Term
| What is the biomechanical remediation approach |
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Definition
is a study of the relationship btw musculoskeletal function and how the body is designed for and USED for the performance of Daily occupations
-(how is the body supposed to work, why is it not working, what can I do to remediate that?) |
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Term
| biomechanical approach is aimed at improving 4 things: |
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Definition
| 1.strength,2. ROM, 3.coordination and 4endurance |
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Term
| what things are required for patient to be ok for biomechanical approach |
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Definition
| people need to have amenable limitations. need motivation, cant have spacictity, and control of isolated movements movements with relative low pain |
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Term
| what two types of diseases are biomechanical remediation best for? |
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Definition
| 1. ortho conditions & 2. Lower Motor Neuron disorders- ex biomechanical approach would often be used in RA and lower motor neuron disorders(weakness and flaccicty-hypotonality- guillon barrei, |
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Term
| positive and negatives of biomechanical approach |
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Definition
| some interventions seem contrived or reductionalistic, doesn’t consider environment, not occupation based but can also be purposeful and used to encourage participation in relevant life activities and be a good starting place for acute rehabilitation |
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Term
| BIOMECHANICA DOES NOT INCLUDE |
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Definition
| anything outside of strength endurance, ROM, coordination, ex: not including motivation |
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Term
| Why is Structural stability necessary? |
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Definition
- is necessary before achieving some other intervention goals. BOS and COG, trunk stability
ex: CVA injuries : you see people with trunk flaccidly working on reaching activities, work from PROXIMAL to DISTAL- so don’t have person reaching before they can sit up straight
• Begin with basics and work way out, change the damaged structure –one of major goals of remediation |
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Term
| Tissue integrity: what are two qualities biomechanics focuses on for tissue limitations |
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Definition
| scar prevention and edema management |
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Term
| • Remolding of scar tissue |
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Definition
both biomechanical change of structures and prevent further disability from damage caused by the limb limitations caused by the scar tissue, ex: molds such as elastomer, or garments that can be worn all day to* limit blood flow that slows collagen synthesis
o ***pathological end feel- end feel that occurs sooner or later than expected |
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Term
| • Edema reduction talk about compression, modalities, adaptive equipment |
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Definition
is a barrier to function because ROM is reduced and there is decreased coordination and pain, *Untreated edema may=>permanent loss of ROM and sensation loss because of FIBROTIC *changes
o Compression-usu used to control edema, also retrograde massage- applies compression working distal to proximal to the heart so fluid can be removed by the lymph system.
-from garments, gloves, wraps string, teaching patients to self apply pressure
o Modalities- include ice baths (client immerses hand and squeeze wiggle, repeat) , ultrasound, contrast baths-(if client cannot tolerate ice, cold water then warm water then cool water and does movements while in warm water)
o Adaptive equipment-can be used to decrease edema- ex: arm trough on wheel chair of a client with hemiplegia- the arm is elevated and fluid goes back to body-remember to remove before the equip may decrease ROM itself
o ***pathological end feel- end feel that occurs sooner or later than expected |
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Term
| • Flexibility-determined /limited by |
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Definition
o The elasticity of soft tissues
o Conditions within the joint
o Excessive body fat or muscle mass
o Pain
o Static(measured w/goniometer) or dynamic(amt of of resistance to joint flexing) |
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Term
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Definition
| age, occupation, gender, the joint and activity levels can affect scores, relaiblity and variability of measurements |
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Term
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Definition
| movement in several planes client sitting or lying down, shoulder hyperextended, then move the client to shoulder flex, horiz adduction supination ect for several planes=combined patterns |
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Term
| • CPM-continuous passive motion |
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Definition
| DEVICE- often used to provide constant movement through ranges of motion- ex: exercises that use the unaffected hand to move the affected hand or use tools like finger ladder, shoulder wheel, skate power board |
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Term
| • Elongation of soft tissue- |
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Definition
| because shortened soft tissue dec. ROM ex: body deformities or connective scar tissue- can cause contracture- when normal tissue is replaced by bone or fibrotic tissueex myostatic contracture- loss of range with no tissue pathology (not contraction- muscle shortening/lengthening tension) |
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Term
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Definition
| need to be remodeled ex: deep friction massage, tendon gliding exercises, and pressure garments that separate deeps structures (tendons, nerves, blood vessels) that are stuck by collagen bundles so that then, deep structures can move separately. |
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Term
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Definition
| to elongate tissue, (stretch force principle- stretch that is done beyond current ROM elongates collagen fibers depn on the load and resistance(active vs passive, passive is preferable cuz therapist can get it further than patient can) |
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Term
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Definition
| % of deformation that occurs with stress |
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Term
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Definition
| if muscle is immobilized in a lengthened position for a prolonged time=> more permanent changes in muscle ex: splint for contracted hand that can be cranked open for more possible motion |
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Term
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Definition
| application of low magnitude loads over prolonged periods of time that little by little allow for Plastic (permanent changes)…( vs elastic=nonpermanent) |
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Term
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Definition
active vs passive (*passive is preferable because usu client cannot stretch yourself past the end of ROM, usu people do active if they are scared of OT doing it)
• Stretch: take them to comfort level and 1-2 degrees past, if pain is there that means there was tearing and it has gone too far |
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Term
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Definition
active vs passive (*passive is preferable because usu client cannot stretch yourself past the end of ROM, usu people do active if they are scared of OT doing it)
• Stretch: take them to comfort level and 1-2 degrees past, if pain is there that means there was tearing and it has gone too far |
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