Mobility Flashcards

(57 cards)

1
Q

cartilage

A

flexible C.T that coats bony areas, allows gliding and absorbs shock

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2
Q

tendon

A

nonflexible fibrous C.T that attaches muscle to bone

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3
Q

ligament

A

flexible C.T that attaches bone to bone

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4
Q

3 main functions of skeletal muscle

A

movement
posture and positioning
generate body heat

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5
Q

5 functions of the skeletal system

A

support
protect
produce: red bone marrow
storage: Ca, P, Mg, Fe, lipids
movement

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6
Q

proprioception

A

feedback from sensory receptors to coordinate, balance, and fine-tune body positioning and movement

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7
Q

synovial joints

A

fluid-filled capsules that connect bones and enable movement

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8
Q

body mechanics

A

musculoskeletal and nervous systems to maintain posture, alignment, and balance

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9
Q

where is the center of gravity while standing

A

just below the umbilicus

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10
Q

how does center of gravity change to improve stability and balance

A

lower and closest to the base; spreading the feet shoulder-width and flexing the knees

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11
Q

ergonomics

A

study of body mechanics in relation to the demand and design of the work environment

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12
Q

3 risk factors at work

A

practice controls: lighting, noise, exposure to heat/cold
physical characteristics: posture, repetition, time
environmental hazards: mental/physical stress, falls, slips

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13
Q

disuse osteoporosis; what does it lead to

A

bones become thinner and weaker due to prolonged bed rest; leads to fragility fractures

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14
Q

sarcopenia; affects where first

A

loss of lean muscle mass; twitch fibers in voluntary muscles; affects lower extremities first; affected by aging

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15
Q

joint contractures

A

abnormal fixation of a joint due to changes in muscles and connective tissue

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16
Q

foot drop

A

joint contracture resulting in partial or total inability to pull the toes up toward the head (dorsiflexion)

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17
Q

how many days of bedrest before structures start to change

A

4 days

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18
Q

cardiac deconditioning

A

atrophy of the heart muscle: less blood being ejected during contraction

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19
Q

orthostatic hypotension guidelines

A

decrease in systolic 20mmHg or more;
decrease in diastolic 10mmHg or more within 3 mins of changing positions

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20
Q

deep vein thrombosis (DVT)

A

blood clot (thrombus) develops in one or more of the deep veins, usually in arms, pelvis, thighs, or lower legs

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21
Q

DVT could lead to which 3 conditions

A

pulmonary embolism
stroke (cerebrovascular accident)
myocardial infarction

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22
Q

what can occur from shallow breathing due to long term supine position

A

atelectasis: partial or complete collapse of lung
pneumonia: infection

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23
Q

how are GI tracts affected by prolonged bed rest

A

malnutrition
decreased sensation for bowel movement-> constipation
gastroesophageal reflux

24
Q

how are genitourinary system affected by prolonged bed rest

A

urinary retention
renal calculi due to incomplete drainage of the kidneys; leading to UTI

25
self concept
belief one holds regarding their qualities and attributes formed through experiences
26
how often should joints be moved
q8hrs
27
how often should client's position and posture for body alignment be checked
q2hrs
28
how often should clients be repositioned
q2hrs
29
what type of diet can help prevent skin breakdown
high-protein meals and shakes
30
kyphosis
outward curvature of the thoracic area of the spine; pelvis tilted forward; most commonly in older females from weakening and breakage of the vertebra
31
Timed Up & Go (TUG) assessment
stand up from seated position, ambulate 10ft, and back. Longer than 12secs increased risk of falling
32
standardized mobility assessment tool (MAT)
lvl 4: no assist lvl 1: max assist
33
Borg rating of perceived exertion (RPE) scale
lvl 6: effortless lvl 20: max effort subjective target 12-14
34
when should basic ambulation skills be developed during infancy
around 1 year
35
fine-tuning of gait is achieved around when during childhood
5-7yrs old
36
what level of the cane should be relative to the body;elbow degrees
by the inner wrist when relaxed hands at side 15-30 degrees angle
37
crutches should be at what level
axilla: crutch pads 1-2 inches below hand grips at hips
38
5 factors to consider with assistive devices
body size and shape level of cooperation mental function physical disabilities health-related conditions and equipment
39
max assist
extend arm sit by self on edge of bed for at least 2 mins
40
moderate assist
feet on floor extend leg, flex ankle and point toes
41
minimal assist
rise self from seated position w/assisted device stand for at least 5 secs
42
crutches are used for
upper arm strength strong; younger clients
43
walker used for
lower extremity weakness
44
pivot disc used for
can stand but hard to move feet to a chair
45
abduction vs. adduction
abduction: away from midline adduction: towards midline
46
pronation vs. supination
pronation: face backward supination: face forward
47
inversion vs. eversion
inversion: turn inward eversion: turn outward
48
all adults should do moderate intense aerobic activities for how long
150mins per week 30mins per day, 5 days a week
49
what position for a client with pneumonia and want to increase postural drainage
prone, face to side;abdomen flat down
50
occupational therapist
assist with ADL
51
what position to prevent atelectasis
fowler's
52
how should a client move with a walker
walker first step with weaker leg
53
damage with skin intact
redder in color, firmness, skin unopened
54
damage into skin layer
wound lighter in color, temperature diff, intact/open blister
55
damage beyond the skin layer
wound open, granulation
56
muscle tone - flaccidity vs. spasticity
flaccidity: decreased tone spasticity: increased tone
57
urinary stasis
decreased urge to void; difficult to relax sitting up