Shared Flashcard Set

Details

Exercise Rehab
Exercise Rehab
58
Medical
Graduate
07/27/2015

Additional Medical Flashcards

 


 

Cards

Term
how does age effect exercise programs
Definition
decreased tensile strength, decreased water content resulting in increased joint stiffness
Term
quality of tissue following a traumatic injury
Definition
usually good
Term
quality of tissue following chronic complications
Definition
osteoporotic or retracted tissue. tissue will worsen with time
Term
4 factors that effect exercise programs
Definition
age, state of tissue, functional capabilities, surgical procedures
Term
considerations for functional capabilities
Definition
independent vs assisted treatment, type/mode of exercise
Term
considerations for surgical procedures
Definition
time since surgery, contraindicated movments, MD's instructions
Term
3 stages of inflammation and repair
Definition
acute, subacute, chronic
Term
Inflammation and repair: processes occurring during acute stage
Definition
inflammatory reaction
Term
Inflammation and repair: clinical signs during acute stage (5)
Definition
swelling, heat, pain, redness, loss of function
Term
Inflammation and repair: processes occuring during subacute stage
Definition
repair and healing
Term
Inflammation and repair: clinical signs of subacute stage
Definition
decreased inflammation and pain
Term
Inflammation and repair: when does pain occur at subacute stage
Definition
at end ROM once the tissue resistance is met
Term
Inflammation and repair: processes occuring during chronic stage
Definition
maturation and remodeling
Term
Inflammation and repair: clinical signs of chronic stage
Definition
no inflammation
Term
Inflammation and repair: when does pain occur during chronic stage
Definition
when over pressure given at end ROM
Term
Inflammation and repair: general s/s of chronic stage
Definition
decreased strength, ROM, and function
Term
how many days is acute considered
Definition
0-4 days
Term
how many days is subacute considered
Definition
days 4-14/21
Term
how many days is chronic stage
Definition
day 14/21 or until patient is pain free
Term
Acute stage: control pain via what (4)
Definition
meds, cold application, proper positioning, proper motion/mobility
Term
Acute stage: treatment goals during acute stage (2)
Definition
control edema and muscle spasm, maintain soft tissue/joint integrity
Term
how should the patient maintain integrity and function of associated areas during the acute stage
Definition
adaptive equipment, assistive devices
Term
When should the patient be taught RICE?
Definition
acute stage
Term
THe patient should balance rest and movement as signs of too much movement are....
Definition
increased pain and edema
Term
contraindications during the acute stage (3)
Definition
AROM at the affected area, stretching over the affected area, resistive training at the affected area
Term
Sub acute treatment: progressive restoration of what? (2)
Definition
joint motion, strength
Term
Subacute phase: normal soreness occurs after activity and should resolve how quickly?
Definition
in 1-2 hours
Term
major precaution of subacute phase
Definition
patient may over do it due to feeling as if they are 100%
Term
Subacute phase: signs of too much activity (4)
Definition
pain at rest, fatigue, increased weakness, muscle spasm
Term
Chronic stage: pain is usually where
Definition
at stress point
Term
chronic stage: pain is usually at the stress point, and can be d/t these 4 things
Definition
contracture, spasm, end-range, dysfunction
Term
2 specific goals to focus on during chronic stage
Definition
increase joint and soft tissue mobility, strengthen supporting/surrounding areas as well as primary muscle groups
Term
2 General goals for chronic stage treatment
Definition
progress function of involved limb/joint, educate patient to find ways to overcome/correct impairments
Term
chronic stage precautions: how should reinflammation or reinjury be treated
Definition
as new acute injury
Term
s/s that activity was progressed too quickly during chronic stage
Definition
joint swelling, pain lasting longer than 4 hours, decreased strength from last visit, easily fatigued muscles
Term
Chronic or recurring pain and/or inflammation can be caused by (4)
Definition
re-injury after returning to work/prior function too early, re-injury of scar tissue, contracture or poor mobility, repetitive strain or overuse syndromes
Term
8 contributing factors to chronic inflammation or pain
Definition
imbalances between length and strength, rapid excessive eccentric demand, muscle weakness, improper bone alignment or structural support, sustained awkward postures or motions, environmental or aging factors, training errors, combination of above
Term
Considerations for chronic inflammation treatment guidelines and goals (4)
Definition
treat reinjury as acute, promote healing of pain and inflammation, elminate irritating factors or correct environemental issues, develop support in related areas
Term
chronic inflammaiton precaution: if stretching or strengthening causes progressive loss of motion or function what should you do?
Definition
do not continue, emphasize stabilizaiton of the involved and surrounding areas
Term
Acute fracture: decrease what (2)
Definition
effects of inflammation and edema, effects of immobilization
Term
acute fracture treatment: maintain what?
Definition
strength and ROM
Term
acute fracture: teach what
Definition
adaptations to achieve functional independence
Term
considereations after fracture immoblization of the fracture site: patient may have ....(4)
Definition
decreased ROM, muscle atrophy, joint pain, pain at initiation of movement, but decreases as motion continues
Term
why is scar massage important after immolibzation of the fracture site
Definition
achieve proper alignment of scar tissue fibers
Term
major consideration after immoblizaiton of teh fracture site
Definition
amount of stress placed at fracture site until it is completely healed
Term
7 possible complications of surgery
Definition
infection/poor wound healing, vascular disorders, delayed healing at bone or soft tissues, adhesions contractures improper scar, loosening of prosethetic implants, biomechanical breakdowns of implants, risk of pulmonary ocmplicatiations (PE, pneumonia)
Term
Postoperative goals: decrease what (4)
Definition
pain, edema, spasm, atrophy in involved jt(s)
Term
Postoperative goals: prevent/lessen
Definition
vascular (DVT), pulmonary pathologies or complications, contractures
Term
Postoperative goals: maintain (3)
Definition
strength, motion, function
Term
posoperative precautions (5)
Definition
monitor patient/wound status, avoid contraindicated motions, maintain appropriate WB status, progress exercise gradually, modify recreational/functional tasks as needed
Term
issues in prescripiton of HEP (6)
Definition
cultural barrier, clear instruction, proper exercise performance, equipment/environment, patient schedules, patient compliance, patient too aggressive/not aggressive enough
Term
issues in prescription of HEP: explain cultural barriers
Definition
language, use of medical terms, clothing restriction, ex on certain days
Term
issues in prescription of HEP: explain clear instructions
Definition
clear writing, clarify directions, pictures
Term
issues in prescription of HEP: explain proper exercise performance
Definition
proper form, spot check performance during next clinic visit
Term
issues in prescription of HEP: equipment/environment
Definition
availability of equipment, patient safety, pt needs to be motivated/comfortable with equipment, pt preference/agreement
Term
Considerations for exercise choice during stages of tissue healing, early on
Definition
few ex as PT sessions are frequent. pt will progress through exercises quickly
Term
considersations for exercise choice as stages of tissue healing are more chronic
Definition
more exercises as PT sessions are less frequent and progress slows down
Term
4 considerations for exercise choise
Definition
stage of tissue healing, symptom irritablity, PT frequency, pt motivation
Supporting users have an ad free experience!