Part 2

Question 1

who is buerger allen exercises meant for?

Answer 1

patients with buerger’s, raynauds, elderly, bedridden, or early stages of diabetes

Question 2

what are the exercises for buerger allen

Answer 2

1. support legs in an elevated position at 60-90 degrees for 30-180 seconds or until you produce blanching of the extremity. dorsiflex and plantar flex during procedure
2. allow feet to hang over the edge of the bed for 2-3 minutes or as long as it takes to prodcue hyperemia, then add 1 minute. this shouldn’t be more than 5 minutes
3. place legs in a horizontal position for 3-5 minutes

Question 3

who is william’s exercises fofr?

Answer 3

low back pain patients

Question 4

what are the flexion exercises in the william’s exercises?

Answer 4

ab crunches in 90/90 or goucher’s position
flut max (pelvic rocks or tilts
stretch hams, knee to chest

Question 5

what is the intension of the william’s exerises?

Answer 5

reduce LBP by strengthening the spineal muscles of lfexion and extension as well as abs and glut max

Question 6

how is a patient instructed to do sit ups?

Answer 6

knees flexed, hands in front of chest while head and shoulders are lifted off the floor up to 6 inches so that the iliopsoas muscle is not used. position is held for 5 seconds or as long a possible

Question 7

McKenzie’s exercises are used for? what type of exercise is it?

Answer 7

extension exercises
LBP
acute low back problems (ex: disc)

Question 8

what do you do during codman (pendular) exercises?

Answer 8

strengthen shoulder girdle while eliminating the use of the supraspinatus

Question 9

what is the codman (pendular) used for?

Answer 9

frozen shoulder (adhesive capsulitis), rotator cuff rehabilitation

Question 10

DeLorme’s eercises

Answer 10

systematic approach to muscle strengthening by increasing the resistance placed on the muscle

Question 11

example of DeLorme’s exercises

Answer 11

weight lifting

Question 12

what exercise is used for pragnant females and patients with urinary incontinence?

Answer 12

Kegel’s

pelvic floor exercises

Question 13

jacobson’s exercises is used to?

Answer 13

relax muscles by using stress exercises

Question 14

clayton’s exercises

Answer 14

crawling exercises to mobilize the spine

exercise muscles in scoliosis (cross-crawl)

Question 15

frenkel’s exercises

Answer 15

ataxic motion and to develop coordination (wobble board)

Question 16

what is the brace used for thoracolumbar support?

Answer 16

milwaukee brace

Question 17

when should we use the milwaukee brace?

Answer 17

when there is a scoliosis that is between 20-40 degrees

worn 23 hours a day

Question 18

what is an example of a lumbar/SI support?

Answer 18

sacroiliac girdle (trochanteric belt)
goes around the hip

Question 19

what is the trochanteric belt used for?

Answer 19

SI hypermobility

Question 20

what are the different extremity braces? what are they for?

Answer 20

figure 8 (louisiana strap)-inversion ankle sprain
lennox-hill (derotational brace)- knee
cockup splint- wrist (carpal tunne syndrome)

Question 21

which hand do you use a cane or 1 crutch in?

Answer 21

opposite hand

Question 22

describe how to fit a crutch

Answer 22

2-10-30
measure 2 inches from axilla
tip of crutch 10 inches from malleolus
be at 30 degrees when placed correctly

Question 23

contraindications to all modalities of passive caare

Answer 23

hemorrhage
infection with suppuration (except with UV superficially)
***malignancy

Question 24

contraindications to all heating modalities

Answer 24

decreased thermal sensation
active TB
low back and abdomen during pregnancy
encapsulated swellings (herpes simplex, non-draining sinusitis)
late stages of diabetes mellitus

Question 25

contraindications for all electrical modalities

Answer 25

``` pacemakers low back and abdomen during pregnancy decreased sensation (LVG only) brain (transcerebral) eyes heart (transthoracic) carotid sinuses ```

Question 26

describe the effect of massage

Answer 26

mechanical (kinetic and friction) | greatest effect on vascular system

Question 27

physiologic effects of massage

Answer 27

``` increases blood and lymph flow heart rate blood pressure breaks adhesions removes lactic acid decreases edema, congestion and nerve activity (sedation) ```

Question 28

indications for massage

Answer 28

``` strains sprains bruises tendonitis bursitis ```

Question 29

contraindications for massage

Answer 29

``` VASCULAR PROBLEMS phlebitis thrombosis varicosities ulcerations local acute conditions ```

Question 30

types of massage

Answer 30

``` effleurage petrissage tapotment friction vibration deep pressure ```

Question 31

effleurage

Answer 31

stroking (begin and end of every massage and stroke toward the heart- centripital force)

Question 32

petrissage

Answer 32

deep kneading for muscle tissue

Question 33

tapotment

Answer 33

perussion 1. flat hand, slapping 2. fist pounding 3. finger tips tapping for young kids 4. ulnar side, hacking 5. cupping (cystic fibrosis)

Question 34

friction

Answer 34

deep rubbing (powder)(Transverse Friction Massage)

Question 35

vibration

Answer 35

shaking (extremities only) henie rub G5 thumper

Question 36

deep pressure

Answer 36

nimmo acupressure

Question 37

describe transverse friction massage (TFM)

Answer 37

breaks adhesions in muscles, ligaments and joint capsule | decreases chemical cross linking

Question 38

indications for TFM

Answer 38

sprain strain tendonitis bursitis

Question 39

TFM is not recommended for?

Answer 39

calcific tendonitis bursitis it would inflamme the tissue more

Question 40

types of traction

Answer 40

``` constant intermittent (pumping, gliding, disc problems) ```

Question 41

physiologic efffects of traction

Answer 41

decrease intradiscal pressure increase IVF space gliding of facet joints

Question 42

other physiologic effects of intermittent tration

Answer 42

break adhesions | breaks muscle spasms

Question 43

other physiologicl effects of constant traction

Answer 43

straightens curves

Question 44

indications for traction

Answer 44

``` disc syndromes foraminal encroachement hyperlordosis chronic muscle spasms fibrotic adhesions ```

Question 45

contraindications for tractions

Answer 45

bone weakening conditions (osteoporosis, rickets, osteomalacia) pregnancy RA, Down's (unless you have looked at their transverse ligament with flex/ext views) acute muscle spasms fractures hypertensive disorders

Question 46

describe how to do traction for the cervicals

Answer 46

begin at 5% body weight and increase 2lbs max each treatment never exceed 50 lbs never exceed patient tolerance

Question 47

describe where to position patient for each vertebra in the cervicals

Answer 47

C2-7- 25-28 degrees | occ-C1- 0 degrees

Question 48

what should you note of or traction of the cervicals?

Answer 48

it takes 10 lbs to overcome the weight of the skull

Question 49

describe how to do traction for lumbars

Answer 49

begin at 25% of body weight and increase 5 lbs max with each treatment to max of 150 lbs never exceed patient tolerance

Question 50

describe where to position patient for each vertera in the lumbars

Answer 50

supine with legs flexed and knees flexed 90 90 traction goucher's position

Question 51

what are the benefits of goucher's position?

Answer 51

relaxes muscles | flattens lumbar curve