Term
| 3(5) components of intervention |
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Definition
| coordination, communication, documentation, patient-related instruction, direct intervention |
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Term
| Coordination, communicaiton, and documentation of an intervention include what (4) |
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Definition
| discharge planning, education plans, conferences, referal to other professionals |
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Term
| Patient-related instruction of an intervention includes what (4) |
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Definition
| verbal, written, pictorial, computer based |
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Term
| direct intervention includes what 5 possible things |
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Definition
| ther-ex, aerobic conditioning, manual therapy, modalities, use of AD |
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Term
| aim of patient instruction |
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Definition
| create patient independence and foster atmosphere of learning in clinic |
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Term
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Definition
| visual, auditory, tactile |
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Term
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Definition
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Term
| Bed rest should be no longer than how many days? |
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Definition
|
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Term
| what stages should bed rest be contraindicated? |
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Definition
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Term
| bed rest should be ______ rather than ________ |
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Definition
| internmittent, continuous |
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Term
|
Definition
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Term
|
Definition
| protect, raise, ice, compress, elevation, mobilization (early) |
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Term
| General Guidelines for Orthopaedic Interventions: acute phase (8) |
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Definition
| immobilize, control inflammation, medications, assisted movement of injured tissues,joint oscillations, ther-ex, patient education, protection strategies |
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Term
| General Guidelines for Orthopaedic Interventions: acute: immobilization includes what (6) |
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Definition
| braces, slings, corsets, collars, taping, AD's |
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Term
| General Guidelines for Orthopaedic Interventions: acute: control inflammation through what |
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Definition
|
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Term
| General Guidelines for Orthopaedic Interventions: acute: medications include |
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Definition
|
|
Term
| General Guidelines for Orthopaedic Interventions: acute: what joint oscillations |
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Definition
|
|
Term
| General Guidelines for Orthopaedic Interventions: acute: ther-ex recommendations |
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Definition
|
|
Term
|
Definition
|
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Term
| General Guidelines for Orthopaedic Interventions: purpose of assisted movements of injured tissues |
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Definition
| maintain joint integrity while tissues heal |
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Term
| General Guidelines for Orthopaedic Interventions: subacute phase (6) |
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Definition
| avoid tissue irritaiton and repetitive trauma, joint mobilizations, continued ther-ex, postural education, biomechanical education, functional restoration |
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Term
| General Guidelines for Orthopaedic Interventions: subacute phase: ways to avoid tissue irritation and repetitive trauma (3) |
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Definition
| activity modification, ergonomic education, correct biomechanical faults |
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Term
| General Guidelines for Orthopaedic Interventions: subacute phase: continued ther-ex should focus on what (3) |
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Definition
| flexibility, endurance, coordination |
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Term
| General Guidelines for Orthopaedic Interventions: subacute phase: functional restoration should focus on (3) |
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Definition
| restore load capacity of tissues, functional strengthening, funcitonal stabilization |
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Term
| General Guidelines for Orthopaedic Interventions: subacute phase: population at greatest risk of re-injury without firm guidance |
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Definition
|
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Term
| General Guidelines for Orthopaedic Interventions: subacute phase: when should postural education actually begin? |
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Definition
| acute phase but needs to be planned accordingly |
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Term
| General Guidelines for Orthopaedic Interventions: subacute phase: why should the tissue be progressively loaded as soon as possible? |
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Definition
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Term
| General Guidelines for Orthopaedic Interventions: Chronic phase: (4) |
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Definition
| determine cause, reduce stress/progressively load tissues, regain structural integrity, resume optimal function and prevent reccurence |
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Term
|
Definition
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Term
| General Guidelines for Orthopaedic Interventions: Chronic phase: determine cause such as |
|
Definition
| abnormal remodeling of tissues or chronic low grade inflammation |
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Term
| General Guidelines for Orthopaedic Interventions: Chronic phase: regain structural integrity by doing what (3) |
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Definition
| improve flexibility, postural education, increase tissue load capacity, function training, eccentric loading |
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Term
| General Guidelines for Orthopaedic Interventions: Chronic phase: scar tissue treatment (2) |
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Definition
| soft tissue mobilization/manipulation, eccentric loading |
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Term
| what distinguishes non-thrust manipulation from thrust manipulation |
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Definition
| speed is slow enough where the patient can stop the movement |
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Term
| non thrust manipulation may include these 5 other concepts |
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Definition
| mobilization with movement, neuromobilization, MET, soft tissue manipulation, self-mobilization |
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Term
| what is thrust manipulation used for (3) |
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Definition
| alter positional relationships, stimulate joint recpetors, and break adhesions |
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Term
| losso of normal involuntary movement or joint play in a synovial joint |
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Definition
|
|
Term
| what are manipulation techniques utilized for? |
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Definition
| treat dysfunction d/t restriction of accessory jt moition or adpatively shortened connective tissue causing pain or restriction during normal movement |
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Term
| 4 causes of jt dysfunction |
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Definition
| capsuloligamentous tightness or adherence, internal derangement from loose bodies or discogenic pathology, reflexive muscle guarding, hypertrophic degernative changes |
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Term
| specific indications for manipulations (6) |
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Definition
| mild pain, non-irritable conditions, intermitten pain, pain that is relieved by rest, pain affected by specific movmenet, pain altered by postural changes |
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Term
| Proposed Clinical Effects of Non-Thrust Manipulation: stretch/rupture... |
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Definition
|
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Term
| Proposed Clinical Effects of Non-Thrust Manipulation: relaxation of |
|
Definition
| reflexively contracting muscles |
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Term
| Proposed Clinical Effects of Non-Thrust Manipulation: activation of |
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Definition
| type III mechanoreceptors |
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Term
| Proposed Clinical Effects of Non-Thrust Manipulation: releasing |
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Definition
| impacted tissues (meniscus) |
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Term
| Proposed Clinical Effects of Non-Thrust Manipulation: altering... |
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Definition
| positional relationships (disc protrusion on a nerve root) |
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Term
| Proposed Clinical Effects of Non-Thrust Manipulation: non physical (2) |
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Definition
| pscychological, chemical (endorphins) |
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Term
| Proposed Clinical Effects of Non-Thrust Manipulation: stretcing of hypertonic muscles may: stretch...(2) |
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Definition
| intrafusal fibers causing CNS to turn down, stretch GTO thus facilitating inhibition of muscle |
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|
Term
| What should be done after a non-thrust manipulation? |
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Definition
| reassess patient mobility to determine effectiveness of treatment |
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Term
| all of the readily identifiable endings in skin and subcutaneous tissue |
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Definition
|
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Term
| what are the mechanoreceptors sensitive to? |
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Definition
|
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Term
| mechanoreceptors stimulated by energy changes |
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Definition
| proprioceptive mechanoreceptors |
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Term
| type 1 mechanorecpetors are numerous in what type of joint |
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Definition
|
|
Term
| type I mechanoreceptors are senstive to what |
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Definition
| changing mechanical stresses of pressure inside and outside capsule and tension in related muscles and connective tissue |
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Term
| type I mechanoreceptors are active when |
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Definition
| the joint is moving and immobilized |
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Term
| type I mechanoreceptors have what type of effect on muscles |
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Definition
| powerful reflexive effect |
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Term
| where are type II mechanoreceptors located |
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Definition
|
|
Term
| when do type II mechanoreceptors fire? |
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Definition
| at teh start and finish of movements (acceleration and deceleration) |
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Term
| where do type III mechanoreceptors exist? |
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Definition
| superficial capsule, ligaments |
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|
Term
| which mechanoreceptor type can reflexiveily inhibit muscle tone |
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Definition
|
|
Term
| which mechanoreceptors do we want to stimualte with manual techniques? |
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Definition
|
|
Term
| nociceptive mechanoreceptor |
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Definition
|
|
Term
| where are Type IV mechanoreceptors lcoated |
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Definition
| capsule, perivascular plexuses, and in ligaments as free nerve endings |
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|
Term
| which mechanoreceptor are we trying to NOT stimualte with manual techniques |
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Definition
|
|
Term
| general contraindicatiosn ot manual techniques (5) |
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Definition
| absence of dysfunction, relative to skill and experience, presence of serious pathology which mobilizaiton may affect adversely, patient a little "off", absence of patient consent or fear |
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|
Term
| types of serious pathologies that would be contraindications for manual technniques |
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Definition
| tumor with osteolytic component, osteoporosis |
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Term
| absolute contraindications to manual techniques |
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Definition
| slide 36 and 37, too many to list. include sickness as a whole (general affect of pt is off) |
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Term
| relative contraindications |
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Definition
| slide 38, too many to list |
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Term
| relative regional contraindications |
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Definition
| slide 39 too many to list |
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Term
| mobilization manipulation classification criteria (5) |
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Definition
| CPR for manipulation, unilateral pain presentation, facet pattern of restriction, active/passive limitied and painful same direction (non contractile tissue), (+) SSMT/PIVM/PAIVM |
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Term
| Following manual technique and restoration/improvement of joint play what must be done? |
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Definition
| exercises performed to improve direction specific movement |
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Term
| The specific exercise classification would be primarily based on whta |
|
Definition
| comprehensive hx and repeated movement testing with sepcial attention to presence of centralization/peripheralization |
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Term
|
Definition
|
|
Term
| frontal/transverse plane motoins |
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Definition
| lateral/side gliding/side bending, rotatory |
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Term
| Diagnoses Associated with Flexion Based Exercise: "soft" tissue (2) |
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Definition
| anterior derangement/HNP, Adherent nerve root (ANR) |
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Term
| Diagnoses Associated with Flexion Based Exercise: "hard" tissue (4) |
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Definition
| flexion dysfunction/opening restriction, foraminal/intervetebral stenosis, spondylolysis, sondylolistehsis |
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|
Term
| there should not see an immediate improvement in flexion exercise pt's however, there should be what? |
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Definition
| incresed in endrange before pain sets in |
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Term
| Symptoms associated with flexion based ex rx (4) |
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Definition
| better sititng, worse walking and standing, increased pain with prone lying and possible supin with knees extended, pain worse with overhead work |
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Term
| Clinical signs associated with flex based exrx: increased... |
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Definition
|
|
Term
| Clinical signs associated with flex based exrx: lack of curve reversal in what direction |
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Definition
|
|
Term
| Clinical signs associated with flex based exrx: pt limited in... |
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Definition
|
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Term
| Clinical signs associated with flex based exrx:pt does better with these repeated exercises (2) |
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Definition
|
|
Term
| Clinical signs associated with flex based exrx: patient does wrose with these repeated exercises |
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Definition
|
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Term
| Clinical signs associated with flex based exrx: mm imbalance of what (7) mm |
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Definition
| tight iliopsoas, short erector spinae group, large gluteal mass, tight lats, tight pecs, weak lower abs |
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|
Term
| Dx associated with ext based exrx: (3) |
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Definition
| posterior derangement/HNP, extension dysfunction, facet unable to glide down and back/closing restriction |
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Term
| Clinical symptoms associated with ext based exrx: pain is worse (3) |
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Definition
| with prolonged sitting, driving, stooping or bending |
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Term
| Clinical symptoms associated with ext based exrx: better with (2) |
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Definition
|
|
Term
| Clinical symptoms associated with ext based exrx: pt has pain with what motion? |
|
Definition
| rising from a seated position |
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|
Term
| Clinical signs associated with ext based exrx: decreased... |
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Definition
|
|
Term
| Clinical signs associated with ext based exrx: how would the pt sit? |
|
Definition
|
|
Term
| Clinical signs associated with ext based exrx: what repeated motion would increase pain |
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Definition
|
|
Term
| Clinical signs associated with ext based exrx: what repeated exercise would decerease pain/centralize |
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Definition
|
|
Term
| Clinical signs associated with ext based exrx: what ROM limit? |
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Definition
|
|
Term
| Dx associated with Asymmetric Extension/Lateral/Rotation Based ExRx: asymmetry |
|
Definition
| asymmetric derangement/discs pathology |
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|
Term
| Dx associated with Asymmetric Extension/Lateral/Rotation Based ExRx: physical condition of the spine |
|
Definition
| functional scoliosis/acute lateral shift |
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|
Term
| Dx associated with Asymmetric Extension/Lateral/Rotation Based ExRx: regards to last 2 parts of repeated movement exam |
|
Definition
| sidebending/rotation or sidegliding dysfunction (unilateral facet restriction)/closing or opening restriction depending on side of fixation |
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|
Term
| How often should pt's do their exercises and how many? |
|
Definition
| 10 reps every 1-2 hours or more frequently if able to disspate or abolish symptoms |
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|
Term
| What are some ways to progress teh forces of a specific exercise |
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Definition
| mid range to end range, overpressure, sustained positioning, non WB to WBAT |
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|
Term
| Keys to specific exercise intervention (3) |
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Definition
| posture correction, education in correct body mechanics, and positive patient reinforcement |
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|
Term
| Exam findings associated with traction classification(3) |
|
Definition
| signs of nerve root compression, no directional preference, sypmtoms relieved/decreased with manual traction |
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|
Term
|
Definition
| FABQ<21, no neurlogical deficits, age older than 30, non-manual work job status |
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|
Term
| Dx associated with traction classificaiton: candidates with this type of pain |
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Definition
|
|
Term
| Dx associated with traction classificaiton: candidates with derangements that fail to respond to what |
|
Definition
|
|
Term
| Dx associated with traction classificaiton: candidates with this "soft" tissue injury |
|
Definition
|
|
Term
| Dx associated with traction classificaiton: candidates with these types of dysfunctions (2) |
|
Definition
|
|
Term
| Dx associated with traction classificaiton: candidates these types of stenosis (2) |
|
Definition
| foraminal or central canal |
|
|
Term
| Dx associated with traction classificaiton: candidates with this spinal condition that cannot be corrected or are unresponsive to exercise |
|
Definition
|
|
Term
|
Definition
| progress pt away from needing to use traction |
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|
Term
| dx associated with stabilizxation/immobilization category: specific vertebral issues (2) |
|
Definition
| spondylolysis, spondylolistehsis (grades II and III) |
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|
Term
| dx associated with stabilizxation/immobilization category: patients who are ______-mobile |
|
Definition
|
|
Term
| dx associated with stabilizxation/immobilization category: 2 abbreviations |
|
Definition
|
|
Term
| dx associated with stabilizxation/immobilization category: literature indicates what? |
|
Definition
| all lumbar pain may indicate stabilization |
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|
Term
| Stabilization/Immobilization CPR (6) |
|
Definition
| age under 40, slr>91, + prone instability test, hypermobility with spring testing, 3+ prior episodes, aberrant motions with flex/extension (Catch in motion) |
|
|
Term
| Stabilization/Immobilization: Key rules of application: what must be done prior to progression of trunk stabilizatoin |
|
Definition
| conscious isolated activation of key mm of trunk and pelvic girlde must be achieved before trunk stabilization can be progrsesed |
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|
Term
| Stabilization/Immobilization: Key rules of application: what should the inital training look like? |
|
Definition
| mid position (neutral) lessens risk of adverse stress on injured structures |
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|
Term
| Stabilization/Immobilization: Key rules of application: why should too much resistance be avoided? |
|
Definition
| too much resistance on a weakned muscle can be inhibitory, causing loss of control and substitution |
|
|
Term
| Stabilization/Immobilization: Key rules of application: why should there be no pain during exercise? |
|
Definition
| inhibitory affect on muscle function |
|
|
Term
| Stabilization/Immobilization: Key rules of application: once isolated contraction has been achieved, what is to be done enxt? |
|
Definition
| increase holding capacity of contraction adn incorporate into functional tasks |
|
|
Term
|
Definition
| structural asymmetry of SIJ landmarks, inconclusive lumbar exam esp repeated movements, clustering os (+) SIJ static/dynamic and stress testing with particualr attention to clustering of stress testing |
|
|
Term
| SIJ intervention should include (4) |
|
Definition
| correction positional abnormality through mobilization/manipulation or exercise, stabilization through ex/bracing, patient ed, physical agnets |
|
|
Term
| Mgmt of trauma/inflammation (4) |
|
Definition
| treat symptomatically (rest/physical agents), posture correction, ROM within pt tolerance several times a day, make sure to reassess to determine if other pathology is present |
|
|
Term
|
Definition
| treat symptomatically, gentle stretching and ROM, when able to move through AROM s pain or negative isometric testing progressive strengthening is indicated |
|
|
Term
| What is the progression of strengthening a mm after it is able to move through AROM without pain or negative isometric testing (4) |
|
Definition
| isometrics, concentrics, eccentrics, functional strengthening |
|
|
Term
| mechanical problems/inconclusive exam fnding (4) |
|
Definition
| correct posture, treat symptomatically, continually reassess over several visists, refer back to MD if no favorable response |
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