B6.080 MSK Care in Patients with Disability Flashcards Preview

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Flashcards in B6.080 MSK Care in Patients with Disability Deck (29)
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1
Q

impairment

A

any loss or abnormality of psychological, physiological or anatomical structure or function
-occurs at the level of organ or system function

2
Q

disability

A

any restriction or lack (resulting from an impairment) of ability to perform an activity in the manner or within the range considered normal for a human being
-functional performance or activity affecting the person

3
Q

handicap

A

a disadvantage for a given individual, resulting from an impairment or a disability, that limits or prevents the fulfillment of a role that is normal (depending on age, sex, and social and cultural factors) for that individual
-reflects the interaction with and adaptation to society

4
Q

current ICF definition of function

A

health condition
body functions and structures > activities > participation
environmental factors
personal factors

5
Q

body structures

A

anatomical parts of the body, such as organs and limbs and their components

6
Q

environmental factors

A

aspects of the physical, social, and attitudinal environment

7
Q

personal factors

A

myriad of features of an individual’s life that influence functioning, such as age, coping style, education, and social background

8
Q

activity

A

the execution of a task or action by an individual, and activity limitation are difficulties in executing activities

9
Q

`components of mobility

A

walking
stairs
can or walker
wheelchair

10
Q

participation

A

individual’s involvement in a life situation such as work, school, or sports, and required performance of various actions and tasks

11
Q

components of participation in a functional history

A

living situation
social roles
community access

12
Q

goal of physiatry

A

goal is prevention, diagnosis and treatment of disorders that may produce temporary or permanent impairment
restoration of function
maximize quality of life
patient centered care

13
Q

3 tasks of the gait cycle

A

weight acceptance
single limb support
limb advancement

14
Q

phases of the gait cycle

A

stance phase

swing phase

15
Q

gait in hemiparesis

A

circumduction of the affected side due to foot drop

16
Q

Trendelenburg sign

A

drop of pelvis when lifting leg opposite to weak gluteus muscles

17
Q

myofascial pain

A

painful muscles with taut bands and trigger points (knots) that refer pain with pressure

18
Q

pathophysiology of myofascial pain

A

muscle weakness

overuse or imbalance

19
Q

treatment of myofascial pain

A

1st - correct muscle imbalances, stretch and strengthen, with correct biomechanics
2nd - medications or injections

20
Q

trochanteric bursitis

A

inflammation of the bursa over the greater trochanter

21
Q

pathophysiology of trochanteric bursitis

A

injury
overuse
muscle imbalances

22
Q

treatment of trochanteric bursitis

A

1st - correct muscle imbalances, stretch and strengthen gluteal muscles with correct gait biomechanics
2nd - medications or injections

23
Q

ways to improve gait in those with hemiparesis

A

single point cane
ankle foot orthosis on affected side
physical therapy

24
Q

proper use of single point cane

A

one point on contact with the ground
held in unaffected arm
height at the level of the greater trochanter
-maintains arm carriage as to not flex elbow too much or put too much weight on the cane

25
Q

components of a PT prescription

A

diagnosis
precautions
treatment

26
Q

open chain exercise

A

proximal segment fixed

distal segment free

27
Q

closed chain exercise

A

distal segment fixed

proximal segment free

28
Q

benefit of closed chain exercise, particularly in the elderly

A

preserves joint better

less shear force on affected joint

29
Q

drivers evaluation with OT

A

clinical evaluation of physical, visual, perceptual, cognitive, and behavioral skills
appraisal of driver seating needs and vehicle entry and exit needs
determination of needs related to transporting mobility aids such as walkers, crutches, wheelchairs or scooters
on the road assessment in appropriate driving environments