Lab 1 - TBC (Tx Based Classficiation)

Question 1

Treatment Based Classification

What is the purpose of a TBC approach?

Answer 1

primary purpose = is to identify features at baseline that predict responsiveness to different treatment strategies in subgroups for joints.

Question 2

How do you use a TBC?

(hint: 4 steps)

Answer 2

1) Establish if the patient is appropriate for physical therapy intervention.

2) Identify yellow flags

3) Classify patients based on impairments

4) Educate

Question 3

Using a TBC approach, how do you classify patients based on impairments?

Answer 3

• Place the patient in the appropriate treatment groups based on impairments
  
  • Pain Control
  • Stabilization
  • Mobilization
  • Exercise
  • Correction of movement impairment
• ID key impairments, narrow it down to the primary impairment
• all the categories listed are about pain control, except its more about HOW you JUSTIFY IT

Question 4

Notes for TBC approach:

TBC = a way to help you prioritize impairments. However just because you start off in one TBC for the day 1 visit, it does not mean that you will continue to classify the patient in the same TBC for subsequent treatment visits as it will change depending on your patient’s response to the intervention.

Answer 4

…

Question 5

TBC TIPS:

• Remember you are treating the primary impairment contributing to the patient’s presentation and this is how you can categorize your patient’s using the TBC system.
• Stick within the same TBC category to treat the key impairment for the same day treatment.

Answer 5

…

Question 6

TBC TIPS:

• Try to be mindful and avoid stating that the TBC is mobilization, and providing a calf stretch as an exercise when the TBC you mentioned was mobilization. Yes they both help improve ROM, but stick within one category, or justify why you are changing your TBC.
• Stick within the same TBC category to treat the key impairment for the same day treatment.

Question 7

which category of the TBC approach would TENS, ice, and heat belong to?

Answer 7

Pain modulation

Question 8

What might fall under the stabilization category?

Answer 8

orthotics, braces, taping

Question 9

What falls under the mobilization category of the TBC approach?

Answer 9

Mobes (grades 1-5)

Physiological motion

accessory motion

Question 10

What falls under the exercise category?

Answer 10

muscle length (stretching)

strengthening

Question 11

what are some examples of correction of movement impairments?

Answer 11

postural correction

ergonomics

abdominal strengthening for scoliosis

Question 12

Rehabiliation Progression Pyramid

pain and inflammation → posture → joint integrity & mobility → ROM & muscle length → sensory + reflex integrity → muscle performance → motor function → balance & gait → synergies → movements → skill

Answer 12

Question 13

What category would abdominal strengthening fall under (TA Brace)? and how would you justify it?

Answer 13

Exercise → strengthening core

Correction of movement impairment → strengthening core to engage in a stable frame for movement

Question 14

Question 15

Strengthening

1. Sidelying Hip Abduction: Your instructor will guide you on how to perform the activity.
2. After understanding how to perform the activity properly establish what you think will be at ~60-70%1RM required for strength training for yourself.
3. After establishing your 1RM perform 3 x 8 for the given activity
   
   1. If the established 1RM is too easy or too hard, think about how you can adjust the parameters per ACSM to successfully promote strength and start the activity over.
4. Apply the appropriate rest period for strength between each set.
5. Once the final set is completed, you will be provided more exercises by your instructor.
6. Breakout for discussion.
7. Use any remaining time to explore any of the equipment you are unfamiliar with.

Question 16

Strengthening

1. Sidelying Hip Abduction: Your instructor will guide you on how to perform the activity.
2. After understanding how to perform the activity properly establish what you think will be at ~60-70%1RM required for strength training for yourself.

Question 17

ACSM guidelines:

if goal is Hypertrophy of muscle

_____- _____ % of RM

Reps = ______

rest between sets = ____

Answer 17

70-85% of 1RM

Reps = 8-12

1-2 min

Question 18

ACSM guidelines:

if goal is Hypertrophy of muscle

_____- _____ % of 1 RM OR _____- ______% of 1RM

Reps = ______ OR ________.

rest between sets = ______ OR _______

Answer 18

Question 19

ACSM guidelines:

if goal is powertraining for UE

_____- _____ % of RM

Reps = ______

of sets = ____

rest between sets = ____

Answer 19

30-60% of 1RM

3-6 reps

1-3 sets

rest btwn sets = 2-3 min

Question 20

ACSM guidelines:

if goal is powertraining for LE

_____- _____ % of RM

Reps = ______

of sets = ____

rest between sets = ____

Answer 20

0** – 60% of 1RM

3-6 reps

1-3 sets

rest btwn sets = 2-3 min

Question 21

ACSM guidelines

if goal is Endurance training for muscles

_____- _____ % of RM

Reps = ______

of sets = ____

rest between sets = ____

Answer 21

< 70% of 1RM

10-25 reps

2-4 sets

rest btwn sets = 30-60 sec

Question 22

a long arc quad is an example of a

Question 23

name an example of when we would want to use an endurance based HEP?

Answer 23

strengthening postural muscles

athlete return to sport?

long distance runner

elderly population that wants to return to walking (they may have the strength to support them, but don’t have the endurance to keep going)

Question 24

Name some examples/ skills for a power-based HEP

Answer 24

running/ sprinting, jumping, agility, squatting/ weight lifting, tackling (football), baseball throws/ swing