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Kines FINAL
OT 502
81
Medical
Graduate
09/25/2009

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Term
Definition of therapeutic exercise
Definition
No meaning, AROM, against resistance; exercise without activity
Term
definition of therapeutic activity
Definition
activity that acts as a therapeutic exercise that has meaning and purpose; ex. lifting groceries instead of bicep curles.
Term
uses of therapeutic exercise
Definition
 Augment/preparation to purposeful activity- therapeutic activity can augment purposeful activity.
 Remediate sensory and motor dysfunction- sometimes can’t do activity,
 Prepare client for functional occupations
 Exercise without activity
 Adjunctive modality
 Ex: Arm bike provides ROM and builds endurance
Term
Purpose of ther ex
Definition
 Removing contractors
 Increasing ROM
 Prepatory building blocks
 Develop awareness of normal movement paterns
 Mental mood booster
Term
Indications-when is therapeutic exercise appropriate?
Definition
 Usually for ortho and LMN injuries
 Must want to do ther ex or ther activity (motivation)
 Free of pain with adequate ROM
• Can’t be excruciating and have to work within pain tolerance
• Decreasing pain through increasing ROM
 Medical condition indicates no restrictions
• Fresh fracture
• Blood clot
Term
Contraindications for thera exercise
Definition
poor health, restricted by MD, severe ROM deficits, lack of voluntary control/coordination of muscles, inflammed joints, recent surgery.
Term
Which types of exercise are used to increase strength?
Definition
 Resistive exercises
 Isotonic/isometric
Term
what is Substititution/compensation?
Definition
Not enough strength so person is using another muscle group or movement to substitute for ROM
 Sometimes a good thing to substitute and sometimes not it just depends on what the therapist wants
Term
how do you increase strength?
Definition
more resistance, less reps
Term
how do you increase endurance?
Definition
less resistance, more reps.
Term
CPM?
Definition
continuous passive motion machine- used when person doesn't have ability to do them selves, provides PROM for person.
Term
give an ex of a forced exercise?
Definition
ex. Having person hold weight and it is forced down by gravity.
Term
what is Coordination?
Definition
an Automatic response with Proprioceptive sensory feedback involved.
Term
what is an Engram patterns-
Definition
pattern that is instilled in brain that is automatic and involuntary
Term
Isotonic resistive exercise
Definition
Movement with weight, Knee extensions/curls, Activity- kickball
Term
what is an Isotonic active exercise?
Definition
No resistance
Can can dance = activity
Term
what is an Active assisted exercise?
Definition
Patient does some and therapist does some
Activity- make them try to grab object and help them when they can’t
Term
what is Passive exercise?
Definition
Someone or something else does everything for patient
Activity- engaging for them, encourage, develop movement pattern (engram pattern)
Term
what is Codman’s (pendulum) exercise?
Definition
Completely passive, no active movement
Usually for shoulder fracture or rotator cuff tear.
Through movement of body, letting gravity and momentum do work
Not easy to add activity
Term
what is Passive stretch?
Definition
Therapist or someone else moves joint and stretches muscle out
Not easy to add activity
Term
what is Active stretch?
Definition
Patient doing it themselves
Not easy to add activity
Activity hanging on monkey bars
Term
what is Isometric exercise without resistance?
Definition
Contraction with no shortening or lengthening
Yoga= activity
Term
what is Isometric exercise with resistance?
Definition
Contraction with no shortening or lengthening
Activity holding a kid
Term
what is a non-prehensile grasp?
Definition
no thumb use
Term
what does the thumb add to a grasp?
Definition
strength
Term
number of fingers involved in pinch?
Definition
2-3
Term
number of fingers involved in grasp?
Definition
5 but at least 4
Term
position of the thumb in grasp?
Definition
thumb towards all 4 fingers but not touching thumb
Term
position of thumb in pinch
Definition
thumb comes in contact with one or more fingers
Term
necessary element for normal pinch?
Definition
radial side of palm
Term
define tip pinch and give examples
Definition
 Tip of thump with tip of another finger, usually 2nd, sometimes 3rd
 Tweezing eyebrows
 Stringing beads
Term
define lateral pinch and give examples
Definition
 Lateral
 Where tip of thumb touches middle phalange of 2nd digit
 Used for keys
 Taking a paper from someone
 Quarters in vending machine
 Shopping, sliding credit card
Term
difine palmer pinch and give examples
Definition
 (tri-pod pinch) 2nd and 3rd digit touching thumb
 Writing
Term
example of a side to side pinch
Definition
holding a cigarette
Term
example of a lumbrical pinch
Definition
 Holding plate, or cookie sheet, tray
 Thumb wars
Term
stages of normal grasp
Definition
 1st, open hand
 2nd- reaching and closing hand around object
 3rd- apply right amt of force
 4th – let go
 Don’t think about because of proprioception and tactile senses, memory
 When don’t know how much it weighs, go slower.
Term
example of a Hook grasp
Definition
Carrying suitcase, thumb has zero to do
 Carrying bag
Term
example of a Cylindrical/spherical grasp
Definition
 Cylindrical-holding cup, opening a jar
 Spherical- holding softball
Term
example of a fist grasp
Definition
 Holding bat
 Tug-o-war
 Tighter then cylinder
Term
which position is grasp tighter in, flexion or extension?
Definition
extension
Term
name some causes of the loss of the volar arch
Definition
Intrinsic muscle weakness(Carpal tunnel syndrome,Nerve lesion, Peripheral neuropopy); Severe scarring due to burn on dorsal hand; Ligamentous tightening after immobilization with a flat arch (Need arch because muscles will atrophy without it and No powerful grasp without volar arch)
Term
ape hand is due to leasion of what nerve?
Definition
median
Term
claw hand is due to leasion of what nerve?
Definition
ulnar
Term
wrist drop is due to leasion of what nerve?
Definition
radial
Term
what is the biomechanical approach?
Definition
-seeing body as a machine
-getting person back to whatever their normal function is whith no adaptation or compensation
-increasing their strength, endurance, and ROM
Term
the biomechanical approach is used mainly with people with what dysfunction?
Definition
physiolocial dysfunction with no brain or spinal cord injury
-requires and intact brain and CNS
-most effective with ortho conditions and LMN disorders
-musculoskeleton
Term
what is inherent in the bio approach?
Definition
assessing ROM and MMT
Term
which approach is more client centered?
Definition
rehab, bio is more generic and injury based
Term
dysfunction (bio approach)
Definition
Inability to attain full ROM normal strength and normal endurance
Term
function (bio approach)
Definition
ability to attain full ROM normal strength and normal endurance
Term
why is structural atability necessary?
Definition
 To prevent injury
 Balance
 To regain function properly
Term
what is statci flexibility
Definition
measuring ROM at point A to B
Term
what is dynamic flexibility?
Definition
how easily you move
Term
what should you remember when doing goniometry?
Definition
 Stabilizing joints
 range
 Injuries that may have occurred
 Age/gender
Term
PNF patterens
Definition
(proprioceptive neuromuscular facilitation) Patterns that can be combined to increase ROM/strength
Term
what is Immobilization?
Definition
Stretch for a long time in brace and then can increase ROM when come out
Term
what is Creeping
Definition
 Walk up wall with fingers; Get to ROM and go a lil bit further and a lil bit further
Term
 Why might strength be affected?
Definition
 Muscle atrophy
 Bed ridin
 Cast
 Disease
 Contractures
 Peripheral nerve injury
Term
When is the Rehabilitation approach used?
Definition
 Compensatory and adaptation approach
 Used when little or no expectation for change or improvement
 Limited amt of time
 Activity limitations
 Ex adaptation of wheel chair allowing you to be safe and mobile
Term
rehab approach difintion of Function
Definition
?- to function as independently as possible
Term
rehab approach definition of Dysfunction-
Definition
unable to function independently
Term
UMN
Definition
 In CNS
 When there is a lesion to it spasticity occurs= high tone firing too much
 UMN Constantly releasing Ach, UMN regulates the amt of Ach = so when there is a lesion = high tone
Term
LMN
Definition
 PNS
 When there is a lesion to it you will be flaccid = low tone, neuron not firing
 Ach cannot reach LMN = flaccid b/c can’t respond to Ach
Term
Adjunctive intervention/exercise
Definition
 ROM
 PAM
 Stacking cones
 No functional perpose
 Anything that is prepatory
 Soft tissue mobilization
Term
Enabling intervention/contrived intervention
Definition
 Pretending cones are cans of soup
 Pretend you have a pare of pants
Term
Purposeful
Definition
 Allergic to milk
 But making pudding with milk in it
 Having them do activity but has no meaning or purpose to client
Term
Occupation based
Definition
 Has true meaning to client
 Phoning grad daughter
Term
what is osteoporosis
Definition
often associated with age
due to lack of calcium and a decrease in bone protein, treated with hormone therapy.
Term
change due to immobility can be seen as early as how many hours?
Definition
24
Term
0 MMT
Definition
no muscle contraction can be seen
Term
1 MMT
Definition
contraction can be felt or seen, but there is no motion
Term
2- MMT
Definition
part moves through an incomplete avaiable ROM with gravity and maximal resistance.
Term
2 MMT
Definition
part moves through complete available ROM with gravity decreased
Term
3- MMT
Definition
part moves through incomplete ROM (less then 50%) against gravity
Term
3 MMT
Definition
part moves through complete available ROM against gravity with no resistance.
Term
3+ MMT
Definition
part moves through a complete available ROM against gravity and slight resistance.
Term
4 MMT
Definition
part moves through complete available ROM against gravity and moderate resistance.
Term
5 MMT
Definition
part moves through complete available ROM against gravity and maximal resistance.
Term
functions of the skeletal system
Definition
mechanical levers allowing us to move, protection, storage of minerals, and red blood cell formation.
Term
4 symtoms of inflammatory process
Definition
redness, swelling, heat, pain
Term
effects of immobility
Definition
muscle atrophy, unorganized collegen-so joints hard to move, frozen joint.
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