Principles of Intervention (9/12b) Flashcards Preview

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Flashcards in Principles of Intervention (9/12b) Deck (25)
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1

Testing Movement Factors - Force

EX: manual muscle testing, rep max testing, dynamometer

2

Testing Movement Factors - Motion

EX: goniometer, joint integrity testing

3

Testing Movement Factors - Energy

EX: vital signs, questionnaire, performance

4

Testing Movement Factors - Motor Control

EX: testing motor planning, sensation, following commands

5

Testing Movement Factors - During Eval/Diagnosis/Prognosis

Should I intervene?

Yes → what interventions to use?

No → refer out?

6

The Intervention Principle

To change homeostatic mechanisms (status quo), we must change stress(es) on the system to stimulate responses in the system to reduce the problem/improve function

7

Interventions have a ___-___ relationship

Dose-response

8

Inadequate dose

inadequate or no response

9

Optimal dose

optimal response

10

Overdose

suboptimal/potentially harmful response

11

Why is patient education important?

We have to teach patients how to manage physical stress correctly

teach whether they need to increase or reduce physical stress

12

Therapeutic dose

Area of increased tolerance that produces change we want to see while avoiding side effects we want to avoid

13

Physical Stress Theory (PST)

changes in the relative level of physical stress cause a predictable adaptive response in all biological tissue

Body is able to sense mechanical stress and can translate into biological activity

14

Intervention principles (PST)

Goal is to disturb homeostasis in terms of physical stress, assuming a dose-response effect, to induce adaptation

15

Things to consider with interventions (PST)

Consider:
1) where a patient is coming from

2) how much change you expect

3) how long it should take to see measurable and meaningful change

16

To guide interventions (PST)

Goal
Target
Mechanism
Time frame
Dose
Specificity
Monitor effects

17

Goal (PST)

Function

18

Target (PST)

Tissue, organ, system

19

Mechanism (PST)

What way we plan to help patient, often cellular, subcellular

20

Time frame (PST)

Variable, when do we expect to see change

21

Dose (PST)

Intensity, frequency, duration

22

Specificity (PST)

How to guide exercises to be specific to goals

23

Monitor effects (PST)

How to measure effect, determine if we need to modify dose

24

Effectiveness of intervention depends on (PST)

How well limiting factors (health, personal, environmental) are identified in the examination and assessed in evaluation

How well intervention mechanisms address problems

Appropriate dose

Patient participation

25

Compensation vs Recovery (PST)

Compensation - using other methods to essentially work around the problem to still achieve end goal

Recovery - being able to physically cause change to achieve end goal