleration in follow through
61
glenohumeral internal rotation deficit
GIRD - loss of 18 degrees or greater of IR in the throwing shoulder compared to non throwing shoulder
62
bigger difference in Max ER compared to passive ER
higher risk of injury
63
SA important during cokcing
eccentrically and isometrically to resist retraction
| concentrically to cause protraction and upward rotation
64
middle and lower trap
fire concentrically to resist protraction
| create stable surface for rotator cuff to work
65
difference in protractor/retractor ratio increased risk of shoulder pain
>20%
66
greatest lower-upper trap ratio
B/L ER at 0 deg ABD
67
teenage pitcher guidelines
75 pitches / game
1000 per competitive season
3000 per calendar year
68
key guidelines for pitching
don't pitch w/ elbow or should pain, or on consecutive days
don't play year round - rest is best
age appropriate skills
69
pitching emphasize
control, accuracy, good mechanics
70
pitch type progression
fasteball
change up
then consider breaking pitches
71
softball pitch guidelines
2 days rest for pitchers
<12 yo - only 2 days consecutive pitching
>13 yo - only 3 days consecutive pitching
72
plyometric prerequisites
pull pain free AROM
80% strength vs opposite side
good quality movement
no swelling
73
plyo frequency
2x / week
6-8 weeks
48-72 hours recovery time
74
plyo volume
5-10 reps/set, 1-3 sets per motion with 6 different motions
| 60 throws low, 120 high
75
plyo intensity
80-100 MVC
2 arms to one arm
5-10% progression each week
76
injuries 2x more likely to occur in ____ thank backswing
down swing
| due to amount of force and velocity required
77
1 in 4 gold injuries occur during
follow through
78
walking an 18 hole course
5-6 niles
79
total joint precautions with golf
avoid wet conditions
use small or no spikes
use cart or caddy
limit backswing and follow through - decrease mechanical stress
80
golf ROM
subtler joint rotates 5-8
hips 30-40 IR
40-60 ER
thoracic spine 40
81
economical runners
```
shorter stride, faster caidence (180/min)
knee joint flexion maintained
ball heel ball toe
foot lands under COM (hip extension)
decreased vertical displacement of COM
```
82
running - forward lean
from foot to shoulders not at trunk so steps fall directly under COM
83
rearfoot running
impact nearly 3X BW
| most of vertical momentum is absorbed by vertical components of collision - slows down momentum
84
forefoot running
7 times lower impact at IC
| vertical momentum converted to rotational momentum
85
as cushioning in shoes is lost
foot control improves
86
plan for runners
flexibility
strenth
retrain of running gait
87
pelvic floor muscle functions
supportive
sphincteric
sexual
88
second leading cause of CA death in men
prostate cancer
89
PSA
prostate specific antigen test
detects blood levels of a protein made only by the prostate cells
below 4 normal
4-10 slightly elevated
above 10 highly elevated and cancer likely
90
Gleason score
rating deformity of prostate cells after biopsy has been taken
higher score - increased speed of cancer growth
91
prostate CA stage T1
cannot be felt, confined w/in capsule, usually found by chance (PSA)
92
prostate CA stage T2
can be felt with digital exam
still confined
no symptoms
93
prostate CA stage T3
spread beyond capsule
varied symptoms
frequent, bloody or painful urination
94
prostate CA stage T4
metastasis
sudden weight loss
difficult, painful urination
low back pain
95
possible etiology of incontinence
sphincter deficiency
decreased bladder compliance
detrusor instability
96
most widely recommended non invasive conservative tx for continence post RP
supervised pelvic floor muscle training
97
first line option in curing incontinence post RP
pelvic floor reeducation
98
effective tx for intontience from RP persisting more than 1 year
behavioral therapy
99
PFMT offers no further benefit...
4-6 months after initiation of program
100
neobladder- bladder emptying education
```
no muscle to push urine out
no sense of filling/fullness
larger capacity than true bladder
normal cycle disrupted
voiding on the clock (2-4 hrs)
evacuation strategies
```
101
possible sensitivity to certain fluids (bladder)
caffeine
citric acid
carbonated drinks
alcohol
102
pelvic floor physical therapy focuses on
behavioral modification
improving pelvic floor muscle strength, endurance, coordination
neuro muscular re-ed
103
common errors with pelvic floor awareness training
holding breath
bearing down
active abdominals
active gluteals
104
pelvic floor exercise dosage
2-10 sec hold
15-30 reps
2-5 exercises per session
twice daily
105
pelvic floor hypertonia
inadequate sphincter closure
voiding/defecation dysfunction
pelvic pain impaired coordination and ROM
106
pelvic floor hypotone
inadequate sphincter closure
urinary/fecal or flatus incontinence
pelvic organ prolapse
poor pelvic floor/core muscle performance strength, endurance and coordination
107
stress urinary incontinence
leakage upon increased load on the pelvic floor accompanied by lack of adequate urethral closure
108
urge urinary incontinence
overactive detrusor
| behavior management and coordination training
109
pelvic floor strength
3/5 lift and squeeze against gravity
| 5/5 difficultly pulling finger out
110
safe exercise during pregnancy
avoid supine > 3 mins post 1st trimester (30 degree angle)
left sidelying
avoid prone
avoid strong abdominal compression during 2nd/3rd trimester
avoid rapid bouncing or swinging
avoid overheating and stay hydrated
111
benefits of exercise during pregnancy
lower incidence gestational diabetes
shorter 1st stage of labor
increase in APGAR scores at 1 min mark
help with fast recovery post delivery
112
pregnancy exercise intensity guidelines
RPE moderate 13-14
talk test
150 mins/week 30 mins 5days/week
113
lower extremity ROM required for dancers
90 PF
90 LE ER
90-100 1st MTP DF
114
Your patient started CAR T-cell therapy for treatment of Multiple Myeloma. She presents with
the following symptoms: fever, nausea, headache, rash, rapid heartbeat, low blow pressure, and
trouble breathing. You are concerned about which condition?
Cytokines Release Syndrome
115
T or F?
One benefit of Autologous stem cell transplant versus allogenic stream cell is autologous stem
cell transplant has less risk of graft versus host disease (GVHD).
true
116
Your patient is a 43 year old male who presents with bilateral acute hypertonic lumbar
paraspinals. You choose kinesiotape as your intervention. What application would be best for
this patient’s condition?
From insertion to origin bilaterally
117
You are treating a 19 year old male baseball pitcher with excessive anterior capsule instability.
He reports reduced pain with manual posterior glide. His anterior numeral position does not
change with activation of scapular stabilizers. Which taping method would be best for this
patient?
Leukotape to position the humerus more posteriorly and provide optimal alignment
within the acetabulum
118
What phase of the baseball pitching motion would be most
| likely to cause the most strain on the labrum of the shoulder?
Cocking phase
119
What phase of the upper extremity athlete require is the maximum deceleration control?
follow through
120
t or f?
When running your center or mass is at its lowest point during mid stance, and when walking
your center of mass is at its highest point during mid stance.
true
121
Your patient is a 38 year old triathlete who is complaining of right knee pain during running. You
have diagnosed him with IT band syndrome. This patient most likely feels the moment knee
pain with running on which type of surfaces?
decline/downhill
122
What phase of the golf swing creates the most spinal compression?
backswing
123
Your patient is a 67 year old female recreational golfer who comes to you with complaints of
right knee pain with golfing. The pain is most significant during her back swing. The patient
reports that she is right handed. Which of the following equipment medications would you
recommend for this patient?
wear spineless shoes
124
what dictates type of cancer treatment needed?
type of cancer and specific genetic mutation
125
types of cancer treatment
```
chemotherapy
radiation
immunotherapy
surgery
stem cell transplant
```
126
immunotherapy
boosts body's natural defenses to fight cancery
- optimize immune system (increase role of agents that fight cancer cells, down regulate agents to decrease fight to cancer cells)
- compliment immune system
- may be dynamic with modified cells replicating in the body or reacting to cancer cells as they develop
127
immunotherapy can distinguish between
healthy and unhealthy cells
128
tumor lysis syndrome
electrolyte and metabolic disturbance caused by excessive calcium, potassium, phosphate, uric acid n the blood
129
dx of tumor lysis syndrome
2 or more metabolic abnormalities that occur 3 days before or 7 days after initiation of therapy
130
major risks of tumor lysis syndrome
renal insufficiency
seizures
cardiac dysrhythmia
death
131
childhood acute lymphoblastic leukemia
75% of childhood leukemia
involves lympobasts (starts in bone marrow)
male, white/hispanic, exposure to radiation/chemo, hx of genetic disorder
132
s/s of childhood acute lymphoblastic leukemia
```
night sweats
discomfort in bones or joints
enlarged spleen, liver or lymph nodes
pain or feeling of fullness below ribs
unexplained weight loss or loss of appetite
```
133
diffuse large B cell lymphoma
most common subtype of non Hodgkin
very aggressive
over 64, male, non asian or African American, immunocompormised, hx exposure to radiation/chemo
134
first sign of diffuse large B cell lymphoma
lump in groin, armpit or neck
135
mutiple myeloma
blood cancer involving plasma cells that create antibodies
| over 60, men, African Americans, fam hx, hx of plasma dz
136
s/s of multiple myeloma
```
bone pain
weakness/fatigue
weight loss
infection
pathological fx
```
137
complications of all blood disorders
anemia
thrombocytopenia
leukopenia
138
tx for blood disorders
chemo
myeloablative conditioning
stem cell transplantation
139
types of stem cell transplant
autologous
allogenic (increase risk for GVHD) matched by HLA
non-myeloablative transplant
140
graft vs host disease
donor's t lymphocytes do not recognize patent's cells and attacks them
occurs in about 50% of allogenic SCT pts
141
car T cell therapy
T cells removed, reprogrammed to find and kill cancer cells, re-entered in the body
most common use in liquid tumors
142
t cells
specifically target cells that express peptides
long clonal life
potentially significant expansion/replication in vivo
143
car T lymphodelepting phase
currently inpatient 3-5 days
144
CAR T administration phase
day 0
similar to transfersion
monitor for fever and neurotoxicity
145
car T recovery phase
2-3 weeks
blood cell recovery
bone marrow aspiration day 30
146
hallmark sign of cytokine release syndrome
fever
147
first sign of neurotoxicity
tremor
| confusion, attention deficits, handwriting, apraxia, ataxia
148
car t chart review - vitals
```
hypotension
fever > 38 c
arrhythmias
tachycardia
SaO2 and O2
```
149
provokes anterior labral tear
faber to extension, IR, ADD
150
promotes posterior labral tear
ext abd ER into flex ADD IR
151
number one cause of injury in modern dancers
faulty technique due to fatigue or decrease in power
152
main force generator during pitching
legs and trunk
153
hip extension deficits in trail leg leads to
increased shoulder external rotation
154
hip IR deficits in lead leg
increased risk for injury
155
hip flexion deficits on lead leg
increased risk for elbow pain
156
hip ER deficits
increased shoulder horizontal ADD ROM
| increased shoulder ER torque
157
trunk most active (pitching)
during late cocking through acceleration
158
pitching pelvic rotation
prior to thoracic rotation
| late = increased max shoulder ER and force
159
pitchingif upper torso rotates before stride foot contact
sig increase in elbow valgus torque
