Shared Flashcard Set

Details

NBCOT Adults and Seniors II
midterm 2
69
Health Care
Graduate
03/30/2013

Additional Health Care Flashcards

 


 

Cards

Term
What is the order of the heirarchy that Rood uses for sensori-motor?
Definition

1. Reciprocal Inhibition

2. Co-contraction

3. Heavy

4. Skill

Term
What do you need for reciprocal inhibition?
Definition
need agonist and antagonist control
Term
in Rood, Weight Shifting also means....
Definition
heavy work
Term
In Rood, Skill means..
Definition
"reaching"
Term
Type A Fibers
Definition

are myelinated

 

Term
Type C fibers are...
Definition
unmyelinated
Term
Reciprocal Inhibition-
Definition

early mobility pattern as a protective function

contraction of the agonist muscle as the antagonist muscle relaxes

Term
Cocontraction
Definition
  • provides stability
  • ability to hold a position or an object for a longer period of time
  • simultanious contraction of agonist and antagonist
Term
Heavy work-
Definition
  • Mobility superimposed on stability 
  • proximal muscles contract and move, distage segment is fixed
Term
Skill
Definition
  • combines the effort of mobility and stability
  • Proximal segment is stabilized while the distal segment moves freely

 

Term
PNF
Definition
Mass movement pattern through therapist's manual contact, verbal commands, and visual cues.
Term
PNF is based on these points:
Definition
  • proposes there are 2 diagnoal patterns of movement
  • mass movement patterns observed in most functional activities
Term
___ and ___ patterns are seen in normal daily self care and ADL.
Definition
D1 and D2
Term
Putting on a seat belt is an example of...
Definition
D1 extention
Term
In lab we decided this can be called "disco move"
Definition
D2 flexion
Term

taking off a shirt...

(is an example what PNF pattern)?

Definition
bilateral D2 flexion
Term
Name three bilateral patterns of movement used in PNF
Definition
  1. symmetrical 
  2. asymmetrical
  3. reciprocal 
Term
symmetrical bilateral movement patterns
Definition
  • paired extremities perform similar movements at the same time. 
  • facilitates trunk flexion and extention
Term
What procedure in PNF initiates voluntary movement and enhances speed of response?
Definition
Quick stretch
Term
What PNF procedure promotes stability by stimulating joint receptors sensitive to stretch?
Definition
Traction
Term
What is the purpose of resistance in PNF?
Definition
  • used to improve muscle contraction
Term
How do therapists use resistance in PNF?
Definition

Therapists resist mov't while still being a part of the overall diagonal movement pattern of the pt. 

 

Term
If a therapist wants to allow for smooth, cooridinated movement (in a pt. while using PNF) what would he/she do to the resistance?
Definition
modulate the resistance
Term
How do you inhibit the flexor?
Definition
Use firm pressure
Term
what is the definition of sensori-motor as used in Rood and PNF?
Definition
using sensation to promote motor
Term
To faciliate stimulation using tactile sense what would you do?
Definition

Light stroking touch (A)

Fast Brushing (C)

Term
Using tactile senses what would you do to inhibit or calm a muscle?
Definition

even pressure touch

slow rhythmic stroking

Term
To faciliate (stimulate) a muslce using temperature, what would you do?
Definition

Cool- A -icing

C- icing 

Term
Using Temperature, how would you inhibit a muscle?
Definition

Use warm, neutral

(or prolonged cool) for 20 min. 

Term
Using Proprioception, how would you faciliate a muscle?
Definition

high frequency vibration

quick stretch

tapping (in conjunction with pt. contracting the muscle)

 

Term
Using proprioception, how would you inhibit a muscle?
Definition

prolonged stretch

stimulation to antagonist 

Term
Using compression, how would you faciliate (stimulate) a muscle?
Definition

heavy joint compression

resistance

Term
Using Compression, how would you inhibit (calm) a muscle?
Definition

light joint approximation

tendon pression 

Term
Using the vestibular system, how would you faciliate (stimulate)?
Definition

Fast

sudden

jerky

tense

Term
Using the vestibular system, how would you inhibit (calm) the muscles?
Definition

Slow

rhythmic

even

Term
[image]
Definition
D1 pattern PNF
Term
[image]
Definition
D1 flexion pattern
Term
[image]
Definition
D1 Extention
Term
[image]
Definition
D1 bilateral flexion
Term

[image]

what PNF pattern is this an example of?

Definition
D1 Ext.[image]
Term

[image]

what pattern did he just move into?

Definition
D2 Extention
Term

[image]

What pattern did she just move into?

Definition
D2 Flexion- bilateral
Term

[image]

what pattern did he just move into?

Definition
D2 Flexion
Term
what is the highest age group that brain injuries occur?
Definition
males between the ages of 15-24
Term
concussion symptoms
Definition
altered levels of alterness (diff. falling asleep or waking up earlier)
confusion
headache
hyper-sensativity to light and or sound
amnesia
descrease balance
nausea/vomiting
post-traumatic cognitive deficits
Term
anoxia vs. hypoxia
Definition

anoxia= no O2

hypoxia= low levels of O2

Term

Post 

traumatic

amnesia 

(and level of severity of TBI)

Definition

less than 5 min. = very mild

5-60 min.=mild

1-24 hours=moderate

1-7 days= severe

4 weeks += extremely severe

Term
What is included in the Glasgow Coma Scale? GCS
Definition

1. Alertness

2. motor response

3. Verbal response

Term
what is NOT included in the GCS?
Definition
cognitive functioning
Term

Severity of TBI based on GCS

 

symptoms: <30 min. of loss consciousness

any loss of memory for events immediately before or after event

alteration of mental state at time of accident

focal deficit

Definition
GCS: 13-15
Term

Severity of TBI based on GCS:

30 min. - 24 hours of LOC

PTA of 1-24 hours


Definition
GCS: 9-12
Term

Severity of TBI based on GCS

LOC >24 hours

PTA >24 hours

Definition
GCS: 8 or less
Term
What are other medical management issues with high impact TBI?
Definition

70% have seizures (meds needed)

impaired resipiration (nasal intubation)

bowel/bladder (cath)

fractures (casts)

hydrocephalus (shunts needed)

Aspiration risks

Term

This describes a person with a TBI in Rancho Level...


Coma- eyes closed

no speech

no command following

no intentional movement

Definition
rancho level 1
Term


This describes a person with a TBI in Rancho Level...


vegetative state

sleep/wake cycle occurs

awake - but not aware

loss of ability to interact with environment

Definition
Rancho Level 2
Term

This describes a person with a TBI in Rancho Level...


may swallow food if placed on tongue

devoid of cognitive content

reflexive reactions present

Definition
Rancho Level 2
Term

This describes a person with a TBI in Rancho Level...


awake on and off during the day

begin to recognize family and friends

responds to simple commands like, "squeeze my hand."

Makes more movements than before

 

Definition
Rancho Level 3
Term

This describes a person with a TBI in Rancho Level...


person very confused and frightened

not understanding what is happening around him/her

abusive language/screaming/hitting

attention only a few seconds

with help, able to do simple routine (ADLs)

highly focused on basic needs

Definition
Rancho level IV (4)
Term

This describes a person with a TBI in Rancho Level...


attention span a few minutes

not know the date, where he/she is, why he/she is in the hospital

not be able to start or complete ADLs

restless/overwhelmed with too many people

confabulation 

basic needs

poor memory- but can remember events before the accident

Definition
Rancho Level 5
Term

This describes a person with a TBI in Rancho Level...


knows the month and the year

remembers that he had visitors but not what they talked about

attention around 30 min.

trouble concentrating when it's noisy

be more aware of physical problems than thinking problems

do or say things without thinking first

Definition
Rancho Level VI (6)
Term

This describes a person with a TBI in Rancho Level...


Follows a set schedule

be able to do ADL without help

in new situations the person becomes frustrated

not realize how thinking and memory problems will affect future goals

Definition
Rancho Level VII (7)
Term

This describes a person with a TBI in Rancho Level...


realizes that he has a problem in thinking and memory

begins to compensate for problems

be able to come up with several solutions to a problem

be ready for driving or job training eval

needs some guidance making descisions 

Definition
Rancho Level VIII (8)
Term


This describes a person with a TBI in Rancho Level...


purposeful and appropriate

able to think about consequences and take corrective action

accurately estimates abilities

"would realize how to safetly cross the street."

SBA (if pt. asks for help)

Independently shifts attention between tasks (~2 hours)

Definition
Rancho Level IX (9)
Term

 

This describes a person with a TBI in Rancho Level...


When they are tired, sick or stressed their problem solving skills descrease. 

Definition
Rancho Level X
Supporting users have an ad free experience!