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Lab Midterm Flashcards

(78 cards)

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1
Q

hands at met heads/ball of foot facilitates

A

PF

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2
Q

hands at heel/calcaneus facilitates

A

DF

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3
Q

hands at navicular and 1st met head fascilitates

A

inversion

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4
Q

hands at 5th met heads, cuboid, lateral calcaneus facilitates

A

eversion

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5
Q

how to facilitate hooklying with LE

A

use hand at lateral border of 5th met with finger pads to facilitate eversion OR
index & middle finger on plantar surface of lateral 4 toes –> eversion

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6
Q

when would it be contraindicated to do bed mobility with the bed flat?

A

pt with EG tube
swelling precautions

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7
Q

If the direction of the therapist’s pressure is such that that the patient’s femur aDducts, what functional activity is being facilitated?

A

rolling

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8
Q

If the direction of the therapist’s pressure is such that that the patient’s femur aBducts, what functional activity is being facilitated?

A

standing (gait prep)

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9
Q

how can trapping be beneficial?

A

hold weak foot with strong
prevent overuse of less involved
encourage WB through involved
draw sensory awareness & attention to involved

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10
Q

how to progress 1/2 and full briding

A

timing for emphasis and primitive repeated concrations

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11
Q

T/F: it can be very hard to ween a pt from a more supportive AD

A

T

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12
Q

which principle is used with timing for emphasis during bridging to facilitate the more involved LE?

A

irradiation

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13
Q

what is Raimiste’s phenomena?

A
  • resisted ABD on the strong side will reinforce ABD on the weaker side
  • resisting ADD on the strong side will “irradiate” to ADD on the weak side
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14
Q

what compensation should you look for when doing Raimiste’s phenomena?

A

excessive lordosis
ensure no breaks are given between switching ab and ad

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15
Q

T/F: neuro pts always have weak hips

A

T

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16
Q

how should pt be positioned for scooting?

A

banana shape

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17
Q

it is easier to roll towards to _____ side

A

affected

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18
Q

where should PT always be when rolling?

A

on the side toward which the pt is rolling

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19
Q

how to cue core engagement during bed mobility?

A

lift chin

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20
Q

how to facilitate abs when sitting up?

A

downward pressure with thumbs at clavicle
reach across to opposite knee
lift head

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21
Q

how to align uninvolved pelvis after pt just sat up?

A

facilitate trunk shortening

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22
Q

what does maintaining the more involved scapula in protraction and depression help with when supine to sit?

A

head righting and protecting involved arm

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23
Q

Once hips are ____ and feet are _______, it is easier to bring the trunk into erect sitting

A

flexed
completely off the bed

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24
Q

considerations for supine to sit if extension synergy

A
  • Keep involved leg as flexed as possible throughout
  • Trap involved foot with uninvolved
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25
when scooting back, if the pt ankles DF, the COG is too far _____
posterior
26
when scooting back, if the pt ankles PF, the COG is too far _____
anterior
27
what type of pressure is given to cue pt to lift bottom when scooting back?
approximation pressure at hips
28
what does PT's leg do during scooting back?
give pressure to push back
29
Scooting and weight shift unilaterally is pre _____
gait
30
lift off (bilateral) is pre ____
standing
31
why is there less chance of falling with a scoot transfer?
pt COG is kept lower than stand pivot
32
what does the pt need for scoot transfer?
1. Dynamic trunk with anterior weight shift 2. Upper extremities in weight bearing 3. Lower extremities and hips angled so that knees point away from surface patient is going towards 4. Feet appropriately positioned for dynamic activity
33
T/F: The squat/scoot transfer represents a lower level of function than a stand pivot transfer.
F
34
From a “forced use” perspective, to which side should the patient be transferring most frequently?
towards weak side
35
leg hold for modified stand pivot transfer
anteriolateral aspect of patient’s tibia with anterio-lateral aspect of therapist’s tibia
36
how to do alternating isometric in prone on elbows
- Apply approximation pressure at top of shoulders down to elbows - Apply resistance to lateral aspect of 1 scapula and medial aspect of other scapula
37
how to do slow reversals in prone on elbows
- Start with rhythmic initiations - Weight shift between elbows - Add resistance during weight shifts - apply quick stretch for mobility
38
how to do rhythmic stabilization in quadruped?
apply resistance on opposite shoulder and hip
39
when is it contraindicated to place a ball under the pt in quadruped?
PEG tube
40
when is prone on elbows contraindicated?
continuous feed PEG tube
41
how should the LEs be positioned in kneeling to be more functional?
staggered
42
from a forced use standpoint, how should pt stand from kneeling?
weaker leg on UP side of half kneeling
43
what is successive induction (used with standing)?
effort in 1 direction with quick transition overflows successively into next direction
44
How to set up the environment to optimize the patient’s learning abilities?
base of support visual inputs challenging or supportive environment safety
45
how to encourage motor learning verbally?
ask questions to pt about performance, feelin weight, etc
46
use your hands _____
wisely
47
You cannot superimpose ______ on abnormal _______.
normal movements postural alignment
48
The more _____ your hand placements are, the more assistive you are for the patient
proximal
49
_____& _____feedback are consistent with NDT principles of manual facilitation for motor learning
faded & bandwidth
50
during trunk mobs, how should the shoulder be positioned?
flexion; humerus anterior to body
51
if pt has dominant UE synergy, how should UE be positioned with trunks mobs?
hands on PT's knees to facilitate abduction and ER
52
PT hand and arm movements for anterior pelvic tilt failitation
hand vertical just above pelvis pressure mostly with fingers 3 & 4 pressure with palmar side of pink NO FLEXION OF PINKY supination and wrist flexion
53
anterior pelvic tilt: Apply ___ and _____ pressure; Little fingers draws ____ and ____ pressure
up and forwards down and back
54
a ____ is needed to begin all activities
dynamic trunk
55
what are the essential components of lateral weight shift?
dynamic shortening on one side followed by elongation on other
56
lateral weight shift movement should be occurring where
lower trunk
57
T/F: Always return to midline before starting weight shifts again
T
58
lateral weight shifts: Shift to patient’s _____ side first
more involved (or to the side through which the patient tends not to bear sufficient weight)
59
when will you not lateral shift to pt's more involved side?
Pusher's syndrome
60
PNF Stages of Motor Control
mobility stability controlled mobility skill
61
How can PNF be progressed from a stability exercise to controlled mobility exercise?
add quick stretch for mobility
62
T/F: rhythmic stabilization has more complex muscle activation than reversals
T
63
where do patients with Pusher syndrome push?
towards weak side and back
64
body alignment of pushing side for pusher syndrome
PF and shortened trunk
65
which side does the swiss ball go on for pusher pt?
strong/uninvolved side
66
arm position of pushing side on swiss ball
shoulder ER keep hand off ball prefer: elbow bent and hand on head
67
PT position when working with pusher pt with swiss ball
posterior and to more involved side
68
how to prevent pushing when weight shifting with pusher pt
stop at midline or just before
69
1st cue to give when sitting from standing
bend knees
70
the hands should be ___ than the elbows when doing a sit to stand with a table
lower
71
the elbows should be ___ to the body when doing a sit to stand with a table
anterior
72
how to prevent synergy from occurring at UE when doing a sit to stand with a table
widely spaced hands (ER, abduction)
73
stand to sit: facilitate ____ pelvic tilt once knee flexed, facilitate dynamic ___ & ___
posterior trunk & leg
74
pre-gait sequence for stance phase
1) proper positioning 2) bilateral knee flexion 3) lateral weight shift w/ reciprocal knee bend (hold at midline) 4) unweight strong leg & heel out, toe out 5) weight shift to weak leg & step with strong 6) A/P weight shifts in stride position 7) step back with strong even with weak 8) step behind weak in staggered 9) step strong even with weak 10) step strong behind weak 11) full swing with strong
75
pre-gait sequence for swing phase
start in pre-swing with less involved forward 1) weight shift anterior keeping back foot on floor 2) facilitate pelvic drop, knee flexion, PF 3) graded extension and flexion of involved knee in stride 4) assist sliding foot forward 5) step forward with involved
76
which position is a critical position for swing phase pre-gait sequence?
trailing limb
77
forced use when turning
pivot on involved LE and step around with less involved
78
Active training ingredients for Neuroplasticity/Motor learning
task-specific training repetitive practice intensity saliency

Neuro PT (8 decks)

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