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Rehab stages
Care 7
124
Other
Professional
07/19/2012
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Term
1.     Tissue injury causes restriction of motion due to these 3 things.
 Definition
1) INFLAMMATION AND SWELLING, 2) PAIN, 3) MUSCLE SPASM
Term
2.     Stage 1 of tissue healing usually leads to _____.
 Definition
ACTIVE SWELLING
Term
3.     Swelling generally occurs from _____ to _____ hours following injury.
 Definition
12-72
Term
4.     When active swelling occurs, _____ is lost and _____ increases.
 Definition
MOTION, PAIN
Term
5.     2 goals of care to minimize pain and swelling.
 Definition
1) REST AND SUPPORT OF INJURED AREA, 2) ICE TO BLOCK SWELLING, PAIN AND SPASM
Term
6.     Stage 2 of tissue healing consists of _____ in which fluid trapped in tissues restricts motion, causes, pain, and delays healing?
 Definition
PASSIVE CONGESTION
Term
7.     Stage 2 of tissue healing (passive congestion) begins by the _____ to _____ day.
 Definition
2ND TO 4TH
Term
8.     3 goals of care for passive congestion.
 Definition
1) REMOVE FLUID, 2) PAIN RELIEF, 3) BEGIN TO RESTORE MOTION
Term
9.     Chiropractic helps relax muscles and restore normal position and movement. Normal motion helps remove _____ and improve _____.
 Definition
WASTES, NUTRITION
Term
10.  4 methods of care to help with passive congestion.
 Definition
1) CHIROPRACTIC ADJUSTMENTS, 2) HEAT AND COLD TO REMOVE FLUID, 3) CONTROLLED MOTION EXERCISES, 4) PHYSICAL THERAPY
Term
11.  Chiropractic adjustments help preform these 6 tasks to the body.
 Definition
1) RESTORE MOTION, 2) BLOCK PAIN, 3) RESTORE NORMAL SENSATION, 4) RELAX TIGHT MUSCLES, 5) REMOVE SWELLING, 6) ACCELERATE HEALING
Term
12.  5 major goals of chiropractic care.
 Definition
1) RELIEVE PAIN, 2) PROMOTE FULL HEALING, 3) RESTRE AND MAINTAIN FULL FUNCTION, 4) REDUCE THE LIKELIHOOD OF REINJURY, 5) PREVENT ACCELERATED DEGENERATION
Term
13.  Chiropractic are should continue throughout the _____ stage since it takes longer for tissues to heal and normal function to be restored that it takes for pain relief.
 Definition
REPAIR STAGE
Term
14.  Stage 3 of tissue healing consists of _____.
 Definition
REPAIR
Term
15.  Repair begins _____ days after injury, while scar tissue is made for up to _____ weeks.
 Definition
5 DAYS; 6 WEEKS
Term
16.  Lack of motion causes excess _____ in dense patterns disrupting normal function.
 Definition
SCAR TISSUE
Term
17.  When an injury occurs, the faster we implement _____, the better the injury will heal, due to healthy connective tissue development.
 Definition
MOTION
Term
18.  3 goals during the repair stage of chiropractic.
 Definition
1) RESTORE NORMAL MOTION AND SENSATION, 2) PROMOTE FULL HEALING, 3) RELIEVE PAIN
Term
19.  Stage 4 tissue healing consists of _____ in which connective tissue remodels for better strength and flexibility.
 Definition
REMODELING
Term
20.  Remodeling generally takes _____ weeks but It may take up to _____ with severe injuries.
 Definition
3-14 WEEKS; 1 YEAR
Term
21.  Recovery time for acute (passive) injuries should be between _____ hours.
 Definition
48-72 HOURS
Term
22.  Recovery time for remobilization (active) care should be between _____.
 Definition
48 HOURS-6 WEEKS
Term
23.  Recovery time for rehabilitation (active) care should be between _____.
 Definition
3 WEEKS-1 YEAR
Term
24.  Passive care of acute intervention is used for these 4 things.
 Definition
1) TO PROMOTE ANATOMICAL REST, 2) TO DIMINISH MUSCULAR SPASM, 3) TO REDUCE INFLAMMATION, 4) TO ALLEVIATE PAIN
Term
25.  Passive therapy without an active rehabilitation program will result in _____ and create a chronic patient who will only gain temporary relief from continued passive therapy. This will eventually lead to insurance companies discontinuing payment for care due to lack of treatment.
 Definition
DECONDITIONING
Term
26.  There is a universal agreement that of those whose symptoms persist for more than 3 to 4 months, more than _____ will still be disabled at the end of the year.
 Definition
HALF
Term
27.  Active care consists of these 3 stages.
 Definition
1) REMOBILIZATION, 2) REHABILITATION, 3) LIFE STYLE ADAPTATIONS
Term
28.  2 purposes of remobilization during active care.
 Definition
1) TO INCREASE PAIN FREE ROM, 2) TO MINIMIZE DECONDITIONING
Term
29.  2 purposes of rehabilitation during active care.
 Definition
1) TO RESTORE STRENGTH AND INDURANCE, 2) TO INCREASE PHYSICAL WORK CAPACITY
Term
30.  2 purposes of life style adaptations during active care.
 Definition
1) TO MODIFY SOCIAL AND RECREATIONAL ACTIVITY, 2) TO DIMINISH WORK ENVIORNMENT RISK FACTORS
Term
31.  This type of exercise has many benefits including increased rate of metabolism of muscle tissue and increased blood flow to muscles. It usually prepares the persom for the performance of the rehab activity.
 Definition
PRE-EXERCISE WARM UP
Term
32.  This type of exercise improves blood flow to healing tissues and increases work capacity lost during deconditioning from inactivity.
 Definition
AEROBIC EXERCISE
Term
33.  When performing aerobic exercise there is increased _____ release to improve pain tolerance.
 Definition
ENDORPHIN
Term
34.  This type of exercising is directed specifically toward conditioning and ordination of spinal structures for the purpose of neuromuscular rehab. It is more of a re-learning reprogramming of facilitation.
 Definition
PROPRIOCEPTIVE EXERCISES
Term
35.  _____ training is used to stimulate the proprioceptive pathways of the muscles, tendons, and joints.
 Definition
AGILITY
Term
36.  The goal of proprioceptive exercises is to re-integrate the appropriate pattern of _____.
 Definition
MOVEMENT
Term
37.  4 examples of proprioceptive exercises.
 Definition
1) SWISS BALL, 2) WOBBLE BOARD, 3) ROCKER BOARD, 4) BALANCE SHOES
Term
38.  Every patient can do _____ exercises no matter the degree of injury.
 Definition
ISOMETRIC
Term
39.  This type of exercise includes muscular contraction with no movement occurring in the associated articulations. They can be used very early with injured tissue when ROM is limited.
 Definition
ISOMETRIC EXERCISES
Term
40.  With isometric exercises, the _____ and _____ are fixed.
 Definition
SPEED AND RESISTANCE
Term
41.  Does isometric exercise improve muscle coordination?
 Definition
NO
Term
42.  This type of exercise involves muscular contraction against a fixed load with shortening of the muscle or lengthening of the muscle (free weight exercise).
 Definition
ISOTONIC EXERCISE
Term
43.  What produces more rapid increase in strength isometric or isotonic exercises?
 Definition
ISOMETRIC
Term
44.  This type of exercise involves contraction in which the speed is fixed but the resistance is variable (weight machines, elastic tubing and bands, etc…).
 Definition
ISOKINETIC EXERCISE
Term
45.  Isokinetic is the opposite of _____.
 Definition
ISOTONIC
Term
46.  Isokinetic and isotonic exercises include significant _____ to the patient through increases in repetitions and/or amount of resistance which is a good motivator for the patient.
 Definition
POSITIVE FEEDBACK
Term
47.  _____ states that bones model according to imposed demands.
 Definition
WOLF’S LAW
Term
48.  _____ states that soft tissue models according to imposed demands.
 Definition
DAVIS’ LAW
Term
49.  _____ is any form of active exercise in which dynamic or static muscle contraction is resisted by outside force applied manually or mechanically.
 Definition
RESISTANCE EXERCISE
Term
50.  Resistance exercise is an essential element of rehabilitation for persons with impaired function who want to do these 4 things.
 Definition
1) IMPROVE HEALTH, 2) IMPROVE PHYSICAL WELL BEING, 3) ENHANCE PERFORMANCE OF MOTIOR SKILLS, 4) REDUCE THE RISK OF INJURY
Term
51.  _____ is the ability of contractile tissue to produce tension and a resultant force based on the demands placed on the muscle.
 Definition
STRENGTH
Term
52.  _____is the work (force x distance) produced by a muscle per unit of time.
 Definition
POWER
Term
53.  _____ is the ability to perform low intensity, repetitive, or sustained activities over a prolonged period of time.
 Definition
ENDURANCE
Term
54.  _____ is specific adaptation to imposed demands.
 Definition
SAID
Term
55.  _____ is the most important aspect of musculoskeletal health of the spine.
 Definition
ENDURANCE
Term
56.  _____ exercises involve motions in which the body moves on a distal segment that is fixed or stabilized on a support surface.
 Definition
CLOSED CHAIN
Term
57.  _____ exercises involve motions in which the distal segment is free to move in space, without limitations.
 Definition
OPEN CHAIN
Term
58.  What is more important for musculoskeletal health of the spine, closed or open chain exercises?
 Definition
OPEN CHAIN
Term
59.  This type of muscle fibers are slow twitch fibers that generate a low level of muscle tension, but can sustain the contraction for long periods of time.
 Definition
TYPE 1 TONIC FIBERS
Term
60.  Type I tonic muscle fibers generally use _____ metabolism.
 Definition
AEROBIC
Term
61.  This type of muscle fibers are fast-twitch fibers that generate a great amount of tension within a short period of time.
 Definition
TYPE 2 PHASIC FIBERS
Term
62.  Type II phasic muscle fibers generally use _____ metabolism.
 Definition
ANAEROBIC
Term
63.  _____ is the amount of resistance (weight) imposed on the muscle during each repetition of an exercise.
 Definition
INTENSITY
Term
64.  The 2 components of intensity are _____ and _____.
 Definition
SUB-MAXIMAL LOADING AND MAXIMAL LOADING
Term
65.  This component of intensity involves little weight during the early stages of the program. Good for children and geriatrics and it promotes soft tissue healing and endurance improvement.
 Definition
SUB MAXIMAL LOADING
Term
66.  This component of intensity involves a lot of weight and its goal is to increase strength and muscle size.
 Definition
MAXIMAL LOADING
Term
67.  _____ is the greatest amount of weight a muscle can move through the available ROM a specific number of times.
 Definition
REPETITION MAX (RM)
Term
68.  _____ is the greatest amount of weight a subject can lift through the available ROM 1 time.
 Definition
1RM
Term
69.  _____ is the greatest amount of weight a subject can lift through the available ROM 10 times.
 Definition
10RM
Term
70.  10RM is generally _____% of the 1RM.
 Definition
50.00000%
Term
71.  The universal bench press is roughly _____% of body weight.
 Definition
30.00000%
Term
72.  The universal leg extension is generally _____% of body weight.
 Definition
20.00000%
Term
73.  The universal leg curl is generally _____% of body weight.
 Definition
10-15%
Term
74.  The universal leg press is generally _____% of body weight.
 Definition
50.00000%
Term
75.  After establishing the baseline RM, the amount of resistance used during training is calculated which is referred to as the _____.
 Definition
TRAINING ZONE
Term
76.  The training zone for untrained individuals should be between _____ and _____%.
 Definition
30-40%
Term
77.  The training zone for average individuals should be between _____ and _____%.
 Definition
60-70%
Term
78.  The training zone for highly trained individuals should be between _____ and _____%.
 Definition
80-95%
Term
79.  The training zone for children and elderly should be between _____ and _____%.
 Definition
30-50%
Term
80.  _____ refers to the number of times a particular movement is repeated.
 Definition
REPETITIONS
Term
81.  Lifting heavy weights leads to _____, while lifting light weights leads to more _____.
 Definition
BIG MUSCLES (SHIREMAN STATUS), ENDURANCE
Term
82.  Greater strength has been reported employing _____RM to _____RM.
 Definition
3RM-15RM
Term
83.  _____ is a predetermined number of repetitions grouped together.
 Definition
SETS
Term
84.  To improve _____, use an exercise load that causes fatigue after 6-12 repetitions for 2-3 sets.
 Definition
STRENGTH
Term
85.  To improve _____, perform many repetitions of an exercise against a submaximal load. As many as 3-5 sets of 40 or 50 repetitions against a low amount of weight.
 Definition
ENDURANCE
Term
86.  _____ is the number of exercise sessions per week.
 Definition
FREQUENCY
Term
87.  The best frequency to work out is _____ times per week per region.
 Definition
5
Term
88.  The optimum frequency to work out is _____ times per week per region.
 Definition
3
Term
89.  Mild to moderate frequency to work out is _____ times per week.
 Definition
2
Term
90.  Maintenance frequency working out is _____ times per week.
 Definition
1
Term
91.  Strength is lost at _____ the rate it was gained.
 Definition
39449
Term
92.  This active resistance exercise program is used to increase strength and power.
 Definition
DELORME METHOD
Term
93.  This active resistance exercise program is used to cause less pain, less swelling, and less strain to the joint.
 Definition
OXFORD TECHNIQUE
Term
94.  This active resistance exercise program is used for basic strength.
 Definition
MCQUEEN METHOD
Term
95.  This active resistance exercise program is used to cause hypertrophy of muscle.
 Definition
PYRAMID METHOD
Term
96.  This active resistance exercise program is used to increase strength and power, but it is also good for patients with low fatigue thresholds.
 Definition
ZINOVIEFF TECHNIQUE
Term
97.  This active resistance exercise program allows for individual differences in the rate at which a person regains strength and provides as objective method for increasing resistance in accordance with strength increases.
 Definition
DAPRE TECHNIQUE
Term
98.  _____ develops directly after strenuous exercise performed to the point of exhaustion. It occurs secondary to lack of adequate blood flow and oxygen and temporary build up of metabolites such as lactic and potassium.
 Definition
ACUTE MUSCLE SORENESS SYNDROME
Term
99.  What is a good way to prevent acute muscle soreness syndrome?
 Definition
A COOL DOWN POST EXERCISE TO PROVIDE ADEQUATE BLOOD SUPPLY TO THE INJURED MUSCLE
Term
100.                 _____ is a condition in which pain and discomfort is felt 24-72 hours post exercise and it generally resolves 2-3 days post pain. There is increased soreness with passive lengthening or active contraction of the involved muscle, and local edema or warmth.
 Definition
DELAYED MUSCLE SORENESS SYNDROME (DOMS)
Term
101.                 6 treatments of DOMS.
 Definition
1) ISOKINETIC EXERCISES, 2) THERAPEUTIC MODALITIES, 3) MASSAGE, 4) STRETCHING, 5) NSAID’S, 6) BRANCH CHAIN AMINO ACIDS (LEUCINE, ISOLEUCINE, VALINE)
Term
102.                 The primary mission of health care delivery is to provide sufficient care to _____, _____ and _____.
 Definition
RESTORE HEALTH, MAINTAIN, PREVENT THE OCCURRENCE OF INJURY
Term
103.                 In this type of care, the patient is managed for a condition which is directed at normalizing body function and with anticipated syndrome improvement expected within a reasonably predictable period of time. The goal of this care is to return the patient to pre-clinical status through education and treatment.
 Definition
THERAPEUTIC/ACTIVE CARE
Term
104.                 An exercise program of 10 reps for 3 sets is used for _____ and _____.
 Definition
STRENGTH AND HYPERTROPHY
Term
105.                 Strength is lost at _____x the rate it was gained.
 Definition
3-4X
Term
106.                 The passive care protocol of rehab should be _____.
 Definition
AS SHORT AS POSSIBLE
Term
107.                 These 2 exercises can be performed on day 1 of the injury.
 Definition
1) ISOMETRIC EXERCISES, 2) PAIN FREE ROM
Term
108.                 5 values of outcomes assessments in daily practice.
 Definition
1) VAIDATING A PATIENTS SUBJECTIVE COMPLAINT AND IMPROVEMENT, 2) DOCUMENTING FUNCTIONAL LOSS AND PROGRESS, 3) DOCUMENTING CHANGES IN ADL’S, 4) DOCUMENTING PSYCHOSOCIAL STATUS, 5) DOCUMENTING TIME OFF WORK
Term
109.                 The key concept of outcome assessment tools is _____.
 Definition
FUNCTION
Term
110.                 3 evaluation methods a chiropractor uses to identify the cause of pain.
 Definition
1) PROVOCATIVE TESTING, 2) FUNCTIONAL TESTING, 3) OUTCOME ASSESSMENT TOOLS (PAIN DRAWINGS, VAS, ETC…)
Term
111.                 _____ is an outcome assessment tool that consists of a 24 question questionnaire that asks about pain and daily living.
 Definition
ROLAND-MORRIS
Term
112.                 _____ is an outcome assessment tool that measures pain, talks about personal life, and deals with all aspects of life.
 Definition
QSWESTRY QUESTIONNAIRE
Term
113.                 _____ is an outcome assessment tool that measures the stress levels in ones life.
 Definition
MODIFIED ZUNG
Term
114.                 _____ is an outcome assessment tool that measures is a persons stress is affecting them physically and making them sick.
 Definition
MODIFIED SOMATIC PERCEPTION QUESTIONNAIRE
Term
115.                 3 types of functional testing in a chiropractic exam.
 Definition
1) SPINE ROM, 2) EXTREMITIES ROM, 3) MUSCLE TESTING
Term
116.                 _____ are small angle measuring devices used to measure ranges of motion in the spinal regions.
 Definition
INCLINOMETERS
Term
117.                 When measuring spinal ROM, you should perform at least _____ measurements of each motion.
 Definition
3
Term
118.                 Lumbar ROM is measured from _____ to _____.
 Definition
T12-SACRUM
Term
119.                 3 ROM measurements of the lumbar spine.
 Definition
1) LUMBAR FLEXION, 2) LUMBAR EXTENSION, 3) LATERAL BENDING
Term
120.                 There is no _____ measurement of the lumbar spine.
 Definition
ROTATION
Term
121.                 3 ROM measurements of the thoracic spine.
 Definition
1) FLEXION, 2) LATERAL BENDING, 3) ROTATION
Term
122.                 There is no _____ measurement in the thoracic spine.
 Definition
EXTENSION
Term
123.                 _____ is the instrument used to measure the ROM of extremities.
 Definition
GONIOMETER
Term
124.                 4 ROM measurements of the cervical spine.
 Definition
1) FLEXION, 2) EXTENSION, 3) ROTATION, 4) LATERAL BENDING
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