Flashcards in OS T#1: S3 Deck (49):
How do you implement Engineering Control Techniques?
By designing or modifying the workstation, work methods/tools to eliminate/ reduce exposure to excessive
When the subtalar joint goes into pronation what happens to the rest of the LE?
The LE goes into medial rotation.
When the subtalar joint goes into supination what happens to the rest of the LE?
The LE goes into lateral rotation.
What effect does flexion have on the spine?
Increases the vertebral foramen spaces and the intervertebral foramen space as well as increases the pressure on the intervertebral discs
What effect does extension have on the spine?
Decreases the vertebral foramen spaces as well as the intervertebral foramen space, decreases pressure on the intervertebral discs
Which spinal position should be avoided with spinal stenosis?
What is a Meta-analysis?
This is a pooling of data of RCTs to yield a larger sample
What is Liposclerosis?
Thickening of the tissue
What are the signs of a venous stasis ulcer?
Location:superior to medial malleolus, hemosiderosis, liposclerosis
When looking at a venous stasis ulcer what is the first thing you should do?
Find the ABI
If the ABI shows decreased arterial perfusion what is contraindicated?
Compression therapies (ABI between 0.5-0.8)
What is the difference between the lurch/ gluteus medius gait and the trendelenburgh gait?
During lurch gait patient shifts weight over the involved hit and pain may be associated, in trendelenburgh gait pt allows contralateral hip to drop and does not shift trunk.
What are the signs and symptoms of Slipped capital femoral epiphysis?
Vague hip pain, decreased hip flex, abd, and internal rot, with a lurch gait
What is the etiology of Bell's palsy?
LMNL involving the Facial nerve (CN VII), acute inflammatory process results in inflammation cutting off this nerve
What are the sings and symptoms of Bell's Palsy?
Weakness of the muscles of facial expression as well as loss of control of salivation and lacrimation. Inability to close one eye. Pt has normal sensation.
What is Arthrogryposis multiplex congenita?
A congenital deformity of the skeleton and soft tissues characterized by limitations in a joint motion and a sausage like appearance of the limbs
What is contraindicated with osteogenesis imperfecta?
PROM and traction secondary to increased risk of fractures
Therapy goals for Osteogenesis Imperfecta?
Maintain/improve joint mechanics
Aerobic activities (ex: swimming)
What are the TUG norms?
Less than or equal to 10 seconds is normal for adults, 11-20 seconds is normal for frail elderly, scores above 30 are indicative of impaired functional mobility and high risk of falls.
How do venous insufficiency ulcers present?
minimal pain, pain decreased with leg elevation, hemosiderin staining, liposclereosis, thin shiny and cyanotic skin.
Define Cheyne-Strokes respiration?
Progressively deeper and faster breaths which decrease into a period of apnea then cycle restarts.
When is the anterior aspect of the glenohumeral joint capsule stressed the most?
during the cocking phase (max ER Ext and abd
What is the recommended time for suctioning to be performed?
When to use transparent films?
Stage 1 or 2 ulcers
Skin donor sites
As a cover for hydrophilic powders and hydrogels
Advantages of Transparent Films?
You can see the wound
Doesn't let fluids / bacteria in
Allows for autolytic debridement
When to use Hydrocolloids?
Protection of partial thickness wounds
Autolytic debridement of necrosis or slough
Wounds with mild exudate
What are Hydrocolloids?
Adhesive wafers that form a gel like mass over the wound
Advantages of Hydrocolloids?
Non adhesive to healing tissues
Supports autolytic debridement
Maintains a moist environment
Min- mod absorption
What are Hydrogels?
Water or glycerine based gels
When to use Hydrogels
Partial or full thickness wounds
Wounds with necrosis/ slough
Burns and wounds damaged by radiation
Advantages of Hydrogels?
Soothing and cooling
Rehydrate wound beds
Promote autolytic debridement
Conform to wound bed
Amorphous form can be used with an infection present
What are Foam Dressings?
Soft absorbent non woven dressing made from seaweed. Reacts with wound exudate to form a hydrophilic gel (comes in ropes and pads)
What are advantages of Foam dressings?
Manage minimal to heavy exudate
Most are non-adherent
When to use Foam Dressings?
Partial and full thickness wounds
Secondary dressing for wounds with packing to add absorption
To provide protection/ insulation
What are Alginates?
Soft absorbent non woven dressings derived from seaweed that have fluffy cotton like apperance
When to use Alginates?
Wounds with moderate to large amounts of exudate
Wounds with exudate and necrosis
Wounds that require packing
Infected and non infected exudate wounds
Advantages of using Alginates?
Absorb up to 20 times their weight in drainage
Fill dead space
Support debridement in the presence of exudate
When to use wet to dry Gauze dressing?
Mechanical debridement of wound
When to use continuously dry Gauze dressing?
Heavily exudating wounds
When to use continuously moist Gauze dressing?
Protection of clean wounds
Delivery of topical needs
With Internal rotation and Extension of the knee which meniscus has tensile and which has compressive forces acting on it?
With Internal rotation and Flexion of the knee which meniscus has tensile and which has compressive forces acting on it?
What are the primary functions of the meniscus?
to relive compressive force of the knee and stabilize the joint during motion.
How does UE ergometery compare to LE ergometery?
UE uses lower VO2max and stroke volume but higher HR and BP
Post MI at what RPE level should u exercise?
less than 13
What is the first intervention to be performed with a Pt who has shoulder impingement syndrome?
Instruct the patient in proper postural alignment
When using biofeed back when do you put the electrodes close together?
When targeting a specific muscle
When using biofeedback when do you place the electrodes far apart?
When trying to achieve a general motion.