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Flashcards in PT/OT (Zucker) Deck (24):
1

What's the difference between an OT and a PT?

PT = REMEDIATION; Prevent the onset, symptoms, and progression of impairments that may result from disease or injuries

OT = FUNCTION; Restore, maintain, and promote participation in functional tasks (self-care activities)

2

What are the goals of Phase 1 (acute) of shoulder dislocation treatment?

1. decrease pain
2. restore stability
3. reduce effects of immobilization
4. prevent further damage

3

What are the goals of Phase 2 (subacute) of shoulder dislocation treatment?

1. decrease pain
2. restore stability
3. 90-degree pain free ROM
4. neuromuscular control

4

What are the goals of Phase 3 (advanced strengthening) of shoulder dislocation treatment?

1. decrease pain
2. restore stability
3. normal pain free ROM
4. neuromuscular control
5. endurance
6. plyometrics

5

What are the goals of Phase 4 of shoulder dislocation treatment?

return to activity

6

What are possible bad outcomes of hip frx?

1.increased mortality (20% over 1st yr)
2. decreased functional status (30% d/c to skilled nursing)

7

What are the benefits of PT immediately after hip frx?

per protocol, better locomotion 2 months later and a 6 month shorter recovery (?)

8

What are the benefits of OT immediately after hip frx?

not protocol based; focus on functional activities with maintenance of hip precautions (goal = desired level of independence)

9

60-90% of adults experience ____ at some point

low back pain

10

What's the leading cause of disability between ages 19-45?

low back pain

11

ACL injuries occur more commonly in young (M/F)

F, 3:1

12

What are some factors that must be considered when rehab-ing an ACL injury?

age, history, activity level, graft source and associated injuries

13

What are the goals of Phase 1 (immediately post-srx) of ACL rehab?

1. Control pain and post-op swelling
2. begin to restore ROM

14

How is ROM defined, in terms of an ACL injury?

pre-op level of hyperextension

15

What are some methods to control inflammation following ACL srx?

cryotherapy, elevation, electrical stimulation, compression, limitation of activities.

16

Following ACL srx, patients must wear a brace (locked in extension) at all times for how many weeks?

1st week

17

What are the PT goals of Phase 2 (2-6 wks post-srx) of ACL rehab?

Restore full knee ROM (early strengthening exercises) in either a Supervised or Home rehab program

18

What are some strengthening exercised used in weeks 2-6?

1. Light weights
2. low load prolonged stretches (creep?)
3. manual overpressure
4. stationary bicycle (half moon)
5. lunges/squats

19

What are the PT goals of Phase 3 (6-10 wks post-srx) of ACL rehab?

build on limb strength gained in phase 2 using traditional exercises + challenges to the nervous system

(i.e. activities which force the center of gravity away from the base of support)

20

What form of rehab is superior to standard strength training for ACL injuries?

neuromuscular retraining

21

What are the PT goals of Phase 4 (10 wks - 6 mo post-srx) of ACL rehab?

Prepare return to sport (Running, cutting, and jumping)

22

What are important phase 5 criteria for returning to sports following ACL injuries?

1. pain-free during performance
2. no limp or guarding
3. no effusion after rehab
4. athlete confidence
5. no more than 10% asymmetry in strength testing (single leg vertical jump and time/distance hop)

23

What does effusion after rehabilitation or functional testing signify?

neuromuscular system is not adequately countering the high stresses experienced within the joint

24

A cane is always used on the (same/opposite) side as the injury.

opposite