other pt interventions

Question 1

discuss aquatic exercise

Answer 1

use of water to facilitate therapeutic exercise

Question 2

purpose of aquatic exercise

Answer 2

faci functional recovery by providing an environment that augments pts ability to perform interventions

Question 3

goals and indic of aquatic exercise

Answer 3

faci ROM

initiate resistance training

faci WB activities

enhance delivery of manual techniques

3D assessment of pt

faci CV ex

initiate functional activity replication

min injury and re-injury
relaxation

Question 4

precautions of aquatic ex

Answer 4

fear of water

neurological disorders

respiratory condition

cardiac dysfunction

small, open wound and IV lines

Question 5

contra of aquatic ex

Answer 5

cardiac failure and unstable angina

respiratory dysfunction - VC < 1L

bleeding/hemorrhage

open wounds s occlusive dressing

uncontrolled bowel and bladder

menstruation s internal protection

water and airborne infections

uncontrolled seizures

Question 6

discuss buoyancy

Answer 6

upward force that works opposite gravity

Archimedes’ Principle - immersed body experiences upward thrust equal to the volumes of liquid displaced

Question 7

discuss hydrostatic psi

Answer 7

pressure exerted by fluid on an immersed object - pascal’s law

Question 8

discuss viscosity

Answer 8

friction occurring between molecules of liquid in resistance to flow.

Question 9

what happens to hydrostatic psi as density of water and depth of immersion increase

Answer 9

increase

Question 10

Resistance from viscosity is proportional to ______

Answer 10

velocity of movement through liquid.

Question 11

what happens to resistance if you inc velocity and surface area

Answer 11

inc resistance

Question 12

relate work to an extremity that moves through surface vs underwater

Answer 12

extremity that moves through the surface performs more work than if under water - d/t surface tension

Question 13

discuss WB c immersion

Answer 13

for pt c WB restrictions - LE surgery, joint pain/replacements

C7 - 10%
xiph - 33%
ASIS - 50%

Question 14

exercises applicable for 26-35°C

Answer 14

Flexibility

Strengthening

Gait Training

Relaxation

Question 15

exercises applicable for 26-28°C

Answer 15

CV training and aerboic ex

22-26°C if >80% HRmax to minimize heat illness

Question 16

water temp for acute painful MSK injuries

Answer 16

33°C - relax, inc pain threshold and dec muscle spasm

Question 17

what is massage

Answer 17

manip of body tissue using hands to affect nervous and muscular system and general circulation

Question 18

physiological effects of massage

Answer 18

reflex effects

mechanical effects

Question 19

reflex effects of massage

Answer 19

sedation

dec in pain - GCT

vasodilation

reflex heating and muscle relaxation

Question 20

mechanical effects of massage

Answer 20

assist in return flow of blood and lymph

mob soft tissue

make skin tougher - desensitize for amputees

inc skin temp

Question 21

indications of massage

Answer 21

subacute or chronic pain

muscle spasm

adhesion

superficial scar formation

edema

postural drainage

desensitization post-surgery

Question 22

precautions of massage

Answer 22

freshly burned skin

Question 23

contraindications of massage

Answer 23

infection

skin diseases

hemorrhage

acute inflammation

DVT

malignancy

severe RA

abdominal massage if pregnant

Question 24

limitations of massage

Answer 24

does not develop muscle strength/tone

cannot affect metabolism significantly

ineffective for weight reduction

ineffective in preventing atrophy 2ndary to nerve damage

dapat active ex

Question 25

discuss rhythm and rate for massage

Answer 25

even and symm slow - sedative/inhib fast - stimulation

Question 26

discuss pressure for massage

Answer 26

light - reduce pain and for relax deep - improve circulation and adhesions/scar

Question 27

discuss direction for massage

Answer 27

proximal segment of the extremity, move distally and return to the proximal region pero if drainage - distal to proximal

Question 28

discuss duration in massage

Answer 28

UE: 10-15 mins LE and back: 15-20 mins entire body: 45 mins to 1 hr depends on size of pt

Question 29

what is effleurage

Answer 29

gliding the palms, fingertips, and/or thumbs over the skin in a rhythmic circular pattern with varying degrees of pressure.

Question 30

uses of effleurage

Answer 30

initiates and ends treatment for transitions orient pt na touch na spreading medium to palpate for spasm/soreness

Question 31

indic of effleurage

Answer 31

stim lymphatic drainage relieve pain

Question 32

discuss superficial effleurage

Answer 32

for pain and realxation inc BF to area relax slow stroke tas stim if fast go with hair growth

Question 33

discuss deep effleurage

Answer 33

inc BF and stretch adhesions effects on circulatory and deep myofascial systems

Question 34

discuss compression/petrissage/kneading

Answer 34

mga milking actions - little to no lube sficial - relaxaton deep - inc venous return, mob fluid and tissue deposits, loosen adhesion and inc tissue pliability

Question 35

discuss friction

Answer 35

no lube - to breakdown adhesions, losses lig and disable trigger points tendonitis, tendinopathy, subacromial bursitis, plantar fasciitis and trigger points

Question 36

discuss tapotement/percussion

Answer 36

rhythmic alternating contact of varying pressure between hands and the body’s soft tissue for stimulation of movement cupping on chest during exhalation on phlegm

Question 37

what is the role of taping

Answer 37

protect injured area hold dressings or pads in place compress recent injury for bleeding and swelling - smaller areas protect from further injury as support limit unwanted movement allow optimal healing s stressing injured

Question 38

obj of wrapping/bandaging

Answer 38

compression to reduce effusion and swelling provide supp and reduce unwanted ROM secure dressings and pads

Question 39

contraindic for taping and bandaging

Answer 39

allergy to amterial suspected fracture or total teat - grade 3 dapat splints na acute swelling if tape; bandaging oks lng pain after applicaton - change parameters

Question 40

parts of pt educ

Answer 40

body mech pain relief HEP wellness - holistic risk reduction

Question 41

values of pt educ

Answer 41

improved adherence better understanding of their condition more efficient comms realistic expectations and timelines easing of fear or apprehension safer therapy env inc satisfaction c treatment stronger rela improved outcomes for pt

Question 42

discuss environmental mod

Answer 42

guide the patient and family in optimizing accessibility

Question 43

what to consider in environmental mod

Answer 43

env barriers pts functional capabilities cultural bg financial resources comm resources needed AD

Question 44

discuss physical env

Answer 44

built objects - man made structures natural objects - other humans, nature home, community, workplace, school, lahat barriers - factors that through their presence or absence, prevent optimal function and create disability