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MS2 Exam 3 > Mobility > Flashcards

Flashcards in Mobility Deck (36)
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1

Genetics/Lifespan Considerations

-bones and muscles adapt as you age

-some bones fuse during infancy while others grow as child develops

-growth is then turned off in adulthood (bones undergo remodeling)

-OA undergo physiologic changes: decrease strength and mobility

2

Alterations to Mobility

-back problems
-fractures
-multiple sclerosis
-OA
-Parkinson
-spinal cord injury
-amputations

3

Back pain

most common medical problem in America

-may result in: decreased quality of life, decreased mobility, increased pain and frustration, loss of work hours

4

Possible causes of back pain

-bas posture and sleeping habits
-low fitness level
-pregnancy
-obesity
-athletic injury
-degenerative disorders
-occupational risk factors
-referred pain from GI/GU/AAA
-backpack use

5

Prevention of back pain

-posture
-lifting
-body mechanics
-rest
-exercise

6

Herniated disc

-refers to a problem of the rubbery cushions between the individual bones that make up your spine

-occurs when nucleus pulpous ruptures and protrudes

-allowing fluids to leak out and irritate nerves

-compression of the nerve roots and cord shrinking the disc

-results in pain, numbness or weakness in arm or leg

-most people do not need surgery

7

Abrupt Disc Herniation

-nerve root compression

-severe pain

-muscle spasms

8

Gradual Disc Herniation

-slow onset pain

-associated with neurological symptoms (weakness/tingling)

9

Risk Factors for Back Pain

-most common between 30-50

-heavy lifting

-bending/twisting improperly

-overweight

-previous back problems

-smoking

-genetic factors

10

Clinical Manifestations of lumbar back pain

-low back pain

-radiating down the buttock and below the knee

-sciatic nerve pain

-weakness of the leg, foot, or toes

-bowel and bladder incontinence

-impotence

11

CES

Cauda Equina Syndrome

-latin for horse's tail

-compression of the nerve roots of this part of the spine

-may be permanent neurological impairment

-urinary incontinence and paralysis

-caused by massive lumbar disc herniation, spinal stenosis and trauma


***Medical emergency

12

Straight Leg Test

-back or leg pain may be reproduced by raising the leg and flexing at 90 degrees

13

Diagnostic Studies

-L spine xray
-MRI
-CT
-EMG
-Myelogram
-Blood tests

14

Tx for Chronic Low Back Pain

-low back exercises/PT
-Rest
-Local heat/cold application
-pain relievers
-weight reduction
-surgery

15

Non-Pharm Tx for Back Pain

-brace
-massage
-traction
-PT

16

Pharm Tx

-Salicylates
-NSAIDs
-Skeletal muscle relaxants
-Neuropathic pain meds
-Corticosteroids
-Epidural Injections

17

Skeletal Muscle Relaxants

-baclofen
-methocarbamol

18

Neuropathic Pain Meds

-gabapentin
-pregabalin
-duloxetine

19

Intrathecal Morphine Pain Pump Implant

-risks for the intrathecal pain pump procedure are low

-method of giving medication directly to your spinal cord

-symptoms can be controlled with a much smaller dose than is needed with oral meds

-goal: better control your symptoms and to reduce oral meds; thus reducing their associated side effects

20

Laminoectomy

surgical removal of part of the posterior arch of the vertebrae to allow for removal of the disk

21

Disectomy

-micro surgical procedure that allows the surgeon to visualize the disk and disk space better for easier removal of the herniated portion

22

Laser Disectomy

-outpatient procedure

-laser is used on the herniated portion of the disk

23

Spinal Fusion

-used for unstable spinal areas by creating a connecting vertebrae with a bone graft

-fibula or iliac crest

-rods, plates, and screws

-infuse bone graft/cage (regeneration)

-TLSO while OOB

-Surgical and graft site if used

-Avoid sitting or standing for long periods of time

-encourage walking, lying down, and shifting weight

-no twisting the spine

24

Vertebroplasty

-outpatient

-used to stabilize vertebral bone fractures

25

Postop Care

-VS
-Signs of circulation
-signs of bleeding
-position
-pain
-emotional support
-safety
-sterile technique
-signs of infection
-compression dressings
-paralytic ileus common, start PO intake slowly
-proper alignment at all times
-log rolling
-pain control
-pillows under legs
-neuro checks q 2-4 hours
-paralytic ileus
-TCDB/IS Q1 while awake

26

Neurovascular assessment: Circulation

-color/temp
-cap refill
-pulses
-edema

27

Neurovascular assessment: Motor Function

-flexion
-extension
-abduction

28

Discharge instructions

-bathing/incision care
-discomfort
-restrictions
-activity
-when to call the doctor

29

Scoliosis

-diagnosed if the sideway curvature measures more than 10 degrees

-congenital, acquired, idiopathic

30

Clinical manifestations of Scoliosis

-spinal curve to one side

-uneven shoulders

-differences in leg length

-tiredness of spine

-prominent shoulder blade and rib bump

-severe scoliosis, heart and lung problems