Term
| Evaluation and intervention: When can an activity program be initiated? |
|
Definition
Pain free
No arrhythmia
Pulse 100< |
|
|
Term
| When should vital signs be monitored during an activity? |
|
Definition
Prior to activity
At peak of activity
Upon cessation
4-5 min post activity |
|
|
Term
| When should exertion scales be monitored? |
|
Definition
Prior
At activity peak
30 secs before cessation
Upon cessation
3-5 min post activity |
|
|
Term
| What are contraindications/precautions post cardiac/pulmonary event? |
|
Definition
SOB, chest pain, nausea, vomiting, dizziness, fatigue
Decrease in systolic BP > than 20 mm/Hg
Changes in facial expression |
|
|
Term
| Contraindications/precautions (continued): Vital signs |
|
Definition
| Risk: HR 100 during very light activity; 120 light activity (less than 6 weeks post surgery), 130 recent bypass. |
|
|
Term
| Contraindications/precautions (continued): What is the blood pressure precaution? |
|
Definition
|
|
Term
Contraindications/precautions (continued): O2 Saturation
What is the precaution for pulmonary patients?
Precaution for cardiac patients? |
|
Definition
|
|
Term
| What exercises and body positions should be avoided during inpatient rehab stage? (4) |
|
Definition
Overhead exercise or holding UE over head
Lateral arm movements
Exercises that stretch chest and pull incision
Valsalva (isometrics, straining, breath holding |
|
|
Term
| What is a risk for elevation of UEs with a burn patient? |
|
Definition
|
|
Term
Anti-contracture/antideformity position for Dorsal Hand Burns: |
|
Definition
Antideformity/Intrinsic Plus: Wrist, 30-40˚ extension
MCPs @ 70-90˚,
IPs fully extended,
Thumb 40-45 degrees of palmar abduction/opposition.
This positions places collateral ligaments of MP and IPs at length to prevent ligamentous contracture. |
|
|
Term
Anti contracture position for burns to the axilla |
|
Definition
Preventi via 120˚ abduction with slight external rotation- watch for signs of brachial plexus strain |
|
|
Term
| What are the parameters for a functional (mid-joint) resting hand splint? |
|
Definition
Wrist: 20-30˚ extension
MCPs: 35- 45˚ flexion
IPs: slight flexion
Thumb: 45˚ palmar abduction |
|
|
Term
| Postburn, when is the emergent phase? What is the role of the OT during this phase? |
|
Definition
immediately after injury to 72 hours
Edema places joints in deformity position. Static splinting initiated to support hand and maintain length of tissues |
|
|
Term
| How long does the Acute Phase last and what are the goals of the OT? |
|
Definition
| 72 hours until wound closure. Monitor direction of deforming forces, maintain joint alignment, scar management, increase ROM |
|
|
Term
| An OT should initially evaluate subjective pain prior to any hands-on evaluation or intervention. Name 4 specific pain assessments: |
|
Definition
Visual Analog Scale
McGill Pain Questionnaire (semantic differentiation)
Numerical Rating
Spatial distribution- drawings are used to plot location and type of stimuli |
|
|
Term
| If an individual is experiencing pain, the eval and intervention should target: |
|
Definition
|
|
Term
| CRPS involves the blood vessels in the affected limb, which may dilate (open wider) or leak fluid into the surrounding tissue, causing red, swollen skin. The underlying muscles and deeper tissues can become starved of oxygen and nutrients, causing muscle and joint pain and damage. At times, the blood vessels may over-constrict (clamp down), causing cold, white, or bluish skin. The dilation and constriction of small blood vessels is controlled by small nerve fiber axons as well as chemical messengers in the blood. |
|
Definition
| Complex regional pain syndrome (CRPS) is a chronic pain condition most often affecting one of the limbs (arms, legs, hands, or feet), usually after an injury or trauma to that limb. CRPS is believed to be caused by damage to, or malfunction of, the peripheral and central nervous systems. |
|
|
Term
|
Definition
| Abnormal burning, hypersensitivity, sympathetic reaction (hot, cold, sweating). Individuals without confirmed Nerve Damage |
|
|
Term
| Contraindications fo Superficial Thermal Agents (9) |
|
Definition
IMPAIRED sensation due to skin graft or scar
Tumors, cancer
Advanced cardiac disease
ACUTE inflammation/edema
DVT
Primary repair of tendon or ligament
RA
Impaired cognitive status
Infection |
|
|
Term
| The most common use for ____ is in the treatment of acute injury and inflammation |
|
Definition
|
|
Term
| Arthritic exacerbation, acute bursitis or tendinitis, and acute or chronic pain secondary to muscle spasm indicates use of _____ |
|
Definition
|
|
Term
| Contraindications for ultrasound (4) |
|
Definition
Over pacemaker or adjacent tissues
Reduced sensation
Pregnancy
Epiphyses of growing bone |
|
|
Term
| Precautions for Ultrasound (4) |
|
Definition
Unhealed fracture sites
Primary repair of tendon or ligament
Osteoporosis
Plastic/metal implants |
|
|
Term
| This type of electrotherapy is used primarily for pain relief |
|
Definition
|
|
Term
| This neuromuscular electrical stimulation activates targeted muscle groups for orthotic substitutions of functional activiiteis of movements. Often used with shoulder sublux or foot drop post stroke |
|
Definition
|
|
Term
| This stimulation is used for wound healing |
|
Definition
|
|
Term
| This electrical stimulation targets denervated muscles to prevent atrophy, degeneration, and bibrosis. Nerve regeneration and muscle Reinnervation. |
|
Definition
|
|
Term
| This type of electrical stimulation used alternating currents to activate muscles of intact peripheral nerveous system to cause a motor response. Stimulating the nerve decreases muscle spasms, strengthens muscles and causes muscle to pump. Reeducation and atrophy prevention |
|
Definition
|
|
Term
| Contraindications for Electrotherapy (4) |
|
Definition
Pacemaker
Over carotid sinus
DVT
Mid section during pregnancy (duh) |
|
|
Term
| What is the antideformity positioning for the neck? |
|
Definition
|
|
Term
| Cardiac patients are discharged from an inpatient program when they are able to carry out activities at a_______. |
|
Definition
|
|
Term
| Anti-contracture positioning for dorsal wrist burn |
|
Definition
|
|
Term
| Anti-contracture position for volar wrist burn |
|
Definition
| Wrist cockup splint in 5-10 degrees of flexion |
|
|
Term
| Anti-contracture position for dorsal hand burn |
|
Definition
| Intrinstic plus: MP @ 90, IPs extended, thumb opposed |
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