Term
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Definition
Produced in standarized form. "One size fits all"
lightweight, mild to moderate involvements, temporary use |
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Term
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Definition
| moderate to severe involvements, temporary use, individual fit and max function. |
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Term
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Definition
Moderate to severe involvements
Extended or permanent use
Individual fit and maximum function |
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Term
| Most Commonly Requested Services for Orthoses |
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Definition
Foot Orthoses
Ankle-Foot Orthoses
Knee Orthoses
Spinal Orthoses
Wrist-Hand Orthoses |
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Term
| An orthosis is an orthopedic device used to: |
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Definition
Support and align
Prevent or correct deformity
Substitute or enhance function
Decrease pain or discomfort |
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Term
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Definition
Immediate Post-Operative Prosthesis
An immediate (IPOP) or early (EPOP) fitting prosthetic device applied in the O.R. or before complete wound healing which permits the patient to begin partial weight bearing and gait training.
Fit with in 2-3 hours of amputation
Eliminates contracture potential
Reduces time to fitting of preparatory prosthesis
Restricted use on vascular or diabetic patient due to skin abrasion and inability to monitor the residual limb |
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Term
| Phalen’s Provocative Test |
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Definition
Elicitation: Allow wrists to fall freely into maximum flexion and maintain the position for 60 seconds or more
Positive response: A sensation of tingling in the distribution of the median nerve over the hand |
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Term
| Elbow Flexion Test Provacative Test |
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Definition
Elicitation: Bend elbow (s) into maximum flexion for 60 seconds
Positive response: A sensation of tingling in the distribution of the median nerve over the hand |
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Term
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Definition
Elicitation: Tap over the median nerve as it passes through the carpal tunnel in the wrist
Positive response: A sensation of tingling in the distribution of the median nerve over the hand |
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Term
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Definition
| temp: heat and pain (slow) unmylinated |
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Term
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Definition
| sharp pain and temp: cold (quick) mylinated |
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Term
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Definition
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Term
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Definition
| touch, pressure, stretch, vibration |
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Term
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Definition
| stimulated by substances that injured cells release |
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Term
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Definition
| stimulated by heating/cooling |
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Term
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Definition
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Term
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Definition
•Median Nerve: thumb tip, index tip and prox. phalanx
•Ulnar Nerve: small finger distal and prox. phalanx, prox. Ulnar palm
•Radial Nerve: Thumb web space |
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Term
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Definition
| use of external stimuli to facilitate adaptations, recover or reroute neuronal synapse |
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Term
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Definition
decrease in a response following repeated benign stimuli (only what they can handle until the body realizes it’s okay)
-reduces excitatory neurotransmitters – over time a reduction of in the number of synaptic connections
-nerve injury and they are reintegrating, SI, burn injuries, complex regional pain syndrome (have problem w/hypersensitivity), fiber myeligia |
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Term
| Causes of muscle weakness |
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Definition
a) Lower motor neuron disease or injury
i) Peripheral neuropathies
ii) Peripheral Nerve injuries
iii) Spinal Cord Injuries
iv) Guillain-Barre Syndrome
v) Cranial Nerve Dysfunctions
b) Muscle disease or injury
i) Muscular Dystrophy
ii) Myasthenia Gravia
c) Neurological Diseases in which lower motor neuron is affected
i) Amyotrophic Lateral Sclerosis
ii) Multiple Sclerosis
d) Disuse or Immobilization
i) Burns, hand trauma, arthritis, fractures and various other orthopedic conditions
ii) Pain |
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Term
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Definition
a) Screening
i) Active:
(1) Gross assess of Bilateral muscle groups (against gravity/resistance)
(2) Relate to functional activities (bed mobility/ positioning)
ii) Observation
iii) Medical record
b) Manual muscle testing
i) Individual muscles
ii) Muscle groups
c) Other evaluations
i) ROM
ii) Endurance
iii) Sensation |
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Term
| Purpose of strength testing |
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Definition
a) Diagnostic aid
b) Provide baseline for treatment
c) Evaluate treatment effectiveness
d) Determine limitation of performance
e) Determine need for assistive devices
f) Aid in selection of activities |
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Term
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Definition
a) Recent surgery or injury
b) Fracture
c) Inflammation
d) Acute arthritis
e) Spasticity or synergy |
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Term
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Definition
a) Cardiac involvement
b) Osteoporosis
c) Hypermobile joints
d) Hernias
e) Fatigue that exacerbates condition |
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Term
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Definition
a) Muscle must contract
i) At or near maximum capacity
ii) Enough repetitions
iii) Or over enough time
iv) Or to point of fatigue
v) Therapy usually done at 60%-80% maximum muscle contraction
b) Usually use large resistance for few repetitions |
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Term
| If you want to increase ROM then do what? |
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Definition
| i. Stretch: The stretch may be active and/or passive. It is done to the point of maximal stretch, to the point of discomfort (not to the point of sharp pain) and held for a few seconds. |
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Term
| Proprioceptive Neuromuscular Facilitation concept |
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Definition
b.Therapist tight muscle in elongated position, point of limitation but not to point of sharp pain
c.A 5-8 second maximal isometric contraction is performed in the elongated position and then relax for 2 seconds
d.As patient relaxes, the body part is repositioned into new maximal range
e.Repeat 2-3 times as indicated |
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Term
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Definition
| when moving through a quick passive stretch a sudden catch and then release |
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Term
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Definition
Present in clients w/moderate to severe spasticity
repetitive contractions of antagonistic muscles in response to a quick stretch
Commonly seen in finger flexors and ankle plantar flexors
Weight bearing will typically stop clonus
Like taping of the foot. Can put pressure on that part to stop it. |
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