Reading Week 7

what is the progression for william flexion (spinal stenosis)

1. PPT

2. single knee to chest

3. double knee to chest

4. partial sit up

5. hamstring stretch

6. hip felxor stretch

   1. squat

what are anterior hip precatuions?

avoid hip extension, adduction, external rotation

what should you avoid with a new ACL post-op?

avoid shear forces

no open kinetic chain extension in short sitting (stay within 90-45 degrees)

avoid closed chain kinetic strengthening between 90-60 of flexion

to avoid getting stuck in an extension lag what should you do?

strengthen the quadriceps muscle

which sensory organization tests are dependent on vision?

conditions 1 and 4 are reliant on vision

2,3,5,6- eyes are closed or conflict exists between vision and vestibular conditions

what sensory organizaton are patients dependnet on somatosensation?

4,5,6, foam or compliant surface is present

what sensory organization is for experiencing vestibular weakness or loss?

5,6- somatosensory and visual systems not availible

what are some contraindications for inpatient/outpatient cardiac rehab?

unstable angina

greater than 1 ST segment depression, horiontal or downsloping

second or third degree heart block

increased ventricular arrythmia

what are contraindications for exercise with cancer?

day of intravenous chemotherapy

severe reaction to radiation therapy

platelet count less than 10,000

white blood cell <5000

hemoglobin less than 8

hematocrit <25%

significant bony metasitisis

what is the best type of imaging to look at bony metastesis?

x-ray

what are some hallmark signs of systemic lupus erythematosus?

type 3 hypersensitivity

malar rash that looks like a red butterfly

arthralgia and arthritis

skin rash over the extensor surfaces of the arms, forearms, and hands/fingers

what is scleroderma?

connective tissue disorder characterized by excessive collagen production leading to fibrosis and hardening of the skin

what is recognition of seizures?

aura

sudden unresponsiveness/loss of consciousness

muscle jerking/twitching

stiffening of muscles/loss of muscle

incontinence

what is the best response for concussion?

stop activity immediately

monitor for worsening symptoms

consult a healthcare professional promptly

what are some signs of heat exhuastion vs. heat stroke?

exhaustion: pale color, diaphoresis, weak and rapid pulse, normal or slightly elevated, pupils normal

stroke: dry, no diaphoresis, labored breathing, strong, rapid pulse, flushed or gray, pupils contract then dilate

what are timed based codes vs. service based codes

timed: therapuetic exercises, therapeutic activites, manual therapy

service: hot packs, ice packs, unattended electrical stimulation

what are the 5 different K levels for prosthetics?

K0- wheelchair bound

K1- transfers/ambulation at house level- single axis ankle and knee

K2- traverse low-level enironmental barriers such as curbs, stairs, or uneven surfaces- constant friction mechanism

K3- can use cadence and traverse most environmental barriers, unlimited community ambulator, variable friction mechanism at knee and multiaxial foot

K4- high level ambulation skills, advanced microprocessor-controlled knees

what is spondylosis?

degenerative changes to IVD- “shortest of all forms so its degenerating just like an IVD)

what is spondylolysis?

defect in pars interarticularis or posteior arch of vertebra

what is spondylolisthesis?

anterior displacement of one vertebra over another

avoid extnesion or if it is retroversion- avoid flexion

what is schuermanns disease?

junevile thoracic kyphosis

anterior wedging of greater than 5 degrees adjacenet vertebrae

schmorl nodes are present

do extension exercises

what is the differnce between functional and structural scliosis?

functional: disapperas with forward bending

structural: strucutral abnormality and is present in standing and forward bending

what are the muscle issues on the concave and convex sides?

concave: short and tight (stretch)

convex: long and weak (Strengthen)