Term
| How is sensation tested for SCI? |
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Definition
| Proximal to distal (p.250) |
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Term
| Sensation for peripheral nerve injuries are tested |
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Definition
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Term
| True or False: Heat prior to stretch decreases extensibility |
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Definition
| False: Increases extensibility |
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Term
| Precaution for AROM as a result of overstretching |
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Definition
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Term
| When are isometric exercises contraindicated? |
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Definition
| Person with Hypertension and cardiovascular problems |
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Term
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Definition
| Contraction with movement |
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Term
| Elevation of an extremity above the heart is contraindicated if the patient has |
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Definition
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Term
| Edema reduction techniques precautions/contraindications (5) |
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Definition
| 1. Infection 2. Grafts or wounds 3. Vascular damage 4. Unstable fractures 5.Congestive heart failure |
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Term
Wrist: 10-20 degrees extension
MCPs: 30-45 degrees flexion
IPs: 0-20 degrees flexion
Thumb abducted |
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Definition
Resting position/intrinsic plus |
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Term
Wrist: 20-30 degrees extension
MCPs: 50-70 degrees flexion
IPs extended
Thumb abducted and extended |
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Definition
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Term
| Which splint is indicated for a patient with arthritis or hand burns? |
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Definition
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Term
| A splint for carpal tunnel would position the wrist in: |
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Definition
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Term
| An orthotic for cubital tunnel syndrome would position the elbow in |
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Definition
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Term
| An opponens orthotic is appropriate for |
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Definition
|
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Term
| Dynamic/static orthotic to position MPs in flexion is appropriate for |
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Definition
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Term
| A dynamic wrist, finger, and thumb extension orthotic is appropriate for |
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Definition
|
|
Term
| Figure 8 or dynamic MCP flexion orthotic is appropriate for |
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Definition
| Combined median/ulnar nerve injury |
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Term
| Silver rings or buttonhole splint is used for |
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Definition
|
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Term
| Silver rings or PIP extension splint is used for |
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Definition
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Term
| A patient with UE flaccidity may require |
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Definition
|
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Term
| T/F: Experienced OTAs can fabricate static splint and assist with dynamic splints |
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Definition
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Term
| A flexor tendon injury requires a |
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Definition
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Term
| A hand based thumb splint is appropriate for (2) |
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Definition
Skier's thumb (UCL)
CMC arthritis |
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Term
| Describe the position one would use to perform wrist ROM for a person with tetraplegia to maintain tenodesis; allows finger flexor tendons to develop necessary tightness for grasping. |
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Definition
Flexing Fingers: wrist fully Extended
Extending Fingers: wrist fully Flexed |
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Term
| If ROM limitations cannot be reduced the OT must use ____ methods. |
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Definition
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Term
| Stretch produced change only if held for _-_ seconds to the point of _____ stretch. |
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Definition
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Term
Safety precautions related to passive stretching:
___ weakens the structure of collagen tissue; stretch tissues slowly and gently
The therapist must closely monitor the tension of the tissue being stretch for a patient with ____ loss.
Over stretching can cause internal bleeding and scar formation eventually leading to ______ |
|
Definition
Inflammation
Sensory
Heterotopic ossification |
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Term
Guidelines for strengthening program:
Type of strengthening exercise for a patient with muscle grade (0) |
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Definition
| Weak muscle is isometrically contracted at maximum effort as long as possible while breathing normally. Repeat x10 with rest between each contraction. |
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Term
| The muscle can move only through partial available range in gravity eliminated |
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Definition
|
|
Term
| The muscle can move only through partial available range against gravity, gradual release from test position |
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Definition
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Term
| For a patient with fair minus (3-) muscle grade, the therapist should use isotonic assistive exercises which entails: |
|
Definition
1) Position patient against gravity.
2) Patient concentrically or eccentrically moves weak muscle through possible ROM
3) OT or external device assists to complete motion |
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Term
| For a patient with Poor Minus muscle grade(2-) the therapist should position limb in gravity + or -? |
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Definition
| Gravity eliminated plane (-) |
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Term
| Isotonic Assistive ROM differs from PROM because: |
|
Definition
| Patients actively attempt to contract weak muscles |
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Term
| What muscle grade can a patient move through full ROM in gravity eliminated? |
|
Definition
| Poor (2) full ROM in gravity - |
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Term
What muscle grade can a patient move through full ROM in gravity eliminated? |
|
Definition
Poor (2) full ROM in gravity - |
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Term
| A patient with grade ___ moves muscle through full ROM in gravity + and can hold test position with no added pressure. |
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Definition
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Term
| Appropriate strengthening exercise for a patient with muscle grade 2 (poor) or 3 (fair) is: |
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Definition
| Isotonic Active: pt moves limb through full ROM in gravity - or + |
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Term
| What muscle grade can a limb move through full ROM against gravity but cannot take any added resistance? |
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Definition
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|
Term
| The limb moves less than full ROM against gravity |
|
Definition
| 3- (Fair minus) is the first level a muscle can move against gravity |
|
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Term
| The limb moves less than full ROM in gravity - |
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Definition
|
|
Term
| The limb moves through full ROM + gravity and take less than moderate resistance |
|
Definition
|
|
Term
| The limbs moves through full ROM + gravity and takes moderate resistance |
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Definition
| Good: perform isotonic active ROM exercises to increase strength |
|
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Term
| The limb moves through full ROM + gravity and takes minimal resistance before it breaks |
|
Definition
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Term
| What is the best method to teach a child with progressive muscle disease, no longer abduct/flex shoulder >90 degrees, to don an overhead shirt |
|
Definition
| Support elbows on table at chest height- don t-shirt over arms then over head |
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Term
| Sensation for neurological disorder assess .... |
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Definition
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Term
| What is the order of return for peripheral nerve sensations? |
|
Definition
| 1. Pain 2. Moving touch 3. Static light touch 4. Touch localization |
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Term
| Testing begins with points ____ apart for moving two point discrimination |
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Definition
|
|
Term
| How is the assessment of Moving Two Point Discrimination assessed? |
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Definition
| Applied proximal to distal on fingertips in a horizontal orientation |
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Term
| What is the ratio of responses that must be correct before decreasing the distance between the two points during a moving 2 point discrimination assessment? |
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Definition
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|
Term
| Normal distance for Moving 2 point discrimination: |
|
Definition
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|
Term
| Testing distance for static two point discrimination begins at: |
|
Definition
|
|
Term
| The disk-criminator or caliper for static 2 point discrimination is applied to what body part and in what orientation? |
|
Definition
| Fingertips; longitudinal orientation |
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Term
| One point perceived during the static two point discrimination test indicates? |
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Definition
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