PT/OT (Zucker)

Question 1

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

Answer 1

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)

Question 2

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

Answer 2

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

Question 3

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

Answer 3

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

Question 4

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

Answer 4

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

Question 5

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

Answer 5

return to activity

Question 6

What are possible bad outcomes of hip frx?

Answer 6

1. increased mortality (20% over 1st yr)

2. decreased functional status (30% d/c to skilled nursing)

Question 7

What are the benefits of PT immediately after hip frx?

Answer 7

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

Question 8

What are the benefits of OT immediately after hip frx?

Answer 8

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

Question 9

60-90% of adults experience ____ at some point

Answer 9

low back pain

Question 10

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

Answer 10

low back pain

Question 11

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

Answer 11

F, 3:1

Question 12

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

Answer 12

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

Question 13

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

Answer 13

1. Control pain and post-op swelling

2. begin to restore ROM

Question 14

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

Answer 14

pre-op level of hyperextension

Question 15

What are some methods to control inflammation following ACL srx?

Answer 15

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

Question 16

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

Answer 16

1st week

Question 17

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

Answer 17

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

Question 18

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

Answer 18

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

Question 19

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

Answer 19

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)

Question 20

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

Answer 20

neuromuscular retraining

Question 21

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

Answer 21

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

Question 22

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

Answer 22

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)

Question 23

What does effusion after rehabilitation or functional testing signify?

Answer 23

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

Question 24

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

Answer 24

opposite