Test 2: Orthopedic Intervention

Question 1

What is the over-arching goal of orthopedic interventions??

Answer 1

To Achieve MAXIMAL function of the body and affected extremities to: restore functional performance

Question 2

What is the proper ROM sequence?

Answer 2

– PROM -> AAROM -> AROM

Question 3

What is the goal during the acute phase of orthopedic intervention?

Answer 3

• Relieve pain, decrease swelling and inflammation • Promote wound healing – Wound care • Maintain joint or limb alignment • Restore function to injury location • Modify the activity

Question 4

What is the goal during the chronic phase of orthopedic intervention?

Answer 4

• Same as above with more emphasis on functional return • Posture education • Body Mechanics • Modify the activity • individualized

Question 5

Every shoulder intervention should include?

Answer 5

Scapular mobilization

Question 6

Is there a difference between Passive ROM and Passive stretching?

Answer 6

Yes

Question 7

True or false, shoulder exercises should be pain-free

Answer 7

True

Question 8

Increasing shoulder strength and ROM should be done through

Answer 8

Functional Activities

Question 9

Shoulder intervention progression

Answer 9

Isometrics -> isotonics -> Functional Activities

Question 10

The Surgical Shoulder common treatment modalities?

Answer 10

• PROM to AAROM exercises • Cold Packs or other modalities • Edema Control • Pulleys • Scapular Mobilization • Joint Mobilization

Question 11

For a rotator cuff tear, the client will wear an abduction pillow brace for ___ weeks post op

Answer 11

4-6 weeks

Question 12

Concerns for RTC tear

Answer 12

• Typically will follow a protocol for progression of ROM and degrees allowed • Axilla region hygiene • Codman’s Pendulums

Question 13

Phase 1 • Joint mobilization

• Phase 2-frozen – Dull ache with active movements, sharp pain at end range (4-12 months)

Answer 13

Freezing

Question 14

The pain during phase 1 of adhesive capsulitis lasts for how long?

Answer 14

2-9 months

Question 15

Phase 2 of adhesive capsulitis is the ___ stage

Answer 15

Frozen

Question 16

Interventions during phase 1 of adhesive capsulitis include?

Answer 16

• Pain free ROM • Pain free stretches • Isometric Strengthening • Activity Modifications • Scapular Mobilization

Question 17

Interventions during phase 2 of adhesive capsulitis include?

Answer 17

• progressive prolonged stretching • Joint Mobilization • Scapular Mobilization • Shoulder Dynasplint • Strengthening • Activity Modifications

Question 18

The pain during phase 2 of adhesive capsulitis is ____ in nature with sharp pain at _____ for __ - __ months

Answer 18

Dull, end range, 4-12

Question 19

• Phase 3 , joint motion and strength returns (6-9 months) •

Answer 19

thawing

Question 20

Pain ____ during phase 3 of adhesive capsulitis

Answer 20

subsides

Question 21

During phase 3 of adhesive capsulitis, joint motion and strength returns at around __-__ months

Answer 21

6-9 months

Question 22

Treatment during phase 3 of adhesive capsulitis

Answer 22

Continue Joint Mobilization • Continue Scapular Mobilization as needed • Progress strengthening and stretching • Restore GH and scapular rhythm • Functional Activities

Question 23

TENS is a type of electrical stimulation used to treat ____

Answer 23

Adhesive capsulitis

Question 24

Treatment for adhesive capsulitis

Answer 24

TENS, Heat and ice before and after exercises, deep breathing and relaxation exercises

Question 25

Total shoulder replacements typically follow a protocol as per ___

Answer 25

physician

Question 26

___ region hygiene is a big concern for total shoulder replacement clients

Answer 26

axilla

Question 27

_____ after total shoulder replacement is limited as per physician

Answer 27

Rotation

Question 28

What tendon is commonly incised after a total shoulder replacement

Answer 28

Subscapularis Tendon

Question 29

Total shoulder replacement treatment modalities

Answer 29

Scapular Mobilization • Typically in a Sling adducted to side in Internal Rotation • ROM progression as per protocol • Strengthening progression as per protocol • Edema control • Joints Above and Below • Codman’s Pendulum Exercises

Question 30

Reverse total shoulder gives ____ in early rehab but worse ______ than regular total shoulder.

Answer 30

less difficulty | end ROM

Question 31

____ is the most common orthopedic elbow problem

Answer 31

Tendonitis/osis

Question 32

Intervention strategies for elbow pathologies

Answer 32

• Activity Modification • Ice or other modalities • CFM • Flexibility exercises • Ergonomics • Strengthening Progression • Functional Activity training • Strengthen proximally- shoulders and reinforce good posture As well as upper and lower arm musculature

Question 33

Built up handles/utensils are used for what orthopedic issue?

Answer 33

Lateral and Medial Epicondylitis

Question 34

With medial epicondylitis, the wrist is splinted in ___

Answer 34

Neutral

Question 35

Treatment for Lateral and Medial Epicondylitis includes ____ strengthening

Answer 35

Proximal

Question 36

Treatment for Lateral and Medial Epicondylitis includes ____ strengthening

Answer 36

Proximal

Question 37

Counter-force strap over flexor or extensor muscle bundles are commonly used for

Answer 37

Lateral and Medial Epicondylitis

Question 38

For UE fracture Interventions treatment can begin ____

Answer 38

as soon as the cast is applied or after reduction

Question 39

Timing, amount and kind of activity for UE treatment depends on ____

Answer 39

the location and severity of fracture and potential age of client

Question 40

Activity modification for UE fractures includes doing activities ___

Answer 40

One handed

Question 41

UE fracture interventions include

Answer 41

• Activity Modification – one handed • ROM • Codman’s exercises • Joints above and below Fracture Interventions • Modalities • Control Edema • Massage • Joint Mobilization • Strengthening • Elbow • Typically splinted in 90 degrees of flexion. Why? • Pronation and supination are emphasized.

Question 42

For UE elbow fractures the elbow is typically splinted in ___ degrees

Answer 42

90

Question 43

___ and ___ are emphasized with elbow fractures

Answer 43

Pronation and supination

Question 44

Most activities are performed between ___ and __⁰ of flexion Shoulder • Reach Perineum – 75-90º Hor Abd, 30-45º abd, 90+º IR • Tuck in Shirt – 50-60º Hor Abd, 55-65º Abd, 90º IR • Put something on a shelf – 70-80º Flex, 45º ER

Answer 44

30 to 130

Question 45

Most activities are performed at ___ of pronation and supination

Answer 45

50⁰

Question 46

To reach behind the head ___ of flexion is necessary

Answer 46

140 ⁰

Question 47

Eating requires ___-___ degrees of shoulder abduction

Answer 47

45-60º

Question 48

To reach Perineum, __-__Hor Abd is necessary abd, 90+º IR

Answer 48

75-90º

Question 49

To reach Perineum, __-__ of abduction is necessary

Answer 49

30-45º

Question 50

To reach Perineum, __ degrees of internal rotation is necessary

Answer 50

90 degrees