Term
| Definition of therapeutic exercise |
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Definition
| No meaning, AROM, against resistance; exercise without activity |
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Term
| definition of therapeutic activity |
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Definition
| activity that acts as a therapeutic exercise that has meaning and purpose; ex. lifting groceries instead of bicep curles. |
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Term
| uses of therapeutic exercise |
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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 |
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Term
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Definition
Removing contractors
Increasing ROM
Prepatory building blocks
Develop awareness of normal movement paterns
Mental mood booster |
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Term
| Indications-when is therapeutic exercise appropriate? |
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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 |
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Term
| Contraindications for thera exercise |
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Definition
| poor health, restricted by MD, severe ROM deficits, lack of voluntary control/coordination of muscles, inflammed joints, recent surgery. |
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Term
| Which types of exercise are used to increase strength? |
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Definition
Resistive exercises
Isotonic/isometric |
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Term
what is Substititution/compensation?
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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 |
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Term
| how do you increase strength? |
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Definition
| more resistance, less reps |
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Term
| how do you increase endurance? |
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Definition
| less resistance, more reps. |
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Term
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Definition
| continuous passive motion machine- used when person doesn't have ability to do them selves, provides PROM for person. |
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Term
| give an ex of a forced exercise? |
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Definition
| ex. Having person hold weight and it is forced down by gravity. |
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Term
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Definition
| an Automatic response with Proprioceptive sensory feedback involved. |
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Term
| what is an Engram patterns- |
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Definition
| pattern that is instilled in brain that is automatic and involuntary |
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Term
| Isotonic resistive exercise |
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Definition
| Movement with weight, Knee extensions/curls, Activity- kickball |
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Term
| what is an Isotonic active exercise? |
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Definition
No resistance
Can can dance = activity |
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Term
| what is an Active assisted exercise? |
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Definition
Patient does some and therapist does some
Activity- make them try to grab object and help them when they can’t |
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Term
| what is Passive exercise? |
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Definition
Someone or something else does everything for patient
Activity- engaging for them, encourage, develop movement pattern (engram pattern) |
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Term
| what is Codman’s (pendulum) exercise? |
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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 |
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Term
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Definition
Therapist or someone else moves joint and stretches muscle out
Not easy to add activity |
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Term
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Definition
Patient doing it themselves
Not easy to add activity
Activity hanging on monkey bars |
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Term
| what is Isometric exercise without resistance? |
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Definition
Contraction with no shortening or lengthening
Yoga= activity |
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Term
| what is Isometric exercise with resistance? |
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Definition
Contraction with no shortening or lengthening
Activity holding a kid |
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Term
| what is a non-prehensile grasp? |
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Definition
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Term
| what does the thumb add to a grasp? |
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Definition
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Term
| number of fingers involved in pinch? |
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Definition
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Term
| number of fingers involved in grasp? |
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Definition
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Term
| position of the thumb in grasp? |
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Definition
| thumb towards all 4 fingers but not touching thumb |
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Term
| position of thumb in pinch |
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Definition
| thumb comes in contact with one or more fingers |
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Term
| necessary element for normal pinch? |
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Definition
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Term
| define tip pinch and give examples |
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Definition
Tip of thump with tip of another finger, usually 2nd, sometimes 3rd
Tweezing eyebrows
Stringing beads |
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Term
| define lateral pinch and give examples |
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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 |
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Term
| difine palmer pinch and give examples |
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Definition
(tri-pod pinch) 2nd and 3rd digit touching thumb
Writing |
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Term
| example of a side to side pinch |
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Definition
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Term
| example of a lumbrical pinch |
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Definition
Holding plate, or cookie sheet, tray
Thumb wars |
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Term
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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. |
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Term
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Definition
Carrying suitcase, thumb has zero to do
Carrying bag |
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Term
| example of a Cylindrical/spherical grasp |
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Definition
Cylindrical-holding cup, opening a jar
Spherical- holding softball |
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Term
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Definition
Holding bat
Tug-o-war
Tighter then cylinder |
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Term
| which position is grasp tighter in, flexion or extension? |
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Definition
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Term
| name some causes of the loss of the volar arch |
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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) |
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Term
| ape hand is due to leasion of what nerve? |
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Definition
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Term
| claw hand is due to leasion of what nerve? |
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Definition
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Term
| wrist drop is due to leasion of what nerve? |
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Definition
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Term
| what is the biomechanical approach? |
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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 |
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Term
| the biomechanical approach is used mainly with people with what dysfunction? |
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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 |
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Term
| what is inherent in the bio approach? |
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Definition
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Term
| which approach is more client centered? |
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Definition
| rehab, bio is more generic and injury based |
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Term
| dysfunction (bio approach) |
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Definition
| Inability to attain full ROM normal strength and normal endurance |
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Term
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Definition
| ability to attain full ROM normal strength and normal endurance |
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Term
| why is structural atability necessary? |
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Definition
To prevent injury
Balance
To regain function properly |
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Term
| what is statci flexibility |
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Definition
| measuring ROM at point A to B |
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Term
| what is dynamic flexibility? |
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Definition
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Term
| what should you remember when doing goniometry? |
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Definition
Stabilizing joints
range
Injuries that may have occurred
Age/gender |
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Term
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Definition
| (proprioceptive neuromuscular facilitation) Patterns that can be combined to increase ROM/strength |
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Term
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Definition
| Stretch for a long time in brace and then can increase ROM when come out |
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Term
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Definition
| Walk up wall with fingers; Get to ROM and go a lil bit further and a lil bit further |
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Term
| Why might strength be affected? |
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Definition
Muscle atrophy
Bed ridin
Cast
Disease
Contractures
Peripheral nerve injury |
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Term
| When is the Rehabilitation approach used? |
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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 |
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Term
| rehab approach difintion of Function |
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Definition
| ?- to function as independently as possible |
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Term
| rehab approach definition of Dysfunction- |
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Definition
| unable to function independently |
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Term
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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 |
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Term
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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 |
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Term
| Adjunctive intervention/exercise |
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Definition
ROM
PAM
Stacking cones
No functional perpose
Anything that is prepatory
Soft tissue mobilization |
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Term
| Enabling intervention/contrived intervention |
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Definition
Pretending cones are cans of soup
Pretend you have a pare of pants |
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Term
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Definition
Allergic to milk
But making pudding with milk in it
Having them do activity but has no meaning or purpose to client |
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Term
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Definition
Has true meaning to client
Phoning grad daughter |
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Term
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Definition
often associated with age
due to lack of calcium and a decrease in bone protein, treated with hormone therapy. |
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Term
| change due to immobility can be seen as early as how many hours? |
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Definition
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Term
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Definition
| no muscle contraction can be seen |
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Term
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Definition
| contraction can be felt or seen, but there is no motion |
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Term
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Definition
| part moves through an incomplete avaiable ROM with gravity and maximal resistance. |
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Term
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Definition
| part moves through complete available ROM with gravity decreased |
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Term
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Definition
| part moves through incomplete ROM (less then 50%) against gravity |
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Term
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Definition
| part moves through complete available ROM against gravity with no resistance. |
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Term
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Definition
| part moves through a complete available ROM against gravity and slight resistance. |
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Term
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Definition
| part moves through complete available ROM against gravity and moderate resistance. |
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Term
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Definition
| part moves through complete available ROM against gravity and maximal resistance. |
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Term
| functions of the skeletal system |
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Definition
| mechanical levers allowing us to move, protection, storage of minerals, and red blood cell formation. |
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Term
| 4 symtoms of inflammatory process |
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Definition
| redness, swelling, heat, pain |
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Term
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Definition
| muscle atrophy, unorganized collegen-so joints hard to move, frozen joint. |
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