Memory 1 Flashcards
(53 cards)
Closed pack position
Position of a joint when it’s Articular surfaces are most closely congruent. Join is the most stable, no movement is possible.
Joint Mobs are CI’d as they would damage intra/extra Articular structures
Contraindication of Joint Mobs;
Neoplasm or at Dx'd lesion Bacterial infection Recent fracture Acute/active inflammatory and infective arthritis, (RA) Joint ankylosis Joint in closed pack postion Joint hyper mobility
Grades of Joint mobs associated to stage of healing
Grade 1 - ACUTE
Grade 2 - SUBACUTE
Grade 3 - CHRONIC
Grade 4 - CHRONIC
Heat Exhaustion vs Heat Stroked
Heat Exhaustion: (aka heat sycope)
- extreme physical fatigue from heat exposure
- profuse sweating, body temp normal
- decreased BP, Pulse, Resp rate
- cool, clammy skin, pallor
- decrease vasomotor tone, blood pooling in
Periphery, hypotension, cerebral anoxia
Heat Stroke: ** Medical emergency **
- body temp greater than 40*
- CNS disturbance
- dizzy, blurred vision, confusion, nausea, irritability
- HOT, DRY, RED SKIN
- Rapid pulse
Sunburn degrees
1st = mild redness 2nd = redness with blisters 3rd = redness, ulceration
Heat cramp
Strong involuntary mm contractions due to loss of fluids, electrolytes, or dehydration
Gait cycle:
Heel strike of one foot to heel strike of the same foot
Motor vs cognitive
Motor skills = quality of mvmt, Olympic power lifter
Cognitive skills = quality of decision making, coaching a team
When describing environmental predictability in relation to sport:
Open Skills vs Closed Skills
Open skills = performed in an unpredictable/variable
Environment. Ex: outdoor race, ski race, wrestling
Opponent
Closed skills = performed in a stable environment. Ex: gymnasium,
Swimming pool, indoor stadium (variables are at a
Controlled level)
Range of Motion (Ch 3 of THEX)
Define:
Full motion between two bones or at joint
Osteokinematic mvmt
AROM
AAROM if needed
PROM - will not prevent atrophy
POP passive over pressure is used to asses the END FEEL of a jt
RROM - CI’s in acute phase - recommended for chronic stage of healing
Active Range of Motion gives the therapist in of on:
Mm strength
Nerve innervation
Coordination
Passive Range of Motion gives the therapist in of on:
Integrity of Articular surfaces
Extensibility of joint capsule
Ligaments
Mms
Reliability definition:
The greater the predictability of the test, the greater the reliability of the test results
Intra-tester reliability
Results are compared by the SAME THERAPIST
IntER- tester reliability:
Results are compared by different testers
A prolonged application of cold to a sprain to the Achilles’ tendon would have the following affect:
- Sedative effect
- Decrease nerve conduction velocity (numbing, decrease Pain)
- Decrease motor Neuron impulses and mm spindle sensitivity = decreased spasm
- decrease elasticity of collagen fibres so tissues will become less pliable
Inverse Square Law
E=I/D2
E= Illumination density I = Intensity of lamp D = Distance from source
Ex: by reducing the distance btw the lamp and client by half, it would increase the intensity/dosage of UV light by 400%
CI’s for UV Light Therapy
Actinotherapy
TB Heart Disease Arteriosclerosis Puss pockets Extreme fever Diabetic gangrene
Grades for manual mm testing (0-5)
5 - Normal - can maintain max isometric resistance for atleast 5 seconds (break test)
4 - Good - can maintain, but yields to break test
3 - Fair - can move against gravity ( must establish this before doing break test )
2 - Poor - can move with assistance
1 - Trace - only evidence of neural pathway, no mvmt
0 - No mvmt
3 Stages of Inflam S/Sx and duration:
1 - Acute, 24-48 hrs post injury 5 Cardinal signs: “SHARP”
( Swelling, Heat, Acute Inflam, Redness, Pain)
2 - Subacute 72 hrs - 3 wks
Regenerating phase, wound repairm dismissed Inflam, colou changes, ROM begins to increase but P with tissue resistance
3- Chronic, scar tissue and healing phase
Decreased visible sign of Inflam, ROM still affected but can now begin to work through
Hypoxia
Inadequate O2 to tissue
What does “SOAP” stand for?
Subjective
Objective
Assessment
PLan
Client is stuck in a lower limb extensor pattern. How would you pillow on treatment table for comfort?
THe knee is brought FWRD into Flexion and with pillow
Extensor pattern for the lower body:
ADD Int Rot Ext of hip Ext of knee Planar FLX Inversion of ankle
