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Anesthesiology > Rehabilitation > Flashcards

Rehabilitation Flashcards

1
Q

What are two indications for rehabilitation?

A

Post injury or post surgery

Especially orthopedic or neurologic conditions

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2
Q

What are the two goals of rehabilitation?

A

Decrease pain and improve function

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3
Q

What three things have to be determined when evaluating a rehab patient?

A

Presenting complaint, medical history, and surgical history

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4
Q

How is the outcome of rehab measured?

A
  1. Ability to perform daily tasks
  2. Gait analysis
  3. Lameness scoring
  4. Force plate analysis
  5. Pedometers
  6. Joint function and laxity
  7. Muscle mass measurement
  8. Pain assessment
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5
Q

What are some uses of cryotherapy?

A

During acute phase of tissue injury or after exercise during rehab

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6
Q

What are the effects of cryotherapy?

A

Reduced blood flow/metabolism/permeability, decreased nerve conduction velocity, analgesia, prevention of edema, decreased spasms

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7
Q

What is the standard protocol for cryotherapy?

A

Application for 15-25min with close monitoring 3-6x/day

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8
Q

When would superficial thermal therapy be indicated?

A

After resolution of acute inflammatory phase

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9
Q

What are some effects of superficial thermal therapy?

A

Vasodilation, accelerated enzymatic and metabolic rxns, increased O2 uptake

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10
Q

What is the standard protocol for superficial thermal therapy?

A

30-45min application

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11
Q

What is the risk of superficial thermal therapy?

A

Burns

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12
Q

When is passive range of motion indicated?

A

Immediately post-sx or in paralyzed patients

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13
Q

What is the benefit of passive range of motion?

A

Stretching, decreased pain, improved rate of recovery, prevention of muscle contracture

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14
Q

When is active range of motion initiated?

A

Once the animal is ambulatory

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15
Q

What exercises result in increased joint flexion?

A

Swimming, walking in snow/sand/tall grass, crawling, climbing stairs, cavaletti rails

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16
Q

What are some assisted standing methods?

A

Slings, carts, exercise rolls/balls

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17
Q

What are some proprioceptive training exercises?

A

Manual unloading of limbs, balance boards, exercise balls

18
Q

What are some advantages of aquatic therapy?

A

Improves strength, muscular/CV endurance, ROM, agility, minimizes pain

19
Q

What does TENS stand for?

A

Transcutaneous electrical nerve stimulation

20
Q

Which nerves does TENS stimulate?

A

AB nerve fibers

21
Q

Which nerves does TENS inhibit?

A

C nerve fibers

22
Q

TENS units work through which principle?

A

Gate control theory

23
Q

What are some benefits of massage?

A

Improves circulation and lymphatic flow, relieves muscle spasms, reduces adhesions, mobilizes scar tissue

24
Q

What is stroking?

A

Medial pressure applied proximal to distal

25
Q

What is effleurage?

A

Medium pressure applied distal to proximal

26
Q

What is an advantage of effleurage compared to stroking?

A

Aids in lymphatic draining

27
Q

What is compression?

A

Pressure applied to a specific tense area in muscle

28
Q

What is percussion?

A

Clapping on tissues with a cupped hand

29
Q

What is trigger point therapy?

A

Squeezing areas of muscle spasm

30
Q

What wavelength of light is produced in low-level laser therapy?

A

600-1000nm

31
Q

Which strengths are theraputic?

A

IIIa, IIIb, and IV

32
Q

What are some advantages of low-level laser therapy?

A

Analgesic and improved wound healing

33
Q

Where is low-level laser therapy used?

A

Over trigger points, acupuncture points, joins, and tendons

34
Q

Do we know the mechanism of laser therapy?

A

Nope! :D

Considered photobioactivation or photobiomodulation

35
Q

What are three variables of concern for low-level laser therapy?

A

Wavelength, power, and time of application

36
Q

How is total energy delivered calculated?

A

Watts x time

37
Q

What PPE is required when using laser therapy?

A

Goggles for the patient and operator

38
Q

What is extracorporeal shockwave therapy?

A

Application of an acoustic pressure wave with high amplitude and energy

39
Q

What is the mechanism of extracorporeal shockwave therapy?

A

We don’t really know!

40
Q

What species is extracorporeal shockwave therapy most used in?

A

Horses

41
Q

What are some advantages of extracorporeal shockwave therapy?

A

Improved healing of bony and soft tissues, some analgesia

Anesthesiology (27 decks)

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