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

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

A

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
Q

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

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

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

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

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

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

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

A

return to activity

6
Q

What are possible bad outcomes of hip frx?

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

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

7
Q

What are the benefits of PT immediately after hip frx?

A

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

8
Q

What are the benefits of OT immediately after hip frx?

A

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

9
Q

60-90% of adults experience ____ at some point

A

low back pain

10
Q

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

A

low back pain

11
Q

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

A

F, 3:1

12
Q

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

A

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

13
Q

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

A
  1. Control pain and post-op swelling

2. begin to restore ROM

14
Q

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

A

pre-op level of hyperextension

15
Q

What are some methods to control inflammation following ACL srx?

A

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

16
Q

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

A

1st week

17
Q

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

A

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

18
Q

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

A
  1. Light weights
  2. low load prolonged stretches (creep?)
  3. manual overpressure
  4. stationary bicycle (half moon)
  5. lunges/squats
19
Q

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

A

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
Q

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

A

neuromuscular retraining

21
Q

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

A

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

22
Q

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

A
  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
Q

What does effusion after rehabilitation or functional testing signify?

A

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

24
Q

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

A

opposite