Rehab Med - Intro

Question 1

Process of helping a person reach the fullest physical, psychological, social, vocational, avocational, and educational potential consistent with his or her physiologic or anatomic impairment, environmental limitations and desires and life plans

Answer 1

Rehabilitation

Question 2

Any loss or abnormality of psychological, physiological, or anatomical structure or function

Answer 2

Impairment

Question 3

Any restriction or lack resulting from an impairment of ability to perform an activity in the manner or within the range considered normal for a human being

Answer 3

Disability

Question 4

Disadvantage for an individual resulting from an impairment or a disability that limits or prevents the fulfillment of a role that is normal for that individual

Answer 4

Handicap

Question 5

the nature and extent of fx at the level of the person

Answer 5

Activity

Question 6

The nature and texten of the person’s involvement in life situations in relationship to impairments, activities, health conditions, and contextual factors

Answer 6

Participation

Question 7

Components of rehabilitation

Answer 7

Medical rehabilitation
Social rehabilitation
Vocational rehabilitation

Question 8

Rehabilitation component:
Involves physician, PT, OT
Medical aspect

Answer 8

Medical rehabiliation

Question 9

Rehabilitation component

How to earn money

Answer 9

Vocational rehabilitation

Question 10

Rehabilitation component

Fix the interpersonal relationship

Answer 10

Social rehabilitation

Question 11

Branch of medical science concerned with the comprehensive evaluation and management of patients with impairment and disability arising from neuromuscular, musculoskeletal, cardiovascular and pulmonary disorders

Answer 11

Rehabilitation

Question 12

Team leader

Answer 12

Physiatrist

Question 13

Coordinates the various members to achieve the goal set

Answer 13

Physiatrist

Question 14

Manages the medical aspects and medical complications that arise during rehabilitation

Answer 14

Physiatrist

Question 15

Use of physical agents and gradated exercises for tx

Answer 15

Physical therapist

Question 16

Direct personal care of ptx

Answer 16

Rehabilitation nurse

Question 17

Helps the ptx and significant others to prepare psychologically for full participation

Answer 17

Psychologist

Question 18

Evaluates and treats ptx with neurogenic disorders : aphasia, dysarthia, apraxia, cognitive-communication, impairments, dysphagia

Answer 18

Speech and language therapist

Question 19

Evaluate and train ptx in ADL’s and IADL’s

Answer 19

Occupational therapist

Question 20

Explore vocational and avocational interests

Answer 20

Occupational therapist

Question 21

Assist ptx in functional restoration esp for gross motor fx and ambulation

Answer 21

Physical therapist

Question 22

Evaluates the ptx skill within the community

Answer 22

Occupational therapist

Question 23

Educate the ptx family to maintain independence

Answer 23

Occupational therapist

Question 24

Train use of lower extremity prostheses

Answer 24

Physical therapist

Question 25

Evaluates the patient’s skill within the community

Answer 25

Occupational therapist

Question 26

Train ptx in use of modified environment, assistive devices and UE prosheses

Answer 26

Occupational therapist

Question 27

Train use of LE prostheses

Answer 27

Physical therapist

Question 28

Educate tthe patient’s family to maintain independence

Answer 28

Occupational therapist

Question 29

Direct personal care of ptx

Answer 29

Rehabiliation Nurse

Question 30

Addresses the ADL’s | Assist in medication management

Answer 30

Rehabilitation nurse

Question 31

Educate families on related disabilities

Answer 31

Rehabilitation nurse

Question 32

Assist in use of adaptive devices | Role goes beyond medication giving, monitoring, and preparation for other activities

Answer 32

Rehab nurse

Question 33

Helps the ptx and significant others to prepare psychologically for full participation

Answer 33

Psychologist

Question 34

Testing for intelligence, personality, and psychological status

Answer 34

Psychologist

Question 35

Counseling

Answer 35

Psychologist

Question 36

Trains ptx in bowel hygiene, food, and diet

Answer 36

Rehab nurse

Question 37

Observ ptx in performing ADL in the ward

Answer 37

Rehab nurse

Question 38

Tsting for intelligence, personality, psychological status

Answer 38

Psychologist

Question 39

Evaluates and tx w/ neurogenic disorders

Answer 39

Speech and language therapist

Question 40

Educates ptx and families on care of tracheostomy tubes, dysphagia, and alternative communication

Answer 40

Speech and language therapist

Question 41

Evaluates, designs, and fabricates orthoses and or prostheses Follow up and educate users of care and maintenance of such devices

Answer 41

Orthodist/ prosthetist

Question 42

``` Evaluates the patient’s total living condition including: Lifestyle Finances Employment history Community resources ```

Answer 42

Social worker

Question 43

``` Assess impact of disability with: Lifestyle Finances Employment history Community resources ```

Answer 43

Social worker

Question 44

What type of work suitable for ptx

Answer 44

Vocational counselor

Question 45

Facilitate assitance to cope with such impact

Answer 45

Social worker

Question 46

Sports, hiking etc

Answer 46

Recreation therapist

Question 47

Design products to alleviate ptx suffering

Answer 47

Rehabilitation engineer

Question 48

Functional history includes

Answer 48

ADL Community activities Vocational activities functional goals

Question 49

Physiatric approach includes

Answer 49

Fx history Functional examination Musculoskeletal examination

Question 50

is a feature of altered skeletal muscle performance with a combination of paralysis, increased tendon reflex activity and hypertonia. It is also colloquially referred to as an unusual "tightness", stiffness, or "pull" of muscles.

Answer 50

Spasticity

Question 51

Highly unreliable muscle tone test

Answer 51

Modified ashworth scale or spasticity

Question 52

A scale depending upon the responses of each muscle to both high and low speed After ranging a joint slowly and then quickly

Answer 52

Tardieu scale

Question 53

Tests the range of motion

Answer 53

Goniometer

Question 54

Activities of Daily Living includes

Answer 54

Mobility Self care Communication Environmental Hardware

Question 55

Instrumental Activities of Daily Living includes

Answer 55

``` Home Management Community Living Skills Health Management Safety Management Environmental Hardware ```

Question 56

Important physiatric tool | May help functional weakness

Answer 56

Gait analysis

Question 57

Gait analysis divided into 2 major phases

Answer 57

Stance phase | Swing phase

Question 58

Covers 40% of gait cycle

Answer 58

Swing phase

Question 59

Covers 60% of the gait cycle

Answer 59

Stance phase

Question 60

Swing phase involves

Answer 60

``` Initial swing (acceleration) Midswing Terminal swing (deceleration) ```

Question 61

Stance phase involves

Answer 61

Loading response (heel strike) Midstand (foot flat) Terminal stance (heel off) Preswing (toe off)

Question 62

The rate at which a person walk, expressed in steps per minute

Answer 62

Cadence

Question 63

Ave. Cadence

Answer 63

100-115 steps / min

Question 64

Six determinants of gait

Answer 64

``` Pelvic rotation in the horizontal plane Pelvic tilt in frontal plane Early knee flexion Weight transfer from heel to foot flat Late knee flexion (toe off- preswing) Pelvic lateral displacement ```

Question 65

Has greater pelvic lateral displacement

Answer 65

Female>male | Bigger pelvis and carrying angle

Question 66

Considerations in Rehabilitation

Answer 66

Goal setting Understanding the function of the team members Autonomy of each member Understanding the needs of patient